Demographics:
59 years old, Male
Indication:
Concern for pneumonia
Findings
Chest
- Mild dependent atelectasis/scarring
- Subcentimeter calcified granulomas in the right middle and lower lobes
- Mild paraseptal emphysema and upper lobe predominant subpleural bands
- Calcified right hilar lymph nodes
- Thoracic aortic atherosclerosis without aneurysm
- Heavy coronary artery calcification
Upper abdomen
- Hypoattenuating lesion in segment 8 of the liver measuring 3.5 cm
MSK
- No acute findings
Diagnosis
Hepatocellular carcinoma
Sample Report
No evidence of pneumonia or pleural effusion.
Hypoattenuating mass in the hepatic dome. Recommend further evaluation with liver protocol CT or MRI.
Mild paraseptal emphysema with mild upper lobe predominant fibrosis.
Discussion
References