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CT Chest Duplicated SVC

1. Chest radiographs dated [].
2. Thoracic spine radiograph dated [].

Technique: Helical CT scanning was performed through the chest without the use of intravenous contrast. Contiguous 1.25 mm transaxial images were obtained from the lung apices through the liver. Multiplanar reformations were obtained.

Findings: The pulmonary parenchyma demonstrate small focus of airspace disease within the lingula. There is no evidence of bronchial invasive process. No apparent nodules are identified. Significantly dilated upper esophagus is noted. No communication between trachea and esophagus is seen.

The heart, pleura and diaphragms are normal. There is a duplicated SVC. There is no evidence of mediastinal, hilar, or axillary lymphadenopathy. Possible small thyroid nodules are noted. Significant thoracic levocurvature is again noted. Right fourth and fifth ribs abnormalities are again seen. The visualized upper abdominal viscera are unremarkable.

1. Small focus of lingular airspace disease. Differential diagnoses include infection, inflammation, hemorrhage, aspiration among others. No evidence of recurrence of tracheoesophageal fistula. No evidence of tracheobronchial invasive process to explain recurrent hemoptysis.
2. Dilated esophagus may represent an achalasia versus postsurgical change. Consider an upper GI study.
3. Significant levoscoliosis with right-sided rib abnormalities.
4. A duplicated SVC.