82-year-old male with ischemic cardiac disease, hypertension, diabetes mellitus, history of colon cancer status post urosepsis and extubation with persistent tachycardia today. Evaluate for PE. Findings are limited by patient motion artifact.PULMONARY ARTERIES: No evidence of pulmonary embolus as clinically questioned.LUNGS AND PLEURA: Bilateral pleural effusions with adjacent compressive atelectasis. Multiple granulomas and scattered micronodules.MEDIASTINUM AND HILA: Thinning of the left ventricular apex is concerning for left ventricular aneurysmal dilatation and may be further evaluated with echocardiogram or cardiac MRI as clinically indicated. Mild pericardial effusion.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: NG tube with distal portion in the stomach.
1. No evidence of pulmonary embolus as clinically questioned.2. Persistent bilateral pleural effusions with adjacent compressive atelectasis.3. Left ventricular aneurysmal dilatation may be further evaluated with echocardiogram or cardiac MRI as clinically indicated.