Male, 66 years old, history of cough and shortness of breath. Fibrosis on an outside CT. LUNGS AND PLEURA: Diffuse nodular and interstitial opacities, septal thickening and bronchiectasis are noted, predominantly peripheral and slightly more severe at the bases. Evidence of early honeycombing is seen. These findings have not significantly changed when compared to the outside examination dated 12/19/08.Interval postoperative change with a suture line is evident in the superior segment of the right lower lobe. A small pneumothorax is evident in the right lower lobe, likely postoperative in etiology.MEDIASTINUM AND HILA: Prominent superior mediastinal, prevascular, and pretracheal lymph nodes. A right paratracheal node referenced on the outside examination measures 1.9 x 1.4 cm (axial image 34/85, series 3) and demonstrates a fatty hilum indicating a benign morphology.Cardiomegaly. No significant pericardial effusion.CHEST WALL: Degenerative change affects the thoracic spine with mild compression deformities of several midthoracic vertebral bodies.UPPER ABDOMEN: No significant abnormality noted.
1.Diffuse interstitial abnormality as described above. The pattern is most compatible with UIP (usual interstitial pneumonitis).2.Small pneumothorax on the right adjacent to postoperative change in the lower lobe.