71-year-old female with history of COPD, hundred pack year smoker infiltrate on CXR. Assess for infiltrate versus oncologic process. Limited examination due to lack of contrast. MRI may be considered for further evaluation.BRAIN: Limited intracranial images demonstrate no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.NECK:Limited value of the exam due to lack of contrast. With this limitation, imaging through the skull base and the cavernous sinus is unremarkable. Examination demonstrates no evidence of mass or pathologic lymphadenopathy in the neck. The airway and vasculature are patent. The osseous structures are intact. Effacement of the pyriform sinus is stable when compared to previous examinations dating back as far as one year ago 05/20/07.Limited view of the chest shows bilateral apical scarring.
Stable examination without evidence of an oncologic process as clinically questioned.