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IMAGE:
Xray Chest PA and Lateral
INDICATION:
TRANSPLEURAL BILOMA XXXX, XXXX, RIGHT CHEST PAIN RADIATING TO SHOULDER, LOCULATED RIGHT EFFUSION XXXX/10 US;
COMPARISON:
XXXX
FINDINGS:
The heart is normal in size. The mediastinum is stable. Right chest XXXX tip is again seen at the cavoatrial junction. There is no pneumothorax. There is again elevation of right hemidiaphragm with right-sided pleural effusion. Vague opacities are noted in the right upper lobe, XXXX from prior study. These may be related to overlying rib lesions versus true pulmonary nodules. The left lung appears grossly clear. Drainage catheter seen overlying the right upper quadrant.
IMPRESSION:
1. Redemonstration of elevated right hemidiaphragm with associated basilar airspace disease and effusion. 2. Ill-defined XXXX right upper lung opacities, possibly related to superimposed rib lesions versus developing pulmonary nodules. Further imaging XXXX of the chest may be indicated.
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