Explain in simple terms
TECHNIQUE: Axial CT images of the chest were obtained without IV contrast.
MIPS generated.
FINDINGS: Note that evaluation of the vessels and hila is limited in the
absence of IV contrast.
Secretions in the trachea and right main bronchus. There is bronchial wall
thickening and small airways mucoid impactions in the right lower lobe with
some patchy bronchocentric opacity.
Minimal bronchiectasis in the right upper lobe with some architectural
distortion likely from prior bronchocentric infection/inflammation.
Biapical pleural-parenchymal scarring. No specific pulmonary nodule or mass
heavy coronary calcification. No pleural or pericardial effusion. No bulky
thoracic adenopathy. Multilevel degenerative changes of the spine. No acute
process in the upper abdomen
IMPRESSION:
Airways thickening, debris, and patchy bronchocentric opacity in the right
lower lobe, likely reflecting infection/inflammation.
The doctor took pictures of the chest using a special scan called a CT scan without using dye injected into the veins. The images were then processed to create a special type of image called MIPS.
In the images, the doctor found some mucus in the trachea and the right main bronchus. There was also thickening of the walls of the airways and blockages in the small airways in the right lower lobe of the lung. In the right upper lobe, there was a slight widening of the airways likely due to past infections. There were also some scars on the outer lining of the lungs and no signs of tumors or fluid buildup in the chest.
Overall, the doctor's impression is that there is inflammation and blockages in the airways of the right lower lobe possibly caused by infection.