Female, 85 years old.Reason: rule out chest metastasis History: hx of high grade urothelial carcinoma Extensive aortic arch calcification is unchanged. Cardiomediastinal silhouette is unchanged and within normal limits. Large lung volumes, bulla, and emphysema. Diffuse interstitial opacities opacities which are increased compared to chest radiograph 1915.
1.No specific evidence metastasis background of chronic interstitial lung disease. If there is clinical concern for pulmonary metastatic disease, CT is recommended.2.Diffuse interstitial opacities have increased since chest radiograph 9/2/2015. ILD CT may be helpful for further evaluation.