Demographics:
50 years old, Male
Indication:
Hemoptysis, current smoker
Findings
Chest
- Diffuse bronchial wall thickening with biapical centrilobular micronodularity
- Mild centrilobular and paraseptal emphysema
- Mild right apical scarring
- Left SVC which drains into the coronary sinus. Absent right SVC
Upper abdomen
- Multiple low attenuation structures in the left kidney
MSK
- No acute findings
Diagnosis
Respiratory bronchiolitis
Left SVC
Sample Report
Findings suggest bronchitis and respiratory bronchiolitis given the patient's smoking history, which is the likely etiology for hemoptysis. No pulmonary mass.
Left SVC draining into the coronary sinus and absent right SVC, anatomic variant. This variant anatomy should be taken into consideration with any future central venous access.
Discussion