Ct Scan Examples

The physical Assessment Findings: The patient’s head, eyes, ears and nose are normal, however there is white patches on the buccal mucosa. The lymph nodes and carotid bruits are absent. Her heart beat at a regular rate and rhythm without murmur. Her lungs sound is diminished to auscultation with end expiratory wheezes, and dull percussion to the right lower lobe. Her anterior-posterior diameter of the chest wall is also increased. Her abdomen is benign. She has strong pedal pulses to all extremities without edema.

Admitted to the medical-surgical unit with a chief complaint of “breathing problems”. She speaks broken English & requests that her daughter be allowed to stay with her. She is on nasal cannula oxygen & sitting up in bed. At this time, she seems slightly short of breath, but is not in acute distress. You note that she is pale & has a petite frame. Her ankles are swollen. Her daughter tells you that she has been complaining of feeling more tired in the evenings & “unable to catch her breath”. While at home, she has been sitting up either in an easy chair or in bed with three pillows. Her daughter states that Mrs. Lee has not had to

R.W. appears with progressive difficulty getting his breath while doing simple tasks, and also having difficulty doing any manual work, complains of a cough, fatigue, and weight loss, and has been treated for three respiratory infections a year for the past 3 years. On physical examination, CNP notice clubbing of his fingers, use accessory muscles for respiration, wheezing in the lungs, and hyperresonance on percussion of the lungs, and also pulmonary function studies show an FEV1 of 58%. These all symptoms and history represented here most strongly indicate the probability of chronic obstructive pulmonary disease (COPD). COPD is a respiratory disease categorized by chronic airway inflammation, a decrease in lung function over time, and gradual damage in quality of life (Booker, 2014).

According to the provider, the claimant's cough has been improved. His review of systems was positive for fatigue, malaise, sleep difficulty, shortness of breath, wheezes, and a cough. His blood pressure was 115/71 mmHg and his BMI was 30.35 kg/m2. The physical examination revealed wheezes. Clonazepam was prescribed for agitation. Atorvastatin, Nystatin, Citalopram, and a probiotic were prescribed. Continued use of Aspirin and a regular inhaler were suggested. Further, a follow-up visit with Endocrinology, Cardiology, and Pulmonology. As it relates to a spot in his lung, a repeat CT scan was recommended. The bronchial washes were negative for

Lung function tests have revealed normal spirometry, gas transfer and static lung volumes. There appears to be a fall in pre-bronchodilator FEV1, but not so FVC and TLCO comparing back to 2007??. Maximal respiratory pressures are reduced indicative of respiratory muscle/diaphragm weakness. This is consistent with what has previously been observed and the previous diagnosis of mild left hemidiaphragm weakness. I note from Tony Dortimer’s most recent letter that the coronary angiogram

His lung sounds are diminished bilaterally. Pulse oximetry reading is 90%. He is receiving oxygen at 2 liters per nasal cannula. He complains of shortness of breath with exertion.

Imaging: Chest x-ray from December 2014, which was personally reviewed, shows no acute cardiopulmonary disease. There was no pleural effusion at that time.

It can also show patchy infiltrates or enlargement of the hilar and/or mediastinal lymph nodes. Severe cases may show bilateral diffuse reticulonodular infiltrates, small or diffuse pulmonary nodules. CT may show diffuse reticulonodular infiltrates. In severe disease, upper lobe infiltrates and cavities may be present along with extensive fibrosis of the lower lung fields.1,2,4,8

Technological advances in medical imaging technology propelled improvement in quality and reduced the length of time of computed tomography (CT) scanning. In taking advantage of such improvements, the challenge of Dr. Steve Foster and the radiology division is to not only utilize the higher throughput of the scanners to benefit the greatest number of patients but also to maximize the return on the considerable financial investment they represented (Chopra & Flamm, 2011).

Imaging: CT scan of the chest, which was personally reviewed, demonstrates no worrisome pulmonary nodules. There is some atelectasis at the right lung base accounting for the radiographic findings. Severe emphysema.

Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity

A: Janie is a 60 year old Female with PMH of A-Fib, COPD, Hypothyroidism, HTN, Lung Cancer and recently diagnosed Pulmonary Embolism. Janie presents to ER for evaluation on SOB, cough with greenish sputum, sore thoart, hoarseness and generalized weakness. Janie lives at home with her husband, use to smoke ½ pack per week, but quit many years ago, denies alcohol or drugs. Family history is non-contributory. Allergies: NKDA. Differential diagnosis includes worsening Lung Ca, PE, COPD and CHF. Janie uses home O2 at 4 L/NC. V/S: T=98.7, HR=89, R=16, B/P=132/56, O2 sats=100% on 4L/NC, Pain=6/10. Labs: WBC=7.6, H&H=8.5/27, Na=141, Troponin=0.08/0.06, BNP=495, INR=4.2, UA=3+ protein, 1+ blood and 6-10 RBC. CXR: Impression:1). COPD with nonspecific coarsening of the basilar interstitium. 2). Mild cardiomegaly with borderline cardiac compensation. 3). Right

On examination, she was saturating at 99% on room air and her lung fields were clear without any wheezes or crackles. Examination of her oropharynx did reveal some oral thrush and a severely crowded oropharynx.

With adding the new CT scanners, the scanning time is drastically reduced, and the CT scan is no longer the bottleneck. This has put stress on the entire process; however, new inefficiencies with the process can now be identified. Addressing the inefficiencies within the process will allow the radiology team increase overall efficiency and complete the maximum amount of scans in a day, which will lead to an increase in profit for the hospital.

CT imaging uses ionsing radiation. In CT imaging, the patient lies on a table and a rotating X-ray source enables X-rays to pass through the patient’s body part. There are many models of CT scanners but all require a gantry, an x-ray source, and a detector unit located opposite the X-ray source. The incident beam is directed at the body part or organ of interest and may be attenuated depending on the composition of the tissue. Bones have greater density than soft tissues and thus the incident beam has a greater attenuation for bone than for soft tissue. The detector unit detects the transmitted X-rays from the attenuated beam, converted to signals that collated from various angles, and an image is reconstructed to generate a three-dimensional