Hrct Without Contrast
History : R/O bronchiectasis
Technique : Non contrasted MDCT scan were performed with axial plane using 0.6 mm collimations inspiration of Whole Lung and then expiration and prone position.
Findings: The study reveals few focal centrilobular nodules at periphery of lateral segment of RML and posterior segment of RUL.
There are few small nodules at anterior and posterior segment of RUL and lateral segment of RML, size up to 0.4 cm.
There is no demonstration of bronchiectasis, mosaic attenuation, air trapping.
There is minimal fibrosis at both lung apices as seen irregular reticular opacity, interlobular septal thickening and parenchymal bands.
There is minimal subsegmental atelectasis of medial segment of RUL and anteromedial basal segment of LLL.
There is no pleural effusion or significant pleural thickening.
There is no demonstration of mediastinal or hilar lymph node enlargement.There is a 0.6-cm calcified AP window lymph node.
The heart is not enlarged. No pericardial effusion is seen.
Trachea and main bronchi are unremarkable.The great vessels appear unremarkable.
The included upper abdomen reveals no grossly focal liver lesion.There is no intra-extrahepatic bile duct dilatation.
Spleen, pancreas and both adrenal glands are unremarkable.
IMPRESSION : Findings as described could be infection process or small airway disease i.e. bronchiolitis at RUL & RML
Few small nodules at RUL and RML
No lymphadenopathy
A small calcified AP window lymph node could be chronic or old granulomatous infection