這是全報告，麻煩看一下，非常感謝

EXAM: CT CHEST WITHOUT CONTRAST

HISTORY: Lung Nodules

TECHNIQUE: CT was performed from lung apex to the lung base on the multislice CT scanner without the use of intravenous contrast. Sagittal and coronal reformatted images were performed. Coronal MIP images were performed.

The total DLP was 280 mGy-cm and the CTDI was 8 mGy. Low dose protocols were performed.

One or more of the following dose reduction techniques were used: automated exposure control, adjustment of the mA and/or kV according to patient size, use of iterative reconstruction technique. A total of 0 CT (Computed Tomography) examinations and 0 myocardial perfusion studies have been performed on this patient over the past 12 months. Counts as indicated include examinations performed within our network.

COMPARISON: 4/29/2022

FINDINGS:

Visualized Inferior Neck: Visualized inferior neck soft tissue structures are unremarkable.  Visualized thyroid gland is unremarkable.

Vasculature: Prominent ascending aorta measures 4.1 cm in diameter. Main pulmonary trunk is within normal limits.

Aortic Atherosclerosis: Present
Coronary vascular calcification: Mild
Assigned values based on visual inspection. Consider calcium score CT for objective measurements and risk stratification.

Mediastinum: Heart size within normal limits. No pericardial effusion. Airway is patent. Esophagus is unremarkable.

Lymphadenopathy: Prominent mediastinal lymph nodes some which are partially calcified. Prominent subcarinal node measures up to 10 mm in short axis.

Chest Wall: Chest wall soft tissues are unremarkable. Degenerative changes of thoracic spine noted. No aggressive destructive osseous lesions. Ribs are intact.

Visualized Abdomen: Unremarkable

Lungs: Anterior left upper lobe masslike consolidation measures 6.5 x 3.8 cm with adjacent parenchymal stranding. Additional focal groundglass opacity in left upper lobe measures 7 mm, series 4-51. Several scattered groundglass nodules seen in the right lung ranging from 4 to 5 mm, with a representative nodule in series 4-99. No sizable pleural effusions.

IMPRESSION:
1. Masslike consolidation left upper lobe, new since prior exam. Correlate with PET/CT for further evaluation.

HCC/RAF: Yes

所有跟帖： 

• 縱隔內可見明顯的淋巴節腫大，氣管隆凸下明顯淋巴結腫大（1厘米），這些很可能是淋巴結轉移。右肺有多個小毛玻璃樣病變，但 -老道- ♂ (1076 bytes) () 06/15/2024 postreply 18:01:07

• 非常感謝回複！明顯淋巴結腫大（1厘米）是哪個圖片觀察到的？是哪個紅圈嗎？ -讀你我是認真的- ♀ (0 bytes) () 06/15/2024 postreply 20:24:32

• 是CT報告裏提到的，你提供的片子裏沒有那張。紅圈裏的是右肺（另一個肺）的可疑腫物，CT報告中沒有提到，需要搞清楚是什麽。 -老道- ♂ (0 bytes) () 06/16/2024 postreply 03:04:31