76 year-old woman with history of adenocarcinoma of the lung, status post right lower lobectomy CHEST:LUNGS AND PLEURA: Areas of consolidation and ground glass opacities are identified in the lingular segment of the left upper lobe as well as in multiple locations in the residual right right lung. These demonstrate significant interval increase compared to the prior outside exam and may represent multiple sites of bronchiolo - alveolar carcinoma. Multifocal infection is considered less likely.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy is identified.Cardiac size is normal without evidence of pericardial effusion. Pacemaker lead wires are noted.CHEST WALL: Right-sided pacer.ABDOMEN:LIVER, BILIARY TRACT: Multiple hypodensities, which may represent hepatic metastases. Dedicated imaging of the liver with CT and/or MRI is recommended.SPLEEN: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedPANCREAS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes within the thoracic and lumbar spine.OTHER: No significant abnormality noted
1.Multifocal areas of mixed solid and ground glass opacities bilaterally, compatible with multiple sites of bronchiolo - alveolar carcinoma.2.Multiple hepatic hypodensities, which may represent hepatic metastases. Dedicated CT and/or MRI imaging of the liver is recommended. In addition, PET scanning may be of value.