CT CHEST

 

INDICATION :

Evaluation of a subcentimeter nodular opacity at the left lung base

 

TECHNIQUE :

Examination performed without iodinated contrast. DLP: 92 mGy·cm

 

FINDINGS :

Marked bilateral, diffuse paraseptal emphysema, non-confluent.
Left apical pleural cap.

No progressive pleuroparenchymal abnormality.

Left lower lobe nodule with smooth margins measuring 13 mm (S301- [DATE:440]), noncalcified.

9 mm left lower lobe nodule with smooth margins (S301- [DATE:416]).

Small 3.5 mm left lower lobe nodule with smooth margins (S 301 - [DATE:389])
Perifissural lymph node in the posterior lingula measuring 5 mm (S 302 - [DATE:390]).

Small 8 mm nodule with smooth margins in the lateral segment of the right middle lobe (S302 - 373).
No pleural effusion.

Right hilar lymph node enlargement measuring 14 mm, subcentimeter left interbronchial lymph node.

Ectasia of the descending thoracic aorta beginning at the aortic isthmus, with a maximal diameter measuring 40.2 × 40.7 mm over a length of 5.3 cm, without signs of mural hematoma or dissection
No endobronchial abnormality.

No osseous abnormality.

 

On the lower thoracic sections :

Adrenal glands are slender.
Hepatic dysmorphism without signs of Portal HTN.

IMPRESSION :

Marked bilateral, diffuse paraseptal emphysema, non-confluent.

Bilateral pulmonary nodules, the largest a left lower lobe nodule measuring 13 mm, with smooth margins, noncalcified.
Ectasia of the descending thoracic aorta beginning at the aortic isthmus, with a maximal diameter measuring 40.2 × 40.7 mm over a length of 5.3 cm, without signs of mural hematoma or dissection.

Recommendation to continue surveillance

 

Dr. [FIRST NAME] [NAME]
