walfredo2001 Posted April 26, 2022 Share Posted April 26, 2022 Hi- I'm new to this gruop, and would love to hear someones opinions on the below CT scan report from the radiologist. I have a bronchoscope scheduled for Friday and Pulminologist said she would have results for me, likely late next week. 41 year old non-smoker male. CT CHEST WITHOUT CONTRAST dated 4/20/2022 9:07 AM CLINICAL HISTORY: Cough, persistent. COMPARISON: Chest x-ray 3/29/2022. PROCEDURE COMMENTS: CT of the chest was performed without IV contrast. This examination was performed with automated exposure control to minimize patient radiation exposure. FINDINGS: Lungs: The right lower lobar bronchus, at the level of the superior segmental bronchus, contains an endobronchial lesion with subsequent peripheral mucous plugging and basal segmental atelectasis. Small regions of tree-in-bud inflammatory infiltrate are also seen through the superior segment of the right lower lobe. Posterior left lower lobe pulmonary nodule, 3 mm, series 3 image 78. No other pulmonary nodules, focal airspace consolidations or masses. No pleural effusions or pneumothorax. The central airways are patent. Lymph nodes: Noncontrast technique limits evaluation for hilar lymphadenopathy. Within these constraints, no supraclavicular, axillary, mediastinal, or hilar lymphadenopathy is identified. Mediastinum: The heart size is within normal limits. No pericardial effusion. Small air-fluid level in the distal thoracic esophagus. Chest wall and spine: No acute osseous abnormality. Upper abdomen: The upper abdominal viscera are unremarkable. IMPRESSION: 1. The right lower lobar bronchus is occluded by an endobronchial lesion. Further evaluation with endobronchial/bronchoscopic tissue sampling is advised. The age of the patient and the endobronchial location raises the possibility of pulmonary carcinoid. 2. The right lower lobe basal segments demonstrate atelectasis with scattered tree-in-bud inflammatory infiltrates through the superior segment of the right lower lobe. 3. No definite lymphadenopathy of the chest. 4. The small, 3 mm, left lower lobe pulmonary nodule should remain under longer-term follow-up. To be based upon the patient's subsequent oncological profile. Quote Link to comment Share on other sites More sharing options...
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