PhyMed  PHYMED
DIAGNOSTIC IMAGING CENTER
 
9603 White Rock Trail, Suite 100, Dallas, TX 75238
Phone (214) 340-9912


12840 Hillcrest Road, Suite E100, Dallas, TX 75230
Phone (214) 503-6852
PATIENT:   FURLONG,   NEILA C.

               DATE: 02/23/00
DOB:  06/01/41       AGE: 58Y

         XRA Y #:  107501
REFERRING PHYSICIAN/FACILITY:
STEVE PERKINS, M.D.

EXAMINATION:  CT CHEST, W/O AND W/CONTRAST

RADIOLOGY REPORT

WHITE ROCK

TECHNIQUE:

Axial  10  mm  sections were obtained through the throax both pre and post intravenous administration of  100  cc  Omnipaque  300.   The patient was premedicated with prednisone, benadryl and Zantac due to history of contrast allergy.   This study was compared to the prior examination dated 12/30/99.


FINDINGS:

There continues to be extensive consolidation involving the right lung, with a loculated lateral and anterior pleural effusion, unchanged since the prior study.   The previously described right upper lobe mass has increased significantly in size and now measures approximately   25  mm  in diameter and has irregular borders. There is poor central contrast enhancement.   No osteolytic lesions are indentified.   A couple of small lymph nodes are present in the periaortic fat of the anterior mediastinum.   The irregular contrast opacification of the superior vena cava was previously felt to represent an element of thrombus.    This finding may also be secondary to blood flow.  The left lung remains clear.   The left ventricle appears mildly prominent and is unchanged in size since the prior study.   No subcutaneous soft tissue masses are indentified. 


SUMMARY OF POSITIVE FINDINGS:
1.   Extensive consolidation of the right lung with loculated right pleural effusion.
2.   The previously described right upper lobe mass has increased significantly in size since the prior study.
3.   No masses are present in the left lung.


Thank you for allowing us to participate in the care of this patient.

  HARRY FEUERBERG, MD
  Radiologist

  HF /HF
  D: 02/03/00  T: 02/03/00

THIS REPORT HAS BEEN REVIEWED AND ELECTRONICALLY SIGNED.