The spiculated lingular lesion identified on prior CT study, not showing high metabolic activity on PET-CT, is less confluent and more elongated in shape than on prior study. There is minor tree-in-bud nodularity in the adjacent pulmonary parenchyma, most commonly infectious/inflammatory. 先前 CT 检查中发现的细小叶间病变，在 PET-CT 上未显示高代谢活性，其形态比先前研究时更不融合且更细长。相邻肺实质中存在轻微的树芽状结节，最常见的是感染/炎症性。
Calcified pulmonary granulomas, predominating in the right apex, are redemonstrated. No new suspicious pulmonary nodules, pleural or pericardial effusion. 肺钙化肉芽肿，主要位于右肺尖，得到再次证实。无新的可疑肺结节，胸腔或心包积液。
Calcified mediastinal and hilar lymph nodes mildly prominent mediastinal lymph nodes, up to 14 mm short axis, are unchanged, not hypermetabolic on PET-CT. 钙化纵隔和肺门淋巴结，纵隔淋巴结轻度突出，最大短径 14 毫米，无变化，PET-CT 上无高代谢。
No aggressive osseous lesions. Calcification of the posterior longitudinal ligament in the midthoracic spine is redemonstrated, not associated with significant narrowing of the central canal. 无侵袭性骨病变。胸椎中段后纵韧带的钙化再次证实，不伴随中央管显著狭窄。
Hypodensities, probable cysts, in the liver are unchanged. The adrenal glands, kidneys, pancreas and spleen are unremarkable. 肝脏低密度区、疑似囊肿无变化。肾上腺、肾脏、胰腺和脾脏无异常。
IMPRESSION: 印象：
The suspicious lingular lesion on prior CT has altered in shape and is less confluent, findings favoring a benign inflammatory process. Ongoing follow-up with repeat chest CT in 6 months is recommended. 既往 CT 上的可疑肺尖病灶形状已改变，融合度降低，提示良性炎症过程的可能性较大。建议每 6 个月进行一次胸部 CT 复查以持续随访。
Dictated By: Elizabeth L Tanton MD 口述人：伊丽莎白·L·坦顿博士
<Electronically signed by Elizabeth L Tanton MD in OV> 电子签名由 Elizabeth L Tanton MD 在 OV 签署
Report was generated in Voice Recognition System (FF1) 报告由语音识别系统（FF1）生成
BH02977943 - GUAN, HUI BH02977943 - 关，辉
TO: Additional Copy 收件人：副本
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This report was created by the dictating author utilizing speech recognition technology. If there are questions about its content, referring clinicians should contact the author directly through this FHA Medical Imaging department or email FHRadQuality@fraserhealth.ca. If you are a patient with questions about the report content, contact your referring clinician or primary care provider. 本报告由作者通过语音识别技术制作。如对内容有疑问，请咨询的医生直接通过 FHA 医学影像部门联系作者，或发送电子邮件至 FHRadQuality@fraserhealth.ca。如果您是关于报告内容的患者，请联系您的转诊医生或初级保健提供者。