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CT CHEST WITH IV CONTRAST

 
CLINICAL INDICATION: Urothelial cancer.
 
COMPARISON:
 
TECHNIQUE: Contrast enhanced CT of the chest was performed. Multiplanar, (axial,
sagittal and coronal) CT and HRCT images were reviewed. 200 cc of nonionic
IOPAMIDOL 51 % INTRAVENOUS SOLUTION IV contrast was administered.
 
 
FINDINGS:
 
LUNGS, AIRWAYS: Patent central airways. No suspicious pulmonary nodule. 2 mm left
apical nodule on series 3 image 20 is unchanged since 2013 and benign. No
consolidation. Linear subsegmental atelectasis in the left lower lobe is unchanged.
 
PLEURA: No pleural effusion.
 
MEDIASTINUM, HILA, LYMPH NODES: No mediastinal or hilar lymphadenopathy identified.
Unremarkable esophagus.
 
HEART AND VESSELS: Normal heart size. No appreciable coronary artery calcification.
No pericardial effusion. Normal caliber thoracic aorta and main pulmonary artery.
 
UPPER ABDOMEN: See separate abdominal CT report from same day.
 
BONES AND SOFT TISSUES: Unremarkable chest wall soft tissues. No aggressive osseous
lesion.
 
LOWER NECK: Unremarkable.
 
Electronic Signature: I personally reviewed the images and agree with this report.
Final Report: Dictated by and Signed by Attending Eric Flagg MD 2/18/2022 5:28 PM
 
IMPRESSION:
 
No evidence of thoracic metastatic disease

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