Reason: 89 yo M with h/o NSCLC s/p hypofractionated RT to left lung and h/o CVA. Decreased BS R base with subjective increased in SOB. Please assess for acute changes History: DOE Moderate cardiomegaly with a tortuous aorta, unchanged.Increased air space and interstitial opacity in the left lower lung, compatible with tumor and possibly associated infection or hemorrhage.Increased right upper posterior chest wall mass with associated rib destruction, as shown on the previous CT scan.Right basilar opacity compatible with atelectasis and a small pleural effusion.
Tumor progression with possible superimposed process such as infection in the lingula and left lower lobe. 