From a 40-second scratch dictation. Sections, style, and the Fleischner follow-up were applied automatically.
EXAMINATION: CT chest without intravenous contrast HISTORY: 63-year-old male, former smoker. Cough. TECHNIQUE: Non-contrast helical CT of the chest. COMPARISON: None. FINDINGS: LUNGS: 7 mm solid nodule in the right upper lobe. No consolidation. Mild dependent atelectasis at the bases. PLEURA: No effusion or pneumothorax. CARDIOMEDIASTINUM: Heart size normal. Coronary artery calcifications. No mediastinal or hilar lymphadenopathy. OSSEOUS STRUCTURES: Degenerative change without aggressive osseous lesion. IMPRESSION: 1. 7 mm solid right upper lobe pulmonary nodule. In a high-risk patient, recommend follow-up chest CT at 6-12 months, then at 18-24 months (Fleischner Society 2017). 2. Coronary artery calcifications - correlate with cardiovascular risk management. 3. No acute cardiopulmonary abnormality otherwise.Generate one yourself — live, no signup Start the free trial
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