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Age: 59

Sex: Male

Indication: Concern for pneumonia

Save ("V")

Case #38


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
    • Hypodense 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.

Hypodense mass in the hepatic dome. Recommend further evaluation with liver protocol CT or MRI.

Mild paraseptal emphysema with mild upper lobe predominant fibrosis.


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