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: 05/30/00
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

HILLCREST

TECHNIQUE:

Continuous axial  8  mm  sections were obtained through the throax both pre and post intravenous administration of  92  cc  Omnipaque  300.   A total of 100 images was obtained.


FINDINGS:

This study was compared to the prior study of 2/23/00.

Since the prior study, there has been insertion of an infusion catheter, with the reservoir in the anterior soft tissues of the left upper chest. There is loculated pleural effusion on the patient's right, unchanged since the piror study, and there is consolidation in the right lower lobe. The previously described irregularly-shaped pleural-based mass in the right upper lobe is unchanged in size and configuration and appears to have a small peripheral area of calcification. There are calcified pre and peritrachaeal lymph nodes, the largest measuring 13 mm in diameter. The infusion catheter tip is in the superior vena cava. No new masses are present in the right lung. The left lung is free of any masses. Atherosclerotic calcifications are present in the aortic arch. No osteoblastic or osteolytic lesions are identified.  


IMPRESSION:

1.   Internal insertion of an infusion catheter, with the reservoir in the soft tissues of the left uper chest, with the tip in the superior vena cava.

2.   Calcified pre and pretrachael lymph nodes on the right, the largest measuring 13 mm in diameter.

3.   Loculated right pleural effusion-based mass in unchanged in size since the prior study of 2/23/00

4.   The previously suspected pleural-based mass is unchanged in size since the prior study and may represent extensive pleural thickening rather than neoplams.   It is unchaned since the piror study.
.

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

  HARRY FEUERBERG, MD
  Radiologist

  HF /HF
  D: 05/31/00  T: 06/01/00

THIS REPORT HAS BEEN REVIEWED AND ELECTRONICALLY SIGNED.