78-year-old male with dyspnea, cough, wheeze, tachypnea, tachycardia, and chronic immobilization. Technically adequate exam.PULMONARY ARTERIES: Bilateral lower lobe pulmonary emboli (right lower lobe and segmental artery; left lower segmental artery).LUNGS AND PLEURA: Small bilateral pleural effusions with predominant basilar groundglass opacities and interlobular septal thickening.Few nodular opacities in the right upper lobe are nonspecific.Mild centrilobular emphysema.MEDIASTINUM AND HILA: Mild cardiomegaly with extensive coronary artery calcifications. Few slightly enlarged mediastinal lymph nodes, may be secondary to edema. CHEST WALL: Large soft tissue lipoma with calcifications superficial to the left latissimus dorsi distribution. Additional smaller superficial lipoma of left lateral chest wall. Degenerative changes of the spine.UPPER ABDOMEN: Atrophic kidneys bilaterally with nonspecific perinephric stranding. Multiple renal cystic lesions bilaterally are incompletely evaluated on current exam, a few of the right cystic lesions are relatively high density. Cystic lesion of the superior pole of the right kidney (series 11 image two to 4) measures 5.5 x 6.2 cm and appears to have a solid component.
1) Bilateral pulmonary emboli.2) Mild CHF with pulmonary edema, small pleural effusions. 3) Bilateral renal lesions incompletely evaluated, cannot exclude malignancy. Recommend additional renal ultrasound imaging. 