CT Scan Results At VA

[lfredrick123]

I took my husband in for a call in to Pulmonary by the CBOC. Here are the results. I am wondering if any of these are attributable to his in service exposure to herbicides etc. Seemed very unusual to have CT scan and then a visit with the Chief of Pulmonolgy fro follow up. They listed the following CT results. Have not seen the narrative yet but CT has confirmed some issues I believe,

VA Radiology Reports Source: VA Last Updated: 16 Mar 2017 @ 1005 Sorted By: Date/Time Exam Performed (Descending) VA Radiology Reports are available 3 calendar days after they have been completed. Some studies done at a non-VA facility may not be available or they may not necessarily include an interpretation. If you have any questions about your information please visit the FAQs or contact the provider who ordered the study or your primary care provider. Procedure/Test Name: CT THORAX HIGH RESOLUTION Date/Time Exam Performed: 12 Mar 2017 @ 1253 Ordering Location: VA HlthCare Sy Requesting Provider:_______ Reason for Study: recurrent infections Performing Location: VA _____________ Clinical History: NO VAMC IMAGING PROCEDURES WITHIN LAST YEAR Plain films obtained concurrent with or w/in one month of requested musculoskeletal/spine CT/MRI? NA (STUDY NOT RELATED TO MUSCULOSKELETAL ISSUE) 1. Responsible provider and contact number/pager: Miller 303-929-2145 2. Symptoms/Duration/Physical findings/Working diagnosis: Recurrent pneumnias 3. Briefly describe how results will impact management: characterize, rule out bronchiectasis >> PLEASE NOTE THAT FAILURE TO PROVIDE CLINICAL INFORMATION MAY LEAD TO CANCELLATION OF THE REQUEST AND REFERRAL TO RESPECTIVE SERVICE CHIEF.  Page 70 of 73 CREATININE (Includes EGFR) - NONE FOUND ********************************* MAY MODIFY EXAM AT RADIOLOGIST DISCRETION BASED ON CLINICAL HISTORY PROVIDED ON IMAGING REQUEST. ********************************** Radiologist: D_________________ I IMAGING Report Report: CT thorax high resolution Technique: Axial images were obtained through the thorax, sagittal and coronal reformats . Clinical history:Recurrent infections CTDI:19.6mGy IV contrast:None Comparison:None Findings: Mediastinal structures:Tracheostomy tube. Exam degraded by patient motion. No masses or adenopathy in the mediastinum, hila or axilla Upper Abdomenunremarkable Vascular structures:Normal caliber aorta with moderate calcific atherosclerotic disease. Dilated pulmonary arteries. Coronary artery calcification. Enlarged heart size at upper cardial effusion Lung parenchyma:There is opacification at both lung bases which is subsegmental. No fluid overload or pneumothorax Musculoskeletal structures:Maintained vertebral body height and alignment. No lytic or blastic lesions. Mild spondylosis. Impression: Consolidations at both lung bases, infection not excluded Coronary artery calcification. Cardiomegaly Tracheostomy tubePrimary Diagnostic Code: MINOR ABNORMALITY Procedure/Test Name: CT 3D RECON W/O POST PROCESS Date/Time Exam Performed: 12 Mar 2017 @ 1253 Ordering Location: VA Eastrn Colrado HlthCare Sy Requesting Provider: MILLER,YORK E Reason for Study: recurrent infections Performing Location: VA Eastrn Colrado HlthCare Sy 1055 CLERMONT STREET, DENVER 80220 Clinical History: NO VAMC IMAGING PROCEDURES WITHIN LAST YEAR Plain films obtained concurrent with or w/in one month of requested musculoskeletal/spine CT/MRI? NA (STUDY NOT RELATED TO MUSCULOSKELETAL ISSUE) 1. Responsible provider and contact number/pager: Miller 303-929-2145 2. Symptoms/Duration/Physical findings/Working diagnosis: Recurrent pneumnias

Briefly describe how results will impact

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management: characterize, rule out bronchiectasis >> PLEASE NOTE THAT FAILURE TO PROVIDE CLINICAL INFORMATION MAY LEAD TO CANCELLATION OF THE REQUEST AND REFERRAL TO RESPECTIVE SERVICE CHIEF. Patient Address: 10861 TENNYSON CT WESTMINSTER, COLORADO 80031 Cell:(720)724-1308 Home:(720)724-1308 CREATININE (Includes EGFR) - NONE FOUND ********************************* MAY MODIFY EXAM AT RADIOLOGIST DISCRETION BASED ON CLINICAL HISTORY PROVIDED ON IMAGING REQUEST. ********************************** F Radiologist: DONAHUE,FRANCIS I IMAGING Report Report: CT thorax high resolution Technique: Axial images were obtained through the thorax, sagittal and coronal reformats . Clinical history:Recurrent infections CTDI:19.6mGy IV contrast:None Comparison:None Findings: Mediastinal structures:Tracheostomy tube. Exam degraded by patient motion. No masses or adenopathy in the mediastinum, hila or axilla Upper Abdomenunremarkable Vascular structures:Normal caliber aorta with moderate calcific atherosclerotic disease. Dilated pulmonary arteries. Coronary artery calcification. Enlarged heart size at upper cardial effusion Lung parenchyma:There is opacification at both lung bases which is subsegmental. No fluid overload or pneumothorax Musculoskeletal structures:Maintained vertebral body height and alignment. No lytic or blastic lesions. Mild spondylosis. Impression: Consolidations at both lung bases, infection not excluded Coronary artery calcification. Cardiomegaly Tracheostomy tube  Primary Diagnostic Code: MINOR ABNORMALITy.

Anyone have any ideas? Recently recieved a call from RO person telling me she was expediting his claim through the DRO process, then we got the call to go in for the CT and follow up, unusual to meet with the Chief of Pulmonology.MD . Started the meeting with a young DR that then left and in came the Chief. What do you think guys?

[lfredrick123]

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Edited December 11, 2017 by lfredrick123
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