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
606-21-126-00239 5/6/2021 13:49 EDT
Reason For Exam
C49.A2/ R91.1
CT SCAN OF THE CHEST WITH IV CONTRAST :
HISTORY:C49.A2/ R91.1 lung nodules. Smoker. Pacemaker. 2-3 coronary stents. GI stromal tumor.
COMPARISON: 1/18/2021
Axial sections with sagittal and coronal reformatting. Coronal MIP.
IV Contrast: 80 mL of Isovue-370.
STUDY DOSE:Dose lowering technique was utilized using combination of automated exposure control,
adjustment of the mA and/or KV according to patient size and use of iterative reconstruction
technique.
MEDIASTINUM:
Lymphnodes: Calcified lymph node in the right aorta pulmonary window. No other lymph nodes noted
enlargement noted..
Ascending aorta: No aneurysm
Main Pulmonary Artery: 2.3 cm is normal.
Extensive coronary calcifications noted. Stent at the LAD. Pacemaker in place.
LUNGS: Mild interstitial changes and paraseptal cystic changes noted. No acute lung infiltrate..
Nodules: No pleural-based nodule noted at this time no new findings. No nodules.
Pleura: No effusion , thickening or pneumothorax.
Upper Abdomen: Normal.
IMPRESSION:
1. No lung nodules. Interstitial lung disease.
2. No mediastinal lymphadenopathy. Coronary artery disease.
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