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Gatsby, Jay
GJ
Gatsby, Jay
[TEST]
MRN
7156824
42 M
DOB
14-Apr-1984
Code
Full
Allergies
NKDA
Attending
Dr. Carlsson
Admit
May 20
Loc
Pulm · 4 South · 410
Transfer
Discharge
Imaging
Date
Modality
Body region
Indication
Impression
Source
2026-05-20
CT
Pulmonary angiogram (chest)
Acute pleuritic chest pain with tachycardia and elevated D-dimer. Evaluate for pulmonary embolism.
1. Acute subsegmental pulmonary emboli involving right middle and right lower lobe arteries. No evidence of right heart strain. 2. 9 mm spiculated solid pulmonary nodule in the right upper lobe apical posterior segment. Spiculation raises suspicion for primary lung malignancy. Recommend dedicated contrast-enhanced chest CT with thin-section reconstruction and PET-CT for further evaluation. Pulmonary nodule clinic referral suggested. 3. Trace right pleural effusion, likely reactive to PE.
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