Good | Missing | Inaccurate | Incorrect | ||
---|---|---|---|---|---|
Description | Lung CT screen without contrast | 3 | 7 | - | - |
Scanned on February 13, 2023 | 10 | - | - | - | |
Indication | Lung cancer screening | 10 | - | - | - |
Patient who has smoked 30 or more packs per year | 10 | - | - | - | |
Comparison | February 11, 2022 | 10 | - | - | - |
Technic | Low dose axial CT, “as low as reasonably achievable” protocol | 10 | - | - | - |
Findings | |||||
Lung nodules | Lung nodule 1: nodule in right upper lobe, 4.9 mm x 3.4 mm, stable | 8 | - | 2 | - |
Lung nodule 2: pleura-based nodule in right middle lobe, 4.6 mm, stable | 4 | - | 6 | - | |
Lung nodule 3: nonsolid round nodule in right lower lobe, 4.2 mm, stable | 3 | - | 7 | - | |
Lung nodule 4: nonsolid subpleural round nodule in right lower lobe 4.6 mm, stable | 3 | - | 7 | - | |
Lung nodule 5: subpleural nodule in right lower lobe, right lower lobe, 3 mm, stable | 3 | - | 7 | - | |
No new nodules | 4 | 6 | - | - | |
Lung | Linear atelectasis and/or scarring in the right upper lobe, right middle lobe, lingula, and left lower lobe is mild | 10 | - | - | - |
Mild emphysema in the upper lung fields with minor central bronchial wall thickening bilaterally | 7 | - | 3 | - | |
Pleura | No pleural thickening or effusion | 10 | - | - | - |
No pneumothorax | 8 | 2 | - | - | |
Heart | Heart size normal | 9 | 1 | - | - |
No pericardial effusion | 10 | - | - | - | |
Coronary artery calcification | None | 9 | 1 | - | - |
Mediastinum/ Hilum/Axillla | No adenopathy | 9 | 1 | - | - |
Other | Normal caliber thoracic aorta with minor atherosclerotic change | 8 | 2 | - | - |
Conclusion | |||||
Overall Lung-RADS category | 2-benign appearance or behavior | 8 | - | 2 | - |
Based on lesion | ID multiple right-sided pulmonary nodules largest in the right upper lobe measuring 4.9 mm | 7 | 3 | - | - |
Management recommendation | Continue annual screening with low dose CT in 12 months, February 2024 | 10 | - | - | - |
S findings | Minor sequela of COPD | 10 | - | - | - |