Modality: CT

Date: 2026-01-15

Source: epic_ihe_xdm

Findings

Left internal jugular approach central venous catheter tip is in theright atrium.Unchanged 9 mm pulmonary nodule in the medial superior segment of theright lower lobe (series 4 image 67). Pulmonary nodule in the leftlower lobe that series 4 image 89 is partially obscured by motionartifact, however grossly stable relative to comparison No newpulmonary nodules in the chest. No pulmonary edema, pleural effusion,or pneumothorax.Heart is within normal limits. No pericardial effusion. No suspiciousmediastinal, hilar, axillary, or supraclavicular lymphadenopathy.Small hiatal hernia.Upper abdomen will be better evaluated on MRI performed todayNo suspicious osseous lesions. Partially imaged postsurgical changesof left hemithyroidectomyProcedure NoteWilliam James, MD - 01/15/2026Formatting of this note might be different from the original.EXAMINATION: Computed tomography of the chest without intravenouscontrastHISTORY: Ileal adenocarcinoma. Restaging.TECHNIQUE: Transaxial computed tomographic images of the chest wereobtained without intravenous contrast according to the standardprotocol.COMPARISON: Most recent PET/CT dated 11/19/2025, as well as moreremote PET/CT dated 11/21/2024. Comparison is additionally made to CTof the chest dated 11/6/2025FINDINGS: Left internal jugular approach central venous catheter tip is in theright atrium.Unchanged 9 mm pulmonary nodule in the medial superior segment of theright lower lobe (series 4 image 67). Pulmonary nodule in the leftlower lobe that series 4 image 89 is partially obscured by motionartifact, however grossly stable relative to comparison No newpulmonary nodules in the chest. No pulmonary edema, pleural effusion,or pneumothorax.Heart is within normal limits. No pericardial effusion. No suspiciousmediastinal, hilar, axillary, or supraclavicular lymphadenopathy.Small hiatal hernia.Upper abdomen will be better evaluated on MRI performed todayNo suspicious osseous lesions. Partially imaged postsurgical changesof left hemithyroidectomy

Impression

  1. Stable pulmonary nodules.2. No evidence of new or increasing metastatic disease in the chest.The radiology attending physician has personally reviewed this study,and had reviewed and/or edited this written report and agrees withit.
Full Report Text

CT CHEST WO CONTRAST - Final result (01/15/2026 7:44 AM CST)Anatomical RegionLateralityModalityBodyN/AComputed TomographySpecimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time01/15/2026 8:10 AM CSTImpressions01/15/2026 8:10 AM CST1. Stable pulmonary nodules.2. No evidence of new or increasing metastatic disease in the chest.The radiology attending physician has personally reviewed this study,and had reviewed and/or edited this written report and agrees withit.Electronically signed by: William P. James, M.D.Narrative01/15/2026 8:10 AM CSTThis result has an attachment that is not available.EXAMINATION:  Computed tomography of the chest without intravenouscontrastHISTORY: Ileal adenocarcinoma. Restaging.TECHNIQUE:  Transaxial computed tomographic images of the chest wereobtained without intravenous contrast according to the standardprotocol.COMPARISON: Most recent PET/CT dated 11/19/2025, as well as moreremote PET/CT dated 11/21/2024. Comparison is additionally made to CTof the chest dated 11/6/2025FINDINGS:  Left internal jugular approach central venous catheter tip is in theright atrium.Unchanged 9 mm pulmonary nodule in the medial superior segment of theright lower lobe (series 4 image 67). Pulmonary nodule in the leftlower lobe that series 4 image 89 is partially obscured by motionartifact, however grossly stable relative to comparison No newpulmonary nodules in the chest. No pulmonary edema, pleural effusion,or pneumothorax.Heart is within normal limits. No pericardial effusion. No suspiciousmediastinal, hilar, axillary, or supraclavicular lymphadenopathy.Small hiatal hernia.Upper abdomen will be better evaluated on MRI performed todayNo suspicious osseous lesions. Partially imaged postsurgical changesof left hemithyroidectomyProcedure NoteWilliam James, MD - 01/15/2026Formatting of this note might be different from the original.EXAMINATION: Computed tomography of the chest without intravenouscontrastHISTORY: Ileal adenocarcinoma. Restaging.TECHNIQUE: Transaxial computed tomographic images of the chest wereobtained without intravenous contrast according to the standardprotocol.COMPARISON: Most recent PET/CT dated 11/19/2025, as well as moreremote PET/CT dated 11/21/2024. Comparison is additionally made to CTof the chest dated 11/6/2025FINDINGS: Left internal jugular approach central venous catheter tip is in theright atrium.Unchanged 9 mm pulmonary nodule in the medial superior segment of theright lower lobe (series 4 image 67). Pulmonary nodule in the leftlower lobe that series 4 image 89 is partially obscured by motionartifact, however grossly stable relative to comparison No newpulmonary nodules in the chest. No pulmonary edema, pleural effusion,or pneumothorax.Heart is within normal limits. No pericardial effusion. No suspiciousmediastinal, hilar, axillary, or supraclavicular lymphadenopathy.Small hiatal hernia.Upper abdomen will be better evaluated on MRI performed todayNo suspicious osseous lesions. Partially imaged postsurgical changesof left hemithyroidectomyIMPRESSION:1. Stable pulmonary nodules.2. No evidence of new or increasing metastatic disease in the chest.The radiology attending physician has personally reviewed this study,and had reviewed and/or edited this written report and agrees withit.Electronically signed by: William P. James, M.D.Authorizing ProviderResult TypeResult StatusBenjamin Tan MDIMG CT PROCEDURESFinal Result