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: SAIDMAN, BRUCE H MD
Computed Tomography
ACCESSION EXAM DATE/TIME
606-21-018-00058 1/18/2021 08:43 EST
Support Devices: Left chest wall defibrillator with a right ventricular electrode, stable.
Heart/Pericardium/Great Vessels:
Cardiac size is normal.
There are extensive coronary artery calcifications
There is calcific aortic and branch vessel atherosclerosis.
The main pulmonary artery is normal in diameter.
Pleural Spaces: The pleural spaces are clear.
Mediastinum/Hila: There is a stable 8 mm short axis partially calcified low right paratracheal
lymph node. The esophagus demonstrates mild diffuse wall thickening which probably relates to
nondistention.
Neck Base: There is no supraclavicular or axillary lymph node enlargement.
Upper Abdomen: Abdomen section is dictated separately.
Bones and Chest Wall: No aggressive osseous lesions. Degenerative changes are present in the
spine.
Lungs/Central Airways: Central airways are patent. There is mild dependent atelectasis in the
lower lobe. There is a new ill-defined 6 mm subpleural nodule in the right upper lobe laterally
Computed Tomography
Report
(series 4/image 103), nonspecific. There is a stable 2 mm peribronchovascular nodule in the
right lower lobe on image 144 of series 4.
Impression:
New nonspecific ill-defined 6 cm subpleural nodule in the lateral right upper lobe. Given
patient’s history of gastric malignancy, recommend short interval follow-up with a chest CT in 3
months to evaluate for stability.
Stable 2 mm right lower lobe nodule
No thoracic adenopathy.
Additional chronic findings as above.
Please see separate report from CT abdomen/pelvis for details regarding findings on that study.
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