| SOUTHWEST DIAGNOSTIC IMAGING CENER REPORT |
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SOUTHWEST
DIAGNOSTIC
IMAGING CENTER |
PATIENT: FURLONG, NEILA C
DATE OF BIRTH:
01-Jun-41
DATE OF EXAM: 03-May-01
| X-RAY
#: 0142196 |
EXAM #:
14A-050301 |
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REFERRING PHYSICIAN:
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Presbyterian Professional
Building 3
8230 Walnut Hill Lane - Suite 100
Dallas, Texas
75231-9930
214/345-6905 - Fax 214/345-4020 |
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J J SHARMA,
MD
8230 WALNUT HILL LANE STE
706
DALLAS TEXAS
75231
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COMPUTED TOMOGRAPHY
OF THE CHEST
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CLINICAL HISTORY:
Lung cancer. |
COMPARASION: March 26,
2001
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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.
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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.
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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.
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D&T: 03-May-01 / 03857 |
Electronically Signed: EVAN L.
COHN, MD
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| ELC/paf |
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