| ? LYMPHOMA AS BY CT ABDOMEN. CHIEF COMPLAINT: MULTIPLE HEPATIC FOCAL LESIONS WITH SPLENIC LESIONS ? METASTATIC DEPOSIT PLAN: REPEAT COLONOSCOPY TUMORS MARKERS HEMATOLOGY CONSULTATION FOR ? LYMPHOMA OPD AFTER 3 WEEKS |
Clinical data: A 1 year-old male patient with history of
Technique: Non-enhanced CT scan of the brain.
Comparison: Not available. Compared to the prior study dated.
Findings:
The grey-white matter interface is preserved. No acute major territorial infarction.
No acute intra or extra-axial hemorrhage. No brain herniation. No acute hydrocephalus.
Senile brain changes in form of prominent ventricles and extra axial spaces are seen.
Bilateral periventricular deep white matter hypodensities represent small vessels disease.
Posterior fossa structures appear grossly unremarkable.
The paranasal sinuses and orbits are clear.
No obvious bone abnormality. No depressed calvarial fracture.
Conclusion:
No CT evidence of acute brain insult.
C.T. NECK:
Clinical data: A 1 year-old male patient with history of
Technique: CT scan of the neck (pre contrast, venous phases) with coronal and sagittal reformats.
Comparison: None available.
Findings:
Normal appearance of the neck spaces with preservation of fat planes.
No pathological enlarged cervical lymph nodes are noted.
Normal appearance of laryngeal skeleton and spaces.
Normal appearance of the thyroid, parotid and submandibular glands.
Normal naso, oro and hypopharynx with no definite masses.
The visualized portion of the lower brain and upper chest are unremarkable.
No obvious bony lesion.
Conclusion:
Normal study.
C.T. CHEST of 12-OCT-2020:
Clinical data: 7 years old child with chest wall bulge.
Technique: Intravenous contrast-enhanced multi-axial CT scan of the chest in precontrast, PV and delayed phases. Coronal and sagittal reformate were obtained.
Comparison: No available prior study for comparison.
Findings:
There is focal hypertrophy of the right anterior costochondral junction is noted at the level of the right 4rd rib measures 0.8 cm (Se# 8, Im# 39) with no overlying subcutaneous drainable collection or mass, mostly the site of patient concern.
Both lung parenchyma appears unremarkable.
No pulmonary nodules, masses or cavitary lesions.
No pneumothorax or pleural effusion.
The airways are intact.
The heart and major vessels appear unremarkable.
No mediastinal, hilar or axillary lymphadenopathy.
The upper cuts of abdomen appear unremarkable.
No aggressive bony lesion. No fractures.
Conclusion:Focal hypertrophy of the right anterior costochondral junction at the level of the right 4rd rib with no overlying subcutaneous drainable collection or mass, mostly the site of patient concern.
| PRINCIPAL DIAGNOSIS: Predominantly allergic asthma CHIEF COMPLAINT: COUGH | |||
| Special Instructions | OLD CASE OF PTB LONG HISTORY OF COUGH | ||
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