IU_X-Ray@kenkim2:382 JSONTXT 5 Projects

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.