HISTORY:R/O CA lung.
TECHNIQUES:The contiguous axial MDCT scan through the chest was performed using a 64-slice MDCT scanner. The study
was done in both before and after intravenous contrast medai injection. The lung window was also obtained.
FINDINGS:The study reveals markedly diffuse left pleural thickening with peripheral enhancing infitrative mass involving chest wall (adjacent to distal left 5-6th and proximal left 8th ribs) and adjacent left hilar encasement.
Distal left 5-6th and proximal left 8th ribs erosion is seen.
Large rim enhancing left pleural effusion is seen. Total LLL atelectasis is seen. Left upper lobe consolidation with partial
atelectasis is seen.
Multiple nodules (0.2-0.6 cm ) are at both lungs.
Multiple mediastinal lymphadenopathies are seen.The largest one at precarinal region is abouy1.0cm in short axis.
The heart and great vessels are normal.
No pericardial effusion is present.
The trachea and central airways appear patent.
Multiple paraaortic lyphadenopathies (0.5-1.7 cm in short axis) are seen.No demonstrable liver or adrenal nodule is seen.
IMPRESSION:From the above findings,CA lung with mediastinal, pleural involvement,chest wall(and adjacent ribs)invasion,intrapulmonary and paraaortic nodes metastases is considered.