6 month history of increasing shortness of breath from a 55 year old male with obvious finger clubbing. On ascultattion of lungs- fine crepitations at the lung bases were heard.
The lungs are roughly normal volume. There is extensive interstitial shadowing with nodularity in both lungs, particularly mid and lower zones. The shadowing is greater in the right lower lobe where it is confluent in places. The margins of hila, diaphragm and heart are blurred by adjacent densities. The hila are bulked-up by overlying density, but there remains an impression of additional density from possible hilar lymphadenopathy on the right side. There is a concentric circular artifact over the right axilla from film-processing.
Monday, 21 September 2009
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