Female, 75 years old.Altered mental status. Evaluate for infection. Interval removal of the central venous catheter. Right lower lobe and partially calcified right upper lobe nodules are not significantly changed from prior. Cardiac size is within normal limits with median sternotomy hardware, unchanged. Surgical clips project over the left chest wall. No new focal airspace opacity, pleural effusion, or pneumothorax.
No acute cardiopulmonary abnormality. Right sided pulmonary nodules are nonspecific. These were previously evaluated with CT and PET/CT, please see separate reports. CT would provide far better characterization if clinically warranted. As the patient has a history of breast and thyroid cancer, malignancy remains a consideration.