IMPRESSION: Emphysema with mild, diffuse bronchiectasis. Stable
subcentimeter pulmonary nodules, measuring up to 4 mm in size. No new
pulmonary nodule is identified. Again seen are regions of mucoid
impaction within both lungs.
Stable prominent, less than 1 cm mediastinal and bilateral hilar lymph
nodes, likely reactive.
Transcriptionist: PSCB
Transcribe Date/Time: Jun 9 2023 5:56P
Dictated by : AQEEL CHOWDHRY, MD
This examination was interpreted and the report reviewed and
electronically signed by:
AQEEL CHOWDHRY, MD on Jun 9 2023 6:00PM EST
Narrative
* * *Final Report* * *
DATE OF EXAM: Jun 8 2023 7:28PM
LDC 0541 - CT CHEST WO IVCON / ACCESSION # 145969239
PROCEDURE REASON: Lung nodules
* * * * Physician Interpretation * * * *
EXAMINATION: CHEST CT WITHOUT CONTRAST
CLINICAL HISTORY: Lung nodules
Technique: Spiral CT acquisition of the chest from the thoracic inlet to
the upper abdomen without contrast.
MQ: CTCWO_6
CT Radiation dose: Integrated Dose-length product (DLP) for this visit =
65.90 mGy*cm
CT Dose Reduction Employed: Automated exposure control (AEC)
Comparison: 09/30/2022
RESULT:
Limitations: None.
Lines, tubes, and devices: None.
Lung parenchyma and airways: There is emphysema with mild, diffuse
bronchiectasis. Mild biapical fibrosis. Stable 4 mm nodule seen within
left upper lobe, when compared to the prior examination (series 3, image
#163). Other subcentimeter pulmonary nodules are also stable. For
example, there is a stable, approximately 4 mm nodule seen within the
right middle lobe, near the right minor fissure (series 3, image #190).
Mild reticulation is seen within the periphery of the lungs and lower
lobes, bilaterally, suggesting interstitial disease. Atelectasis versus
scarring is seen within the lingula as well as within the right middle
lobe. Additionally, there are mild regions of mucoid impaction again
seen within both lungs.
Pleural space: No pleural effusion.
Lower neck, lymph nodes, and mediastinum: There are stable prominent,
less than 1 cm mediastinal and bilateral hilar lymph nodes, likely
reactive. No frank axillary lymphadenopathy is identified.
Heart, pericardium, and thoracic vessels: The heart is normal in size.
There is no significant pericardial effusion.
Bones and soft tissues: There is no destructive bony lesion.
Upper abdomen: Nonspecific wall thickening of the stomach likely relates
to underdistention.