67-year-old female with history of squamous cell cancer of the tongue. LUNGS AND PLEURA: Right apical bulla. Scattered calcified micronodules most likely reflect prior granulomatous infection. Few 1- to 2-mm micronodules are also most likely post inflammatory. No suspicious masses or nodules. No focal consolidation, edema or pleural fluid.MEDIASTINUM AND HILA: Cardiac size is normal. Mild coronary artery calcifications. No significant mediastinal or hilar lymphadenopathy. CHEST WALL: Right-sided Port-A-Cath with distal tip in the SVC.UPPER ABDOMEN: Nonspecific hypodense lesion in the dome of the liver on axial image 76/139 is nonspecific and probably represents a benign cyst. Scattered liver calcifications again likely reflect prior granulomatous infection.Lateral limb of the left adrenal gland is thickened measuring 1.1 x 2.0 cm on axial image 95/139. This finding is nonspecific but is more likely benign than metastatic disease.Borderline enlarged gastrohepatic lymph nodes. A reference node measures 1.5 x 1.2 cm on axial image 85/139. Again, these findings are unlikely to represent metastatic disease.Subcutaneous gas in the anterior abdominal wall with inflammation tracking to the anterior gastric wall correlates with history of recently displaced G-tube.Atherosclerotic calcifications affect the distal abdominal aorta and iliac arteries.Significant degenerative disease affects the spine.
1.No evidence of metastatic disease to the chest. No acute pulmonary abnormalities.2.Borderline enlarged gastrohepatic nodes of uncertain clinical significance but more likely to represent local gastric inflammation rather than metastatic disease.