SOUTHWEST DIAGNOSTIC IMAGING CENER REPORT SW Diagnostic logo
PATIENT:   FURLONG, NEILA C
DATE OF BIRTH:   01-Jun-41
DATE OF EXAM:  03-May-01
X-RAY #:  0142196 EXAM #: 14A-050301 
Presbyterian Professional Building 3
8230 Walnut Hill Lane - Suite 100
Dallas, Texas 75231-9930
214/3456905 - Fax 214-345-4020
 
REFERRING PHYSICIAN:
 
J J SHARMA, MD
8230 WALNUT HILL LANE STE 706
DALLAS                           TEXAS 75231

 
COMPUTED TOMOGRAPHY OF THE CHEST
 

CLINICAL HISTORY:   Lung cancer.

COMPARASION:     March 26, 2001
 
TECHNIQUE:   Seven-milimeter contiguous axial images were aken from the lung apices to the top of the kidneys during the administration of intravenous contrast.  Oral contrast was also provided.
 
FINDINGS:    There is no significant axilliary or mediastinal adenopathy identified.  There is volume contraction in the right lung most likely secondary to a right upper lobe lobectomy.  There is geographic radiodensity in the paramediastinal region inferiorly most likely secondary to radiation change.  No discrete mass is identified.  There is pleural effusion in the right chest, a portion of which anteriorly is loculated.  There is a peripheral rind of enhancement but this does not contain gas but this may be infected given the peripheral rind of enhancement.  There is no significant change in the area of focal pleural thickening in the right lateral lung seen on image 14 pf series 3 measuring approsimatedly 2-cm in size.  This may represent pleural metastasis.  The left lung is clear.  There is mild cardiomegaly.  No pericardial effusion is seen.

In the abdomen, the liver, spleen, bilateral adrenal glands, and pancreas are unremarkable.  There are multiple filling defects seen within the gallbladder most consistent with gallstones.  The bilateral kidneys are unremarkable.

In the abdomen, the liver, spleen, bilateral adrenal glands, and pancreas are unremarkable.  There are multiple filling defectgs seen within the gallbladder most consistent with gallstones.  The bilateral kidneys are unremarkable.

There is a subclavian central venous line with its tip located at the SVC-right atrial junction.

IMPRESSION:
1.  Evidence of a right pleural effusion, a portion of which is loculated and does have a peripheral rim of enhancement representing possible infection.  No gas is seen that would be definitive for infection.

2.  Cholelithiasis.

D&T: 03-May-01 / 03857