Reason: Evaluate for new leukocytosis History: leukocytosis Unremarkable cardiac and mediastinal silhouette. Diffuse interstitial opacity, greater in the upper lobes with a focal nodular component in the right upper lobe measuring approximately 4 cm in maximum diameter.The differential diagnosis includes postinfectious scarring, sarcoidosis and neoplasm.A text page was sent to Dr. Gera at the time of reporting.
Nodular right upper lobe opacity with a differential diagnosis that includes neoplasm. If previous radiographs or CT scans can be obtained from elsewhere for comparison that would be helpful. Unless it resolves promptly, a thoracic CT scan is recommended. 