Case
-T6-1E RADIOLOGY REPORT, CHEST
LOCATION: Outpatient, Hospital
PATIENT: Bernie Lieberwitz
PHYSICIAN: David Barton, MD
RADIOLOGIST: Morton Monson, MD
EXAMINATION OF: Chest
CLINICAL SYMPTOMS: Positive cardiac stress test
PA (PULMONARY ARTERY) & LATERAL CHEST, TWO VIEW, 8:30 AM: No comparison films are available. Cardiac silhouette and pulmonary vasculature are within normal limits. No focal infiltrates or pleural effusion is identified. The aorta is mildly tortuous. There is mild linear opacity in the left lung base most likely consistent with some subsegmental atelectasis or scarring. There is mild increase in the interstitial markings in this area.
IMPRESSION:
1. Mild linear opacity, left lung base, most likely consistent with subsegmental atelectasis or scarring.
2. Mild increase in the interstitial markings in the left lung base. This may be chronic, but without comparison films, acute process, including infection, cannot be excluded.
T6-1E:
SERVICE CODE(S): ___________________________________________________
ICD-10-CM DX CODE(S): ______________________________________________

Question

Quizplus · Accepted Answer

The Answer of Case
-T6-1E RADIOLOGY REPORT, CHEST
LOCATION: Outpatient, Hospital
PATIENT: Bernie Lieberwitz
PHYSICIAN: David Barton, MD
RADIOLOGIST: Morton Monson, MD
EXAMINATION OF: Chest
CLINICAL SYMPTOMS: Positive cardiac stress test
PA (PULMONARY ARTERY) & LATERAL CHEST, TWO VIEW, 8:30 AM: No comparison films are available. Cardiac silhouette and pulmonary vasculature are within normal limits. No focal infiltrates or pleural effusion is identified. The aorta is mildly tortuous. There is mild linear opacity in the left lung base most likely consistent with some subsegmental atelectasis or scarring. There is mild increase in the interstitial markings in this area.
IMPRESSION:
1. Mild linear opacity, left lung base, most likely consistent with subsegmental atelectasis or scarring.
2. Mild increase in the interstitial markings in the left lung base. This may be chronic, but without comparison films, acute process, including infection, cannot be excluded.
T6-1E:
SERVICE CODE(S): ___________________________________________________
ICD-10-CM DX CODE(S): ______________________________________________

Case -T6-1E RADIOLOGY REPORT, CHEST