Artemis Hospital Gurgaon

Patient Name: Mr. Sanjay Verma(trial) Registered Date: 25-06-2022 04:38 pm

Patient Id: GN0000687980 Encounter ID: 137971680001

Age: 60 Y Doctor: Doctor

Gender: Male Speciality: General Speciality

National Id: CT
Chest
with

Contrast

Preliminary Report:
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EXAM: CECT CHEST AND ABDOMEN

Protocol:

Contrast enhanced (IV non-ionic 80 ml) contiguous axial scans through chest and abdomen were
obtained in spiral mode on 64 slice CT scanner and evaluated in appropriate window settings.

Clinical details: Follow up case of treated Ca lung with subcarinal lymph nodes. Comparison made
with previous scan dated 14/04/2022.

Observations:

Subcarinal lymph node measures 17 x 17mm (TR x AP). (Unchanged)

Note is made of soft tissue encasing right pulmonary artery (RPA) in its proximal course, maximum
thickness 5mm and partially encasing SVC, appears unchanged.

Fibro-bronchiectatic changes noted in right upper lobe and apical / posterobasal segment of right lower
lobe. Pleural thickening along right lower lobe (unchanged).

Subtle 3-4mm poorly defined parenchymal nodules in right middle lobe. (Reduced)

No evidence of pleural / pericardial effusion.

Pulmonary emphysematous changes noted.

Subtle hypodense non-enhancing lesion of 5mm is noted in segemnt-8 of liver. (Unchanged) – likely
hepatic cyst.
Atherosclerotic plaques seen along origin of celiac & SMA causing moderate stenosis of SMA origin.
(Unchanged)

Gall bladder is not visualized (post operative).

No significant abdominal lymphadenopathy.

No focal parenchymal nodule in adrenal, spleen, pancreas, both kidneys, small bowel, prostate or
urinary bladder, apart from two cortical cysts in left kidney.

No ascites.

No omental or peritoneal thickening.

No focal lytic / sclerotic lesion in visualized bones.

IMPRESSION: In a case of treated Ca lung with subcarinal lymph nodes.

In comparison to previous CT scan dated on 14-04-22. Non-specific tiny parenchymal nodules in right
middle lobe appear reduced. No other significant interval change seen in primary lung mass,
mediastinal lymph nodes, emphysematous & bronchiectatic changes in lungs.

Advise: Clinical correlation.

DR. MEENAKSHI
MBBS, MD (RADIODIAGNOSIS)
REGISTRAR, IMAGING
HMC No. 16919

DR. GURPREET MAKKAR

MBBS, DMRD, DNB (Radiodiagnosis)
CONSULTANT, IMAGING
HMC No. 014047

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