By Apollo AH-QF-RD-04 DEPARTMENT OF RADIOLOGY atts Deal 7 PUSHPA Oa F007 jUHID AHJN.0000190446, Ward/Bed No. ops LEN. : — AiuNorPrst4i9 Scanned on 12sue2t0a ficcession 10371.322030992 Reported On 14-Jun-2022 . Dr. Ravindra Mehta Dr.HariPrasad feferring Doctor: guna CT THORAX TECHNIQUE: Plain axial images of the thorax acquired using GE MULTISLICE CT with slice thickness of Smm from thoracic inlet to the domes of diaphragm in suspended inspiration. 30 reformations done and were Viewed in soft tissues and lung windows. Glinical information: H/o dry cough since 1 year, after COVID FINDINGS: Multifocal fibrotic opacities are noted in both lungs predominantly showing peribronchovascular distribution. Associated traction bronchiectasis and bronchiolectasis is noted. Diffuse patchy ground glass opacities in both lungs with no zonal predominance. Lobular air trapping noted in left lower lobe. ‘Subpleural honeycombing is noted in right middle lobe. Enlarged mediastinal lymph nodes are noted at station 6 largest measuring ~ 14 mm in short axis diameter. Subcentimeter mediastinal lymph nodes are noted at station 2R, 4R. ‘Main pulmonary artery is borderline enlarged measuring ~ 34mm. There is no sign of pleural thickening and no fluid collection, The hilar region on each side is unremarkable and the main bronchi appear normal. Mediastinum is centered and of normal width. No e/o masses in the anterior, central or posterior ‘compartments. The heart is of normal configuration. The cardiac chambers are of normal sizes. Major intrathoracic vessels and imaged portions of supraaortic vessels appear grossly normal (Evaluation limited by non-contrast study). The thoracic skeleton and soft tissues show no abnormalities. TB-1 THE only 2 profesional opinion and not We fl dagnoss. Radoogealvesigabors ore subject To varaons due to Wena hetatons. Hene,corelaton wth clnkalfadnge and ther nvesigations shuld be cated otto krow true nature of es. dello Speciality Hospital, Jayanagar ‘unit of Apollo Hospitals Enterprise Limited). : g0llo Hospitals, New No. 2, Old No. 21/2, 14th Cross, 3rd Block, Near Madhavan Park, Jayanagar, Bengaluru ~ 560 011. +91.8046124448, +91.80.46508486 Fan: #91.80.40120000 angalore.apollohospitals.com, www.apollohospitals.com, www.apollospecialityhospi jm Bu.otlsNovtS ouhop Garden, aja Anmamalal Puram, chennol ~ 600 028 IW: L851 10TW1979PLC008035. Scanned with CamScanner‘ Ss Fes llo HOSPITALS AHL-QF-RD-04 DEPARTMENT OF RADIOLOGY Patient's Details = Mrs. PUSHPA BAI TF 1 soy lun 2 AHJN.0000190446 Ward/Bed No. op/ LP.NoJBill No. AHINOPP751449 Scannedon = aa core : 10371.322030992 Reported On: ‘14-Jun-2022 _ Dr. Ravindra Mehta Dr.HariPrasad erring Doctor : Dr Sameer IMPRESSION: Past history of severe COVID-19 pneumonia, CT study of chest shows, ‘© Multifocal fibrotic opacities in both lungs predominantly showing peribronchovascular distribution with associated traction bronchiectasis and bronchiolectasis. Diffuse patchy ground glass opacities in both lungs- likely represents microscopic interstitial fibrosis. ‘© Subpleural honeycombing in right middle lobe. ‘© Enlarged mediastinal lymph nodes at station 6; Subcentimeter mediastinal lymph nodes at station 2R,4R. ‘Overall features are representative of COVID-19 pneumonia sequelae with extensive fibrosis like changes in both lungs. No significant acute inflammatory component. ‘+ Borderline enlarged main pulmonary artery. Recommended ECHO correlation. In comparison with previous CT done elsewhere dated July 2021, there is no significant interval resolution/change in the extent and severity of fibrosis like changes in both lungs. Se Dr.SHRUTHI P BBs, MD Consultant Radiologist TBC TR ra TEST! OPI ad nat he Tal lagnOw.RBGOTDNATivesnnlons_Fe ADR To rt du fe ENT Temas. Hones Sovcaton wah eka fedege and oer mvesoatons sould be ced otto how tre ature of ess. ‘ollo Speciality Hospital, Jayanagar Unit of Apollo Hospitals Enterprise Limited). fla Hospi neoe 2 Oa esta Tah Coss, 3d lock, Near Modhavan Park Jyanaga, Bengaluru 560011 $9180.46124448, +91.80,46504444 Fox: #91.80,46120000 aa sngalore.apollohospitals.com, www.apollohospitals.com, www.apollospecalityhospital.com ‘S404 Wo.t9 bishop Garden Rafa Annamatal Pram, chennai 600028 ‘cw; ta5110TN1979PL.C008035. Scanned with CamScannerECHOCARDIOGRAPHY REPORT ame PUSHPA BAI 60Y, Date 13/06/2022 patient Id AHJN.0000190446 an 20 ECHO & DOPPLER FINDINGS Rhythm : Sinus Rhythm Scerotic aortic valve iiitral valve,tricuspid valve and pulmonic valve normal Trivial mitral valve and Mild tricuspid valve regurgitation, PASP-48mmbig wild PAH Lett ventricle : Normal size, Normal LV systolic function, EF-56%, no RWMA. Grade | LV diastolic dysfunction. Left atrium is normal. Right ventricle and right atrium are normal in size, Normal RV function. Intact inter atrial and inter ventricular septum, No LV/LA masses, vegetation or thrombus. Main pulmonary artery and aorta are normal. No pericardial thickening and/ or effusion. ve Co collapsing Dr. Abhijit Vilas Kulkarni ECHO) SR ATED Consultant Cardiologist doll Speck vont peiality Hospital, Jayanagar 1, Bengaluru - 560 011 ital, Now Na Old he nara ath Cross, 3d Block, Near Madhavan Park, Jayanagat, Bengal 560 01 146124404, 0 F 1,80.46124666 ng , +91.80.46504044 Fax: +9 Hospitals, New No, 2, Old No. 21/2, 14th Cross, 3rd Block, Near Madhavan Park, Jayanagar, Bengaluru - 560 011. 1.80.46124444, +91.80,46504444 fax: +91.80.46124660 ‘lore apollohospitals.com, www.apollohospitals.com, www.apollospecialityhospital.com Off | No.19 Bishop Garden, Raja Annamalai Puram, Chennai ~ 600 028. ‘CIN : L85110TN1979PLC008035. Scanned with CamScanner<¢ Bhagwan Mahaveer > ry BAIN HOSPITAL DEPARTMENT OF ZF shaver tone teat dat RADIOLOGY 0. 130 4087 5555 | 080 4110 0550.52 ty vd filers Road, Vesanthnagar caring |AIM sensa 55052 ei with pM es mn on sion / compassion LATE SMT. NLALJIKHIVESARA CT SCAN CENTER AME: PUSHPA BAT DATE: 02.07.2021 AGE: S9YRS / FEMALE IP/OP NO: 629625 REF: DRSUPREETH S K DEPT: GENERAL MEDICINE, HRCT THORAX (PLAIN) Technique: ‘A Preliminary AP topogram of the thorax was obtained. Axial scans were performed sorting from apices of lungs down to the level of domes of diaphragm employing Smm sections. High Resolution CT sections were performed employing 0.625 mm sections. Respiratory artefacts were noted as patient was not co-operative. OBSERVATIONS: Lungs and Pleura: Extensive areas of atelectatic segments, interstitial thickening and fibrosis are noted diffusely involving bilateral lungs (both peribronchovascular and subpleural regions). Mildly prominent air filled bronchi are also noted in bilateral lungs. Thickening of bilateral oblique and horizontal fissures is noted. No evidence of bronchiectasis / cavities / focal mass lesion / bullae / emphysema / honeycombing. Noevidence of pleural effusion. Aediastinum: ‘achea is normal in size and position. atina and main bronchi are normal. \diomegaly with atheromatous aortic and coronary arterial cal ‘monary trunk, right and left pulmonary arteries are normal. Pulmonary hila are normal. ‘sophagus is not dilated, small Iymphnodes are noted in pre / paratracheal, pre/subcarinal and prevascular regions, st one measuring 18 x 12mm in subcarinal region, No evidence of calcifications wit dele clevation of bilateral hemidiaphragm is noted. “slized bones appear normal. No evidence of lytic / sclerotic lesions. Contd. Scanned with CamScannerBhagwan Mahaveer DEPARTMENT OF CB SAIN HOSPITAL RADIOLOGY ix N ve = caring with “LATE SMT SUKHIDEVI MOHANLALJI KHIVESARA, CT SCAN CENTER ee compassion [SaMiesrU SUPA BAL DATE: 19.04.2021 | AGE: @2YRS/ FEMALE IP/OP NO: 8081920 | pr: DRNISHANT HIREMATI. DEPT: EMERGENCY MEDICINE eee HRCT THORAX (PLAIN) | Preliminary AP topogram of the thorax was obtained. Axial scans were performed starting ‘lungs down (0 the level of domes of diaphragm employing Smm sections. High {from apices of Hone treatin CT sections were performed employing 0.628 mn sx onsERVATIONS: Longs and Pleura: isevidence of multiple focal areas 0 jan amoother interstitial thickening noted ies / pneumonitis changes associated ound glass opa lateral Lung fields. Noesdence of bronchiectasis / cavities /bullaefemphysema /foal lesions /honeycombing. No evidence of pleural effusion. Mediastinum: rrachea is normal in size and position, Carina and main Soonchi are ncemal, Cric silhouette is neemal Arexoding, arch and descending thoracic aoeta are normal in calibe. itroaary trunk, right and left pulmonary arteries are normal pulmonary bila are normal. Oesophagus is not dilate few srall subventimeter sized mediastinal Iymphnodes are noted. No evidenes of cae Impression: Known case of Covid-19 infection, > Multiple focal areas of ground glass opacities / pcumonitis changes associated with smoother interstitial thickening in bilateral lung fields. Crseverity index 17-19/25 suggestive of moderate to severe disease, S99: Clinical correlation. . Yi. DRSHANKARREDDYAB MDRD CONSULTANT RADIOLOGIST Scanned with camScanneran Mahaveer DEPARTMENT OF hagwé q B SAIN HOSPITAL RADIOLOGY Ue eal | LATE SM 15555 | 080 4110 0550-5 anthnagar caring with compassion ESARA_CTSCAN 40 ee www bP. OF MT SUKHIDEVI MOHANLALJI KHIVI puSsHPA BAL D. wane! Ge: YRS / FEMALE R.NISHANT HIREMATIT IP/OP NO: 5081920 [se DEPT: EMERGENCY MEDICINE. be— HRCT THORAX (PLAIN) ‘Technique: APrelimina! from apices o! Resolution CT ed. Axial scans were performed sta ry AP topogram of the thorax was obtain hragm employing 5mm sections. High lungs down to the level of domes of diap! sections were performed employing 0.625 mm sections. OBSERVATIONS Lungs and Pleura: There is evidence of multiple focal areas of ground glass opacities / pneumonitis changes associated with smoother interstitial thickening noted in bilateral lung fields. No evidence of bronchiectasis / cavities / bullae/emphysema /focal lesions / honeycombing. Noevidence of pleural effusion. Mediastinum: Trachea is normal in size and position. Carina and main bronchi are normal, Cardiac silhouette is normal. ; ta are normal in calibre. Ascending, arch and descending thoracic aor Pulmonary trunk, right and left pulmonary arteries are normal. Pulmonary hla are normal. Oesophagus is not dilated. Few small subcentimeter sized mediastinal lymphnodes are noted No evidene pression: Known case of Covid-19 infection. opacities / pneumont ‘n bilateral lung fields. f moderate to severe dise: -¢ of calcifications. changes associated > Multiple focal areas of ground glass a smoother interstitial thickening i Severity index 17-18/25 suggestive O} ase. Sugg: Clinical correlation. re pRSHANKARREDDY.A.B MDRD CONSULTANT RADIOLOGIST si/be Scanned with CamScanner