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 11 mm, noncalcified.

9 mm left lower lobe nodule with smooth margins.

Small 3.5 mm left lower lobe nodule with smooth margins.
Perifissural lymph node in the posterior lingula measuring 5 mm.

Small 8 mm nodule with smooth margins in the lateral segment of the right middle lobe.
Small right 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 38 x 39 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 11 mm, with smooth margins, noncalcified.
Ectasia of the descending thoracic aorta beginning at the aortic isthmus, with a maximal diameter measuring 38 x 39 mm.

Recommendation to continue surveillance.  Recommendation to continue surveillance.



Dr. [FIRST NAME] [NAME]
