คำศัพท์ทCT brain with contrast
The study reveals about 2.9x2.5cm hyperdense with irregular peripheral enhancing mass with moderately vasogenic edema in right parietal lobe.
About 1x1.1cm mild peripheral enhancing hypodensity lesion in left side pons is also noted.
No acute intracranial hematoma .No abnormal leptomeningeal enhancement.
Visaulized enhanced vessels and venous sinuses are unremarkable.
The subarachnoid spaces and ventricles are unremarkable ,appropriated with patient age.
No disporprotional dilatation of the ventricles or hydrocephalus.No shifting of midline structure.
The bony calvaria and skull base is intact. Opacity in right maxillary and posterior ethmiod sinuses are seen.
No bony destruction or abnormal sclerosis of the bony structure is seen.Visaulized orbits and mastoids are unremarkable.
Impression;
-hyperdense with irregular peripheral enhancing mass with moderately vasogenic edema in right parietal lobe and small mild peripheral enhancing hypodensity lesion in left side pons;brain metastasis is first considered
-no evident of brain herniation
- right maxillary and posterior ethmiod sinusitis
CT thorax with intravenous contrast ; plain and venous phase
The study reveals
-Enhancing mass in posteriobasal RLL is noted (measuring about 3x4.1x4.3cm).
No pulmonary abscess is noted.Minimal right pleural effusion is seen.
Main and lobar bronchial tree are unremarkable.No detectable endobronchial lesion
Normal heart size without pericardial effusion .
Atherosclerosis aorta is seen.No aortic dissection or aneurysm.
Dilatation of central pulmonary arteries with rapid prunings;could be from pulmonary arterial hypertension.Main PA diameter cm.
The remaining major mediastinal greast vessels are normal patent.
No hemopericardium or hemomediastinum.
No evidence of any mediastinal lymph node enlargement or other mass.Both thyroid lobes are normal enhancement and sized.
Chest wall and bony thorax are unremarkable.
Included liver,adrenal glands,and remaining upper abdomen are normal.
Impression;
-enhancing mass in posteriobasal RLL with minimal right pleural effusion;
at least T2N0M1 lung cancer with brain metastasis is most likely
-no evident of liver or adrenal metastasisางการแพทย์