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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.
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