IMAGE:
Chest radiographs (PA and lateral views), dated XXXX.
INDICATION:
XXXX year-old female with hemoptysis. History of sarcoidosis.
COMPARISON:
CT chest with contrast, dated XXXX.
FINDINGS:
Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. Marked bullous emphysematous changes and traction bronchiectasis, again most notable involving the bilateral upper lobes. Stable prominent ovoid opacity (4.3 x 2.8 XXXX) XXXX a large left upper lobe XXXX, XXXX reflecting a superimposed aspergilloma-as more readily demonstrated on the previous CT chest study from XXXX. No XXXX areas of alveolar airspace consolidation are identified. No evidence of pleural effusion or pneumothorax.
IMPRESSION:
1. Marked bullous emphysematous changes and traction bronchiectasis, again most notable involving the bilateral upper lobes. Stable suspected superimposed left upper lobe aspergilloma - as more readily demonstrated on the previous CT chest study from XXXX.