++++++ id : 0
++++++ hbid : iDio0nDdKR8z
++++++ reportid : 1,iDio0nDdKR8z
++++++ reportType : RAD
++++++ report :
CT CHEST WITH CONTRAST: 10/26/06 1820 HOURS
HISTORY: SHORTNESS OF BREATH. RULE OUT PE.
TECHNIQUE: Axial images of the chest were obtained following
intravenous administration of 125cc of Optiray 320 utilizing
pulmonary embolism protocol.
FINDINGS: The study is limited due to suboptimal opacification of
the pulmonary arteries, especially for the evaluation of distal
segmental pulmonary arteries. There is no gross evidence of
significant pulmonary embolism. Small emboli in the distal segmental
pulmonary arteries cannot be totally excluded.
Cardiomegaly is present along with pulmonary vascular congestion.
Prominent pulmonary artery consistent with pulmonary arterial
hypertension is also seen. A small right pleural effusion with
adjacent atelectasis is present. There is no evidence of a
pneumothorax. The aorta is of normal caliber.
In the visualized abdomen, there is evidence of ascites, streaking of
subcutaneous fat is seen consistent with anasarca.
IMPRESSION:
1. LIMITED STUDY DEMONSTRATING NO GROSS EVIDENCE OF SIGNIFICANT
PULMONARY EMBOLISM.
2. CARDIOMEGALY, PULMONARY VASCULAR CONGESTION AND PULMONARY ARTERIAL
HYPERTENSION PRESENT.
3. SMALL RIGHT EFFUSION WITH ADJACENT ATELECTASIS.
O27
END OF IMPRESSION:
++++++ impression : IMPRESSION:
1. LIMITED STUDY DEMONSTRATING NO GROSS EVIDENCE OF SIGNIFICANT
PULMONARY EMBOLISM.
2. CARDIOMEGALY, PULMONARY VASCULAR CONGESTION AND PULMONARY ARTERIAL
HYPERTENSION PRESENT.
3. SMALL RIGHT EFFUSION WITH ADJACENT ATELECTASIS.
O27
END OF IMPRESSION:
----------------- END ROW -----------------
++++++ id : 1
++++++ hbid : flsC6rf5kjGz
++++++ reportid : 2,flsC6rf5kjGz
++++++ reportType : RAD
++++++ report :
CTA CHEST: 10/26/2006 8:00 AM
HISTORY: HISTORY OF ENDOMETRIAL CANCER. SHORTNESS OF BREATH.
TECHNIQUE: Helical images in 1.25mm collimation were obtained from
the lung bases to the apices after the uneventful administration of
150cc of intravenous Optiray-320.
FINDINGS: There are no filling defects to suggest pulmonary
embolism. There are dependent bibasilar opacities compatible with
atelectasis. There is some scarring at the right apex. The lungs
are otherwise clear.
IMPRESSION:
1. NO FILLING DEFECTS TO SUGGEST PULMONARY EMBOLISM.
2. DEPENDENT CONSOLIDATION COMPATIBLE WITH ATELECTASIS.
O26
END OF IMPRESSION:
++++++ impression : IMPRESSION:
1. NO FILLING DEFECTS TO SUGGEST PULMONARY EMBOLISM.
2. DEPENDENT CONSOLIDATION COMPATIBLE WITH ATELECTASIS.
O26
END OF IMPRESSION:
----------------- END ROW -----------------
++++++ id : 2
++++++ hbid : SDEkX9mlfuwT
++++++ reportid : 3,SDEkX9mlfuwT
++++++ reportType : RAD
++++++ report :
EXAMINATION PERFORMED:
CT THORAX WITH CONTRAST 05/10/08 0940 HOURS
CLINICAL HISTORY:
Chest pain.
COMPARISON:
4/9/07.
TECHNIQUE:
CTA of the chest with nonionic intravenous contrast as per the PE
protocol.
FINDINGS:
There is no evidence of a pulmonary embolism.
The lungs demonstrate no evidence of focal consolidation. There is
a small ground-glass subpleural nodule, image 110 in the right
upper lobe.This measures 6mm. Central airway is patent.
There are small mediastinal nodes which are unchanged. There is no
hilar adenopathy. There are no pleural effusions. There is no
pericardial effusion.
Exam of the upper abdomen demonstrates no definite abnormality.
There is atelectasis at the left base and lingula.
Visualized bones demonstrate no focal lesions.
IMPRESSION:
1. NO EVIDENCE OF A PULMONARY EMBOLISM.
2. GROUND-GLASS SUBCENTIMETER NODULE IN THE RIGHT UPPER LOBE. THIS
IS NONSPECIFIC AND 3 MONTH INTERVAL FOLLOW-UP IS SUGGESTED.
END OF IMPRESSION:
++++++ impression : IMPRESSION:
1. NO EVIDENCE OF A PULMONARY EMBOLISM.
2. GROUND-GLASS SUBCENTIMETER NODULE IN THE RIGHT UPPER LOBE. THIS
IS NONSPECIFIC AND 3 MONTH INTERVAL FOLLOW-UP IS SUGGESTED.
END OF IMPRESSION:
----------------- END ROW -----------------
++++++ id : 3
++++++ hbid : m2ia9ilU38Ip
++++++ reportid : 4,m2ia9ilU38Ip
++++++ reportType : RAD
++++++ report :
EXAMINATION PERFORMED:
CT ANGIOGRAPHY CHEST WITH CONTRAST 12/03/07 1614 HOURS
CLINICAL HISTORY:
Unresponsive.
TECHNIQUE:
CT of the chest with nonionic intravenous contrast as per the PE
protocol.
FINDINGS:
There is no evidence of a pulmonary embolism.
The lungs demonstrate small bilateral pleural effusions with
atelectasis. There is a focal irregular nodule in the right upper
lobe anteriorly, image 153. This measures 7x6mm. There is no
definite evidence of calcification. There is also a subpleural
nodular density image 100 in the left upper lobe, however, there
is streak artifact from the pacer, which limits evaluation.
Central airway is patent.
There is no evidence of thoracic adenopathy. There is no
pericardial effusion. There is cardiomegaly. There is coronary
artery calcification.
Exam of the upper abdomen demonstrates slight hypertrophy of the
lateral segment which is partially imaged. There is slight
infiltration of the visualized mesentery.
The visualized bones demonstrate no focal lesions. There are
degenerative changes of the spine.
Main pulmonary artery is slightly dilated.
IMPRESSION:
1. NO EVIDENCE OF A PULMONARY EMBOLISM.
2. CARDIOMEGALY WITH SMALL BILATERAL PLEURAL EFFUSIONS AND SLIGHT
SEPTAL THICKENING WHICH MAY INDICATE PULMONARY EDEMA.
3. FOCAL NODULE IN THE RIGHT UPPER LOBE AND SUBPLEURAL NODULE IN
THE LEFT UPPER LOBE WHICH ARE NONSPECIFIC AND AMENABLE TO INTERVAL
FOLLOW UP.
4. SLIGHT ENLARGEMENT OF THE MAIN PULMONARY ARTERY WHICH MAY
INDICATE PULMONARY ARTERIAL HYPERTENSION.
5. SLIGHT HYPERTROPHY OF THE LATERAL SEGMENT OF THE LIVER, WHICH
MAY INDICATE UNDERLYING CIRRHOSIS. DEDICATED LIVER IMAGING COULD
BE OBTAINED AFTER THE PATIENT RESOLVES THIS ACUTE PROCESS.
END OF IMPRESSION:
++++++ impression : IMPRESSION:
1. NO EVIDENCE OF A PULMONARY EMBOLISM.
2. CARDIOMEGALY WITH SMALL BILATERAL PLEURAL EFFUSIONS AND SLIGHT
SEPTAL THICKENING WHICH MAY INDICATE PULMONARY EDEMA.
3. FOCAL NODULE IN THE RIGHT UPPER LOBE AND SUBPLEURAL NODULE IN
THE LEFT UPPER LOBE WHICH ARE NONSPECIFIC AND AMENABLE TO INTERVAL
FOLLOW UP.
4. SLIGHT ENLARGEMENT OF THE MAIN PULMONARY ARTERY WHICH MAY
INDICATE PULMONARY ARTERIAL HYPERTENSION.
5. SLIGHT HYPERTROPHY OF THE LATERAL SEGMENT OF THE LIVER, WHICH
MAY INDICATE UNDERLYING CIRRHOSIS. DEDICATED LIVER IMAGING COULD
BE OBTAINED AFTER THE PATIENT RESOLVES THIS ACUTE PROCESS.
END OF IMPRESSION:
----------------- END ROW -----------------
++++++ id : 4
++++++ hbid : XTw2PqVh7BWC
++++++ reportid : 5,XTw2PqVh7BWC
++++++ reportType : RAD
++++++ report :
CT CHEST PE PROTOCOL: 12/27/06 1:23 AM
HISTORY: DYSPNEA, PE PROTOCOL.
COMPARISON: No prior comparison.
TECHNIQUE: Post IV contrast 0.6mm helical images were obtained from
lung base through thoracic inlet with coronal reformation.
FINDINGS:
Opacification of the pulmonary arteries reveal no pulmonary embolism.
Cardiomegaly with minimal bilateral pleural effusions, right greater
than left are present.
The anatomy of the chest is distorted by the patient's marked
thoracic kyphosis.
A compression fracture is observed at the T3 level with additional
wedge compression fractures present throughout the remainder of the
thoracolumbar spine as seen on the lateral chest radiograph from
yesterday. Additional sagittal reconstructed images of the thoracic
spine performed better demonstrate these compression deformities.
The patient's severe thoracic kyphosis likely contributes to the
patient's dyspnea. T
here is associated aortic ectasia although no significant aneurysm or
dissection is observed.
Associated dependent subsegmental atelectasis is present. No
endotracheal lesions.
IMPRESSION:
1. NO PULMONARY EMBOLISM.
2. MARKED THORACIC KYPHOSIS WITH MULTIPLE ANTERIOR WEDGE COMPRESSION
DEFORMITIES, AGE INDETERMINATE WITH ASSOCIATED CARDIOMEGALY, AORTIC
ECTASIA AND DEPENDENT SUBSEGMENTAL ATELECTASIS.
D27
END OF IMPRESSION:
++++++ impression : IMPRESSION:
1. NO PULMONARY EMBOLISM.
2. MARKED THORACIC KYPHOSIS WITH MULTIPLE ANTERIOR WEDGE COMPRESSION
DEFORMITIES, AGE INDETERMINATE WITH ASSOCIATED CARDIOMEGALY, AORTIC
ECTASIA AND DEPENDENT SUBSEGMENTAL ATELECTASIS.
D27
END OF IMPRESSION:
----------------- END ROW -----------------