56 year old male with atrial fibrillation PULMONARY VEINS: The right inferior and middle pulmonary vein have a common ostium. The right superior pulmonary vein is normal in appearance.The left superior and inferior pulmonary veins are normal in appearance. No evidence of left atrial thrombus.Right superior pulmonary vein: 24 x 23mmRight middle pulmonary vein: 6 x 8mmRight inferior pulmonary vein: 17 x 25mmLeft superior pulmonary vein: 21 x 18mmLeft inferior pulmonary vein: 19 x 12mmLUNGS AND PLEURA: 4-mm micronodule the right upper lobe, image 58/153. No pleural effusions.MEDIASTINUM AND HILA: Common origin of the brachiocephalic artery and left common carotid artery, and a normal anatomic variant. Heart size is normal without pericardial effusion.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: No significant abnormality noted.
1. Three pulmonary veins on the right, a normal anatomic variant. Two pulmonary veins on the left.2. 4-mm micronodule in the right upper lobe. If the patient has no risk factors for lung cancer, such as smoking, no further follow up is recommended. If patient has history of smoking, 6 to 12 month follow up with CT is recommended.