Wilkes-Barre General Hospital – Thomas P. Saxton Medical Pav
Patient:CASTON, FRANCIS MRN:977666
DOB: 6/20/1962 Sex: Male
Location:PAWBTPS RA2
Ordering Physician: COONEY, PRISCILLA NP
Computed Tomography
ACCESSION EXAM DATE/TIME
606-21-216-00054 8/4/2021 08:46 EDT
Reason For Exam
C49.A2-GASTROINTESTINAL STROMAL TUMOR OF STOMACH,SOLITARY P
Report
HISTORY: Gastrointestinal stromal tumor of stomach. Solitary pulmonary nodule. Follow-up.
COMPARISON: CTs of the chest dated May 6, 2021, January 18, 2021, and July 21, 2020.
TECHNIQUE: Computed tomography of the chest was performed following the administration of100mL of
Isovue-370 contrast.
STUDY DOSE: Dose lowering technique was utilized using a combination of automated exposure
control, adjustment of the mA and/or KV according to patient size and the use of iterative
reconstruction techniques.
Findings:
There is a left-sided cardiac pacemaker with lead terminating in the right ventricle.
The imaged portion of the thyroid gland is unremarkable. The thoracic aorta is normal in caliber
with moderate atherosclerotic calcification. The main pulmonary artery is normal in caliber.
The heart is normal in size with moderate to severe coronary artery calcification and/or
coronary artery stents. There is a trace pericardial effusion. There is no suspicious thoracic
lymphadenopathy by CT size criteria.
There is mild upper lobe predominant centrilobular emphysema. There is nonspecific dependent
groundglass airspace opacity. There is no suspicious pulmonary nodule, focal pulmonary
consolidation, or pleural effusion.
Please see report of dedicated CT of the abdomen and pelvis performed concurrently and dictated
separately for comment on the upper abdomen.
There is mild multilevel degenerative disc disease without evidence of acute osseous abnormality.
IMPRESSION:
1. No suspicious pulmonary nodule to indicate pulmonary metastatic disease.
2. Nonspecific dependent groundglass opacity, new since prior examination, which may be
reflective of atelectasis. Considered less likely would be early interstitial lung disease.
3. Please see report of dedicated CT of the abdomen and pelvis performed concurrently and
dictated separately.
***** Final *****
Signed by: MCGINLEY, MOLLIE MD
Signed (Electronic Signature): 08/04/2021 03:34 pm EDT