CT – CHEST (PLAIN AND CONTRAST)
STUDY PROTOCOL:
Axial 5mm cuts were identified from the thoracic inlet down to the upper poles of the kidneys, and these were repeated during dynamic intravenous administration of iohexol 350.
FINDINGS:
Few fibrotic strands with subtle traction bronchiectatic changes noted in posterior segment of right upper lobe.
Small calcific granuloma noted in posterior segment of right upper lobe.
No evidence of abnormally enhancing mass lesions noted.
Rest of the lungs are normally aerated and are applied to the chest wall on all sides.
There are no focal intrapulmonary nodules, patchy opacities, or cavitation.
The minor and major fissures are well delineated with no evidence of fissural displacement.
The distribution of the bronchial and vascular structures within the lungs is normal.
The mediastinum is centered and of normal width. There is no evidence of masses in the anterior, central or posterior compartments.
Mediastinal contents including the trachea and its bifurcation, thoracic aorta, the main pulmonary artery and its branches appear normal.
The hilar region on each side is unremarkable.
The heart is orthotopic with normal configuration. The cardiac chambers are of normal size.
No significant pericardial thickening / fluid collection seen.
No significant lymph node enlargement identified.
No significant pleural thickening / fluid collection seen.
The axillary and supraclavicular regions are normal.
The imaged portions of the supra-aortic vessels are unremarkable.
No abnormal wall thickening / dilatation of the thoracic esophagus is seen.
The bones of the thoracic cage and the vertebrae do not reveal significant abnormality.
Superficial soft tissues of the chest wall appear normal.
Upper part of the liver, spleen and adrenals included in the study show no obvious abnormality.
IMPRESSION:
Few fibrotic strands with subtle traction bronchiectatic changes noted in posterior segment of right upper lobe.
Small calcific granuloma noted in posterior segment of right upper lobe.
FEATURES IN FAVOR OF POST INFECTIVE SEQUELAE.
NO EVIDENCE OF CONSOLIDATION.
~Axrix Teleradiology
note: this scans based on scans