lung parenchyma when examined in the lung parenchyma window bilateral peribronchial thickenings were observed . in both lung parenchyma nonspecific parenchymal nodules with a diameter of 3 mm were observed in different localizations the largest of which was in the lower lobe of the left lung . bilateral pleural thickening-effusion was not detected . airways as far as can be seen trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mass lesion with distinguishable borders - active infiltration was not detected in both lungs . when examined in the lung parenchyma window a few millimetric nonspecific parenchymal nodules were observed in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a nodular lesion area of 68 mm diameter fluid density was observed in the middle part of the left kidney parapelvic cyst . upper abdominal organs included in the sections are normal . a 6 mm diameter calculi image was observed in the lower pole of the left kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the case which was learned to have had covid peripheral localized in both lungs ground-glass-like faint density increments with a general tendency to coalesce and pleuroparenchymal irregular linear density increments are observed on this background . it has been evaluated as compatible with the covid process . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . bilateral pleural effusion pneumothorax were not detected . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calcific atheroma plaques are observed in the coronary arteries in the mediastinum . calibration of major vascular structures in the mediastinum is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . pathological size and configuration of lymph nodes are not observed at either level . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . vertebral corpus heights are preserved . peripheral sclerotic nonspecific hypodense lesions are observed laterally in the lower rib structures of both hemithorax . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . a decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area . a fat-protected parenchyma area is observed adjacent to the gallbladder . upper abdominal organs included in the sections are normal . lung parenchyma dependent increases in density and pleuroparenchymal sequelae are present in the lower lobes of both lungs . there are several calcified nodules in both lobes . air cysts are observed in the middle lobe of the right lung and in the lower lobes of both lungs . mosaic attenuation is observed in both lung parenchyma small airway disease small vessel disease . in the evaluation of both lung parenchyma numerous nodules the largest of which are approximately 7-8 mm in diameter are observed in the upper lobes of both lungs . a few millimetric lymph nodes are observed in the right upper-lower paratracheal area . minimal pleural thickening and effusion in the form of thin smears are observed in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels the cardiothoracic index was slightly increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen left retrocrural lymphadenomegaly of approximately 15x11 mm is observed . in the sections passing through the upper part of the abdomen lobulations secondary to possible cortical cysts are observed in the contours of both kidneys partially entering the examination area . in addition an appearance that may belong to a double catheter is observed in the right ureter in the calculi in both pelvic systems . lung parenchyma there is mild emphysematous change in the bilateral lung . when examined in the lung parenchyma window intrapulmonary nodules measuring mm in the medial segment of the middle lobe of the right lung and 3x2 mm in the size of 3x2 mm in the anterior segment of the upper lobe of the left lung are observed . no active infiltration or mass lesion was detected . pericardial pleural effusion-thickening was not observed . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to lack of contrast . mediastinal main vascular structures heart contour size are normal . in the mediastinal lymph node stations lymph nodes with pathological dimensions and millimetric dimensions are observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . there is a slight hiatal hernia at the lower end . heart and great vessels the ap diameter of the ascending aorta was 43 mm and it appeared wider than normal . mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to lack of contrast . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . no lytic-destructive lesion is observed in the bone structures within the examination area and mild osteophytic degenerative changes are observed in the vertebral corpus end plateaus . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . there are suture materials secondary to the operation in the gallbladder lodge . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . tubular bronchiectasis and peribronchial thickening were observed in both lungs . when examined in the lung parenchyma window a few millimetric nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen on non-contrast sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . thoracic aorta diameter is normal . lung parenchyma on the right a calcific lymph node with a diameter of 7 mm is observed at the level . no nodular or infiltrative lesion was detected in both lung parenchyma parenchyma . when examined in the lung parenchyma window sequela fibrotic changes are observed in the right lung middle lobe medial left lung lingula left lung lower lobe anterobasal segment . pleural effusion-thickening was not detected . subpleural air cysts are observed at the apex of the upper lobes of both lungs and at the hilar level of the left lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are several millimetric non-specific nodules in both lungs . both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . the gallbladder is operated . in the upper abdominal organs included in the sections the density of the liver parenchyma changes in favor of steatosis . lung parenchyma subsegmental atelectasis is observed in the lingular segment of the left lung and the middle lobe of the right lung . no mass-infiltration was detected in both lungs . in the evaluation of both lung parenchyma mosaic attenuation is observed in both lung parenchyma small airway diseasesmall vessel disease . in addition a pleural-based nodule of approximately mm in size is observed in the right lung middle lobe adjacent to subsegmental atelectasis . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . right upper-bilateral lower paratracheal aortopulmonary bilateral hilar narrow lymph nodes less than 1 cm in diameter are observed . the ap diameter of the ascending aorta is 4 cm and wider than normal . heart and great vessels the cardiothoracic index increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the craniocaudal size of the liver appears to be increased . the right lobe ratio in favor of the left lobe parenchymal disease . the ap diameter of the ascending aorta is 4 cm and wider than normal . lung parenchyma in the case a distinctive appearance suggestive of covid pneumonia is not observed . a calcific nodule with a diameter of 3 mm is observed in the posterior segment of the left lung upper lobe . emphysema appearance is present in both lungs . no pleural effusion or pneumothorax was detected in both lungs . airways when examined in the lung parenchyma window trachea and both main bronchi are normal . mediastinum mediastinal main vascular structures are normal . there is thymic tissue in the anterior mediastinum in which hypodense areas compatible with fatty involution are observed which does not cause a mass effect . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . upper abdominal organs included in the sections are normal . accessory spleen is observed adjacent to the spleen . lung parenchyma apart from this no mass-infiltration was detected in both lung parenchyma . the outlook is primarily suggestive of an infectious process . clinical and laboratory correlation is recommended . subsegmental atelectasis area is observed in the left lung inferior lingular segment . when examined in the lung parenchyma window peribronchial thickenings in the lower lobe of the right lung and centriacinar opacities in the appearance of a branch with buds are observed . in the posterobasal segment of the lower lobe of the left lung a subpleural nonspecific pulmonary nodule with a diameter of 53 mm was observed . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be observed trachea and both main bronchial lumens are open . mediastinum lymph nodes measuring mm in size were observed in the upper-lower paratracheal area subcarinal localization aorticopulmonary window and prevascular area . calibration of mediastinal major vascular structures is natural . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels calcified atherosclerotic changes and densities of stent materials were observed in the coronary arteries . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the upper abdominal sections in the examination area a hypodense lesion of 30 mm in diameter was observed in the right kidney midzone posterior cortex cortical cyst . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma when examined in the lung parenchyma window a millimetric nonspecific nodule is observed in the upper lobe of the left lung in serial 2 image . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . bronchiectatic changes and occasional pleuroparenchymal fibroatelectasis sequelae were observed in both lungs . no mass lesion-active infiltration was detected in both lungs . bilateral pleural effusion was not observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . hiatal and sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in lad . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures degenerative schmorl nodules in mid-lower thoracic end plateaus and degenerative vacuum phenomenon in discs were observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma the described manifestations were evaluated primarily in favor of pneumonic infiltration . consolidation in the central part of the upper lobe of the left lung and a ground glass area around it are observed . evaluation with clinical and laboratory findings and appropriate post-treatment control are recommended . in addition there are centriacinar nodular and ground glass areas some of which have the appearance of budding trees in both lung lower lobes . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological size and appearance were observed in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . as far as it can be observed within the limits of unenhanced ct no mass with distinguishable borders was detected in the upper abdominal organs within the sections . lung parenchyma when examined in the lung parenchyma window there is a 6 mm in size nodule in the upper lobe of the right lung in the posterior part in series 2 image bulla-bleb formation with a size of 26 mm is observed anteriorly in the upper lobe of the right lung . there are atelectatic changes in the left lung upper lobe inferior lingula . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are findings consistent with a few millimetric hyperdense bone in the vertebral corpuscles . a slight decrease in density is observed in the bone structures in the study area . abdomen hyperdense findings in the gallbladder more than one larger than 5 mm were evaluated in favor of stones . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma consolidation in the right lung middle lobe medial segment and right lung lower lobe superior segment and ground glass areas are observed around it . no mass was observed in both lungs . no infiltrative lesion was detected in the left lung . the described appearance is compatible with pneumonic infiltration . in addition there are millimetric centriacinar nodules adjacent to the described areas . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . no pathologically enlarged lymph node was detected . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures the neural foramen is open . no lytic-destructive lesions were observed in the bone structures within the sections . vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma when examined in the lung parenchyma window there are sequelae fibrotic changes in the upper lobes of the lung the middle lobe on the right and the lingula on the left . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are present in the aorta and coronary arteries . lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the heart size has increased . pericardial effusion-thickening was not observed . osseous structures there are osteophyte forms in the vertebrae . sternotomy is available . abdomen calcific atheroma plaques are present in the aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . due to the current pandemic clinical and laboratory correlation is recommended for the onset of an early infectious process . pleural effusion-thickening was not detected . when examined in the lung parenchyma window in the left lung inferior lingula and left lower lobe inferior subpleural minimally patchy ground glass densities are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a hyperdense finding of 4 mm in the left kidney was evaluated in favor of calculus . upper abdominal organs are partially included in the study and were evaluated as subopotimal . findings measuring up to 5 mm on the left in both kidneys were evaluated in favor of calculi bilateral . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . lung parenchyma active infiltration or mass lesion was detected in both lung parenchyma . in the evaluation of both lung parenchyma sequelae pleuroparenchymal bands are observed in the lower lobe posterior segment in both lungs in the apex in the middle lobe of the right lung and in the lingular segment of the left lung . in both lung parenchyma there are millimetric nonspecific nodules with parenchymal and pleural bases . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no suspicious mass or nodular space-occupying lesion was observed . when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . subsegmental atelectasis area is observed in the left lung upper lobe lingula inferior segment . no pleural effusion was observed . airways trachea both main bronchi lobar and segmental bronchi and air passages are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . no space-occupying lesion of the mediastinal fat pad was detected . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there is no finding compatible with pleural effusion pneumothorax or pneumonia in both lungs . bilateral density increases are observed at the lower lobe dorsal subpleural levels in both lungs depending vascular density . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is natural . mild thymic tissue with trigonal configuration is observed in the anterior mediastinum without mass effect . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ground-glass areas and consolidations are observed in both lungs more prominently in the lower lobes and peripheral areas . the findings were evaluated in favor of covid-19 pneumonia during the pandemic process . no mass was detected in both lungs . ground glass areas are accompanied by interlobular septal thickenings . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma according to his previous review there is significant progression . there are two stable nodules the largest of which is 3 mm in diameter in the anterior-posterior segment transition of the upper lobe of the right lung . there is a decrease in density consistent with emphysema in both lungs . focal consolidative density is observed in the upper lobe posterior segment caudal adjacent to the fissure . focal consolidative density is observed in the right lung upper lobe anterior segment paramediastinal area . sequelae changes are observed at the apical level . consolidative areas are observed in the middle lobe . it was not detected in the previous review . consolidative areas in the linguistic segment and consolidative areas observed at baseline are not observed in the previous review . focal ground-glass-like density increases are observed in the anterior segment of the left lung upper lobe . consolidative parenchyma areas are observed in the lower lobe of the right lung especially at the basal level . focal consolidative density is observed a little more caudally and was not detected in the previous examination . millimetric lymph nodes are observed at both hilar levels . a stable 2 mm diameter nodule is observed in the anterior segment . bilateral pleural effusion pneumothorax were not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum there are calcific atheroma plaques in the coronary arteries in the descending and ascending aorta in the aortic arch . calibration of the main mediastinal vascular structures is natural . millimetric sized lymph nodes are observed in the mediastinum . lymph nodes measuring mm in the right lower paratracheal area and mm in the subcarinal area are observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels left atrium and ventricle are slightly prominent . there are calcific atheroma plaques in the coronary arteries in the descending and ascending aorta in the aortic arch . cardiac pacemaker is observed at the left pectoral level and its catheter is observed at the right level . cto is at the maximal physiological limit . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated no space-occupying lesion was detected in the liver that entered the cross-sectional area . there are calcific atheroma plaques in the coronary arteries in the descending and ascending aorta in the aortic arch . there is an exophytic hypodense lesion in the middle part of the left kidney . lung parenchyma there are soft tissue appearances in both lungs which are considered compatible with pleuroparenchymal sequelae accompanied by at the apical level . no pathological size and configuration lymph nodes were detected at both hilar levels . it is recommended to be evaluated in terms of infective processes . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . the changes described on the left are also mildly observed at the level of the lower lobe superior segment . in the right lung a branch with bud view is observed in the posterior segment of the upper lobe . a millimetric calcific lymph node was observed at the left hilar level . apart from this no significant pleural effusion or pneumothorax appearance was detected in both lungs . in the right lung adjacent to the lower lobe superior segment there is a partially calcified calcification in the parenchymal pleura and a band appearance extending towards the parenchyma . airways calibration of the trachea and main bronchi is normal . in this area there is an appearance of ectasia due to traction in the . mediastinum cto is within the normal range . calibration of other major mediastinal vascular structures is natural . a few millimetric lymph nodes are observed in the upper-lower paratracheal area in the mediastinum . the aortic arch calibration is 30 mm . heart and great vessels no relevant findings . osseous structures bone structures are natural . abdomen in the sections passing through the upper abdomen a decrease in density consistent with hepatosteatosis is observed in the liver . the aortic arch calibration is 30 mm . surrounding soft tissue plans are natural . cto is within the normal range . mild hiatal hernia is observed . no significant difference was detected . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window segmentary bronchial wall thickening was observed in both lungs . pleuroparenchymal fibroatelectatic sequelae changes were observed in the right lung middle lobe medial upper lobe anterior basal section and left lung upper lobe inferior lingular segment . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels a smear-like pericardial effusion was observed . pericardial thickening was not detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections the liver parenchyma density was diffusely decreased consistent with hepatosteatosis . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window there are sequelae fibrotic changes in the left lung lower lobe anterobasal lingula and right lower lobe posterobasal . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no relevant findings . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . several short axis lymph nodes measuring 6 mm are observed in the . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are diffuse density decreases in bone structures hypertrophic-osteophytic tapering in the end plates of the vertebral corpuscles . abdomen the left kidney is atrophic . thoracic aorta diameter is normal . the adrenal glands are slightly nodular in appearance . lung parenchyma there is also a mosaic attenuation appearance small disease more common in the anterior segments of the upper lobes of both lungs . it is consistent with pulmonary overload findings . more prominent interlobular septal thickening and peribronchial cuffing were observed in the lower lobes of both lungs . when examined in the lung parenchyma window a small amount of effusion was observed in both pleural spaces more prominent on the right extending to the major fissures and forming a phantom tumor . considering cardiomegaly and pleural effusion pulmonary findings were evaluated as secondary to heart failure . airways trachea was in the midline of both main bronchi and no occlusive pathology was observed . trachea is compatible with osteochondroplastica . anteroposterior diameter of the thorax and trachea has increased copd . starting from the distal trachea millimetric wall calcifications are observed around both main bronchi . mediastinum diffuse atheroma plaques were observed in the thoracic aorta and coronary arteries . the pattern of the aorta is elongated . metallic sutures compatible with sternotomy were observed in the sternum and an appearance compatible with in the anterior mediastinum . a minimal hernia was observed in the distal esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . metallic artifacts compatible with the prosthesis were observed at the mitral and tricuspid valve levels . the diameter of the ascending aorta was diffusely wide 47 mm at its widest point . left heart chambers are markedly increased . heart sizes were significantly increased . osseous structures kyphotic angulation was observed in the thoracic region and a compression fracture was observed at the t11 vertebral level causing anterior angulation and a height loss of more than 50 . metallic sutures compatible with sternotomy were observed in the sternum and an appearance compatible with in the anterior mediastinum . abdomen the pattern of the aorta is elongated . diffuse atheroma plaques were observed in the thoracic aorta and coronary arteries . the pancreas and both adrenal glands are normal . liver and gallbladder are normal as far as can be seen on non-contrast images . lung parenchyma there are several millimetric nonspecific nodules in both lungs . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma millimetric nodules are observed in both lungs . the largest of the described nodules is observed in the laterobasal segment of the lower lobe of the left lung and its longest diameter is 5 mm . there are linear atelectasis in the right lung middle lobe medial segment and left lung upper lingular segment . no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were detected . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma in the evaluation made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . there are sequela parenchymal changes in the right lung middle lobe medial segment left lung upper lobe inferior lingular segment and both lung lower lobes . no pleural effusion was detected . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum in the mediastinum there are lymph nodes with fusiform configuration the largest of which is 10 mm in diameter at the lower paratracheal level . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . there are calcified atheroma plaques in the wall of the thoracic aorta . no lymph node is observed in pathological size and appearance . there is no pathological increase in wall thickness in the thoracic esophagus and there is a sliding type hiatal hernia at the lower end . heart and great vessels calibration of vascular structures as far as can be observed is natural . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . an increase in heart size is observed . minimal smear-like effusion is observed in the pericardial space . osseous structures no lytic or destructive lesions are detected in the bone structures within the image and there are degenerative changes . abdomen in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . there are calcified atheroma plaques in the wall of the thoracic aorta . lung parenchyma again in both lungs thickening of interlobular septa thickening of the peribronchial sheath which are more prominent in the upper-middle zones on the right and tractional bronchiectasis in the middle lobe and upper lobe of the right lung and in the upper lobe anterior segment of the left lung are observed on this background . focal landscapes accompanying basal sequelae changes are observed in the right lung . there are sequelae changes at the apical level . no bilateral pleural effusion or pneumothorax was detected . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum there are a few lymph nodes in the mediastinum that do not differ significantly from the previous examination at the level extending from the aorticopulmonary window to the subcarinal area . calcific atheroma plaques are observed in the aortic arch ascending and descending aorta and coronary artery . soft tissue density is observed in the paramediastinal area at the right hilar level and it has become evident according to the previous examination . calibration of mediastinal major vascular structures is natural . there is a hiatal hernia . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . calcific atheroma plaques are observed in the aortic arch ascending and descending aorta and coronary artery . osseous structures degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . in the sections passing through the upper abdomen air appearance in the left lobe of the liver and the intrahepatic bile ducts at the central level and a stent in the common bile duct are observed . calcific atheroma plaques are observed in the aortic arch ascending and descending aorta and coronary artery . lung parenchyma the outlook was evaluated as consistent with typical-probable findings of covid-19 pneumonia . clinical and laboratory correlation is recommended . when both lung parenchyma windows are evaluated in the right lung upper lobe posterior soft tissue density and mild bronchiectatic changes which are primarily evaluated in favor of parenchymal fibrosis showing structural distortion and calcification in places causing volume loss are observed . nodular ground glass density increases were observed in the peripheral subpleural and peribronchovascular areas in both lungs . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . there are lymph nodes in the mediastinal upper-lower paratracheal subcarinal region with a short axis smaller than 1 cm with a fatty hilus visible . as far as can be seen mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels pericardial effusion - no thickening was detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was observed in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are atelectasis in the left lung upper lobe lingular segment and lower lobe . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels other findings were described on ct angiography examination . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural - effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures height loss and vertebra appearance were observed in t3 vertebra . there is a appearance and loss of height in the t4 vertebra . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . no pleural effusion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma millimetric nonspecific nodules were observed in both lungs . no mass or infiltrative lesion was observed in the parenchyma of the lung . when examined in the lung parenchyma window minimal tubular bronchiectasis and peribronchial thickening were observed in the central parts of both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma radiological findings were evaluated as compatible with covid pneumonia . in places it is in the form of consolidation . when examined in the lung parenchyma window bilateral asymmetric patchy ground glass opacity areas are observed in both lungs . it was evaluated in favor of atypical pneumonic infiltration . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla . abdomen no features were detected in the upper abdomen sections . lung parenchyma several nonspecific pulmonary nodules are observed in both lungs the largest of which is 6 mm in size in the anterobasal segment of the lower lobe of the right lung . follow-up is recommended . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . mediastinal vascular structures and cardiac examination are not optimally evaluated due to the lack of iv contrast and the calibration of the vascular structures heart contour and size are natural . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination are not optimally evaluated due to the lack of iv contrast and the calibration of the vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen free fluid loculated collection is not observed . in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window emphysematous changes are observed in both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there are calcific atheroma plaques in the aortic arch descending and ascending aorta . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures there are mild hypertrophic tapering in the vertebral corpus endplates . there is diffuse density reduction in bone structures . a large sclerotic area is observed in the vertebral body . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . there are calcific atheroma plaques in the aortic arch descending and ascending aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the upper abdominal organs including sections cortical cysts measuring 39 mm in size in the left kidney and up to 10 mm in size in the right kidney are observed . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window both lungs are emphysematous . reticulonodular sequela fibrotic density increases were observed in both lung apexes . passive atelectatic changes are observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum calibration of other major mediastinal vascular structures is natural . the mediastinum could not be evaluated optimally in the non-contrast examination . lymph nodes that did not reach pathological dimensions were observed in the mediastinum the largest of which was 77 mm in the short axis of the right lower paratracheal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the ascending aorta was observed wider than normal with an anterior-posterior diameter of 37 mm . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are several millimetric nonspecific stable nodules in the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no infiltration was detected in both lungs . in the evaluation of both lung parenchyma pleuroparenchymal sequelae densities are observed in the apex of both lungs . right upper-bilateral lower paratracheal millimetric lymph node is observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma a nodule with a diameter of 5 mm is observed in the anterior segment of the upper lobe of the right lung . no additional pathology was detected . apart from this linear pleuroparenchymal sequelae densities are observed in the effusion atelectasis lung neighborhoods . no mass-infiltration was detected in both lungs . bilateral pleural effusion reaching 47 cm in the right hemithorax and 44 cm in the left hemithorax and passive atelectasis in the lung parenchyma adjacent to the effusion are observed . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels fluid is observed in superior pericardiac recess . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen free fluid is observed in the abdomen . the size of the spleen appears to be increased although it partially enters the examination area . in the sections passing through the upper part of the abdomen metallic suture materials are observed on the liver section surface . lung parenchyma a few millimeter-sized nonspecific nodules were observed in both lungs . ventilation of both lungs is natural . in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph node in pathological size and appearance was observed in both axillary regions . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . osseous structures in addition there are no lymph nodes in pathological size and appearance in both supraclavicular fossae . no lytic or destructive lesions were observed in the bone structures within the image . abdomen no relevant findings . lung parenchyma no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are linear atelectasis in the lower lobes of both lungs . a millimetric nonspecific nodule was observed in the lower lobe of the left lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma when examined in the lung parenchyma window widespread emphysematous changes especially more prominent in the upper lobes in both lung parenchyma air cysts and bullae in the upper lobes coarse honeycomb appearance and atelectasis are observed . there are bilateral millimetric nonspecific nodules . airways the trachea is slightly deviated to the right and there are millimetric lymph nodes in the right paratracheal area . thickening of the bronchial walls more prominent in the central part is observed . mediastinum calcific atheroma plaques are observed in the aorta and coronary arteries . no enlargement or stenosis-occlusion was detected in the abdominal aorta . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the ascending aorta is ectatic . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are natural . vertebral corpus heights are preserved . bone structures in the study area are natural . bone structures entering the cross-section area are natural . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . thoracic aorta diameter is normal . there are cortical millimetric cysts in the right kidney and a stone density of 9 mm located in the lower pole calyx . the ureter cannot be followed at the level of the colon . in the left half of the abdomen narrowing which may be compatible with and slight in the mesenteric structures are observed . contour parenchymal thickness parenchymal staining of both kidneys are normal . splenic vein width is normal . contrast agent from the level up to the descending column and no was detected . bilateral adrenal glands were normal and no space-occupying lesion was detected . the contour size parenchyma density of the spleen is normal . calcific atheroma plaques are observed in the aorta and coronary arteries . no renal solid mass was detected . the width of the left kidney collecting system has increased and the ap diameter of the renal pelvis is 33 mm . no space-occupying solid or cystic mass lesion is observed . hepatic and portal venous systems are normal . no enlargement or stenosis-occlusion was detected in the abdominal aorta . the left ureter can be followed and is diffusely dilated . no space-occupying solid or cystic mass lesion was detected . abdominal vascular structures are natural . contour size parenchymal density of the liver are normal . intra and extrahepatic bile ducts gallbladder are normal . the contour size parenchyma density of the pancreas is natural . mild and air-fluid leveling were observed in the small . no intraabdominal free-loculated fluid was detected . no enlargement was detected in the main pancreatic duct . in the lung parenchyma peripheral and central consolidation and ground-glass appearances are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung . the described views were evaluated in favor of covid 19 pneumonia during the pandemic process . some of these findings are round in shape . no mass was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apexes . ventilation of both lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in their lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are atelectasis areas accompanied by ground glass areas in the lower lobes of the left lung upper lobe lingular segment inferior subsegment right lung middle lobe lateral segment both lung lower lobes posterior and left lung lower lobe lateral segment . several nodules with a diameter of 2 mm are observed in both lungs the largest of which is in the superior segment of the lower lobe of the right lung and their number and size are stable . minimal central bronchiectasis and accompanying peribronchial thickness increase are observed in both lungs . it is stable . airways no relevant findings . mediastinum the central venous catheter placed from the right ends in the superior distal part of the vena cava . millimetric calcific atheroma plaques are observed in the aorta . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels diffuse calcific atheroma plaques are observed in lad . the diameter of the ascending aorta was 41 mm and increased . heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . at the corners of the thoracic vertebral corpus within the sections bridging osteophytes and vacuum phenomena consistent with degeneration in the intervertebral discs are observed . abdomen liver ap diameter was mm spleen ap diameter was mm and increased . sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . millimetric calcific atheroma plaques are observed in the aorta . coarse calcification is observed in the right lobe of the liver . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . in addition atelectasis is observed in the vicinity of pleural effusion in both lung lower lobes . bilateral pleural effusion is observed . no pleural thickening was detected . the pleural effusion measured 45 mm at its thickest point adjacent to the lower lobes of the right lung . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . aorta diameter is normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery diameter was 30 mm and wider than normal . no pathologically enlarged lymph nodes were observed . atheroma plaques are observed in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen in the middle part of the right kidney there are 2-3 stones the largest of which is 8 mm in diameter . no upper abdominal free fluid-collection was detected in the sections . aorta diameter is normal . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma the findings were evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window there are ground-glass densities with a halo sign around diffuse nodular in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis was observed in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . there is minimal bronchiectasis in the central part of both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . atheroma plaques were observed in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques were observed in the aorta and coronary arteries . osseous structures the neural foramina are narrowed . there are osteophytes in the vertebral corpus corners . vertebral corpus heights alignments and densities within the sections are normal . intervertebral disc distances are narrowed . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . atheroma plaques were observed in the aorta and coronary arteries . lung parenchyma no suspicious nodule or mass-occupying lesion was detected in the lung parenchyma . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no pleural effusion was observed . airways the air passages of the trachea both main bronchi lobar bronchus and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen in the upper abdominal sections an increase in liver size and moderate hepatosteatosis in parenchyma density were observed . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . millimetric calcific plaques are observed in the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . millimetric calcific plaques are observed in the aortic arch . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass nodule or infiltration was detected in both lungs . when both lung parenchyma windows are evaluated minimal pleuroparenchymal sequelae density increases were observed in the upper lobe of the right lung . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition there are peribronchial wall thickenings and density increases in the newly developed right lung lower lobe posterobasal segment in the current examination which was not found in previous examinations . there are centriacinar and panacinar emphysematous areas in both lungs . in the current examination and previous pet-ct examination irregular soft tissue densities are selected in the vicinity of the effusion especially in the effusion in the lower lobe basal segment of the right lung and in its vicinity . in the evaluation of both lung parenchyma there is atelectasis in the basal segment of the lower lobe of the left lung which was also observed in previous examinations . according to the previous pet-ct examination these soft tissue densities appear prominent . nodules were not distinguished in the parenchyma areas of both lungs . in addition pleural effusion showing loculation in the left hemithorax is observed . airways trachea and main bronchi are open . mediastinum it the oval appearance . right upper bilateral lower paratracheal aortopulmonary narrow lymph nodes with a narrow diameter of less than 1 cm and narrow diameters of less than 1 cm in the previous examination are observed . while the short diameter of the aortopulmonary lymph node is 7 mm the same as in the previous examination the long axis is 20 mm in the current examination and 14 mm in the previous examination and the long axis has increased . the heart and mediastinal vascular structures have a natural appearance . there are calcific atherosclerotic plaques in the aortic arch descending aorta and coronary arteries . its narrow diameter is still less than 1 cm . heart and great vessels there are calcific atherosclerotic plaques in the aortic arch descending aorta and coronary arteries . the heart and mediastinal vascular structures have a natural appearance . pericardial effusion is observed in the form of smearing . osseous structures there is no lytic-destructive lesion in bone structures . abdomen in addition there is a lobulated contoured lesion in the left adrenal gland which was also observed in the previous examination . it the oval appearance . there are calcific atherosclerotic plaques in the aortic arch descending aorta and coronary arteries . in sections passing through the upper abdomen hypodense lesions which were also observed in previous pet-ct are observed in the medial segment of the liver left lobe and in the lateral segment met . it also extends anteriorly to the diaphragmatic recess in the lower hemithorax . lung parenchyma when examined in the lung parenchyma window diffuse centrilobular and paraseptal emphysematous changes are observed in both lungs . no nodular or infiltrative lesion was detected in its parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no active infiltration or mass lesion was detected in both lungs . in the evaluation made in the lung parenchyma window there are atelectatic changes in the lower lobe of both lungs sequelae in the inferior lingular segment of the left lung upper lobe . bilateral effusion was observed . airways trachea and both main bronchi are open . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes were observed in pathological size and appearance . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . pericardial effusion was not detected . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen no intraabdominal free liqu- ulated collection was detected . no lymph node was observed in pathological size and appearance . in the upper abdominal sections within the image millimeter-sized hyperdense stones were observed in the gallbladder lumen . lung parenchyma consolidations are observed in the right lung upper lobe posterior segment and right lung upper lobe anterior segment . peribronchial thickening is observed in both lungs especially in the central parts . there are ground-glass appearances in the lower lobe of the right lung and in the posterior peripheral area of the middle lobe . these views are not specific . the largest of these nodules is observed in the lower lobe of the left lung and its longest diameter is 9 mm . first of all it was evaluated in favor of infective pathology . a large number of millimetric nodules were detected in both lungs . apart from this was observed in soft tissue density in the peribronchial area in the lower lobe of the left lung . these nodules were evaluated in favor of metastases . there are cavities within these consolidated areas . this appearance may belong to an infective pathology or to a mass . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . when the described manifestations were evaluated together with lymphadenopathies in the mediastinum they were thought to be primarily primary and metastatic lung masses . as far as can be observed multiple lymphadenopathy was observed in the lower cervical chain upper mediastinum prevascular paratracheal subcarinal and both hilar regions within the sections . the largest lymphadenopathies described are observed in the upper mediastinum and measure mm and mm at their widest points respectively . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels it is recommended that the patient be evaluated together with their medical history . heart contour and size are normal . osseous structures as far as can be observed multiple lymphadenopathy was observed in the lower cervical chain upper mediastinum prevascular paratracheal subcarinal and both hilar regions within the sections . no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there is a mass measuring approximately 60 mm in the left adrenal gland . no upper abdominal free fluid-collection was detected in the sections . the mass could not be characterized because no contrast agent was given . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen bilateral adrenal glands appear natural . in the sections passing through the upper part of the west liver parenchyma density decreased in line with hepatosteatosis . lung parenchyma mild emphysematous changes are observed in both lungs especially in the upper lobe anteriors . a millimetric nonspecific nodule is observed in series 2 image in the anterior segment of the lower lobe of the right lung . when examined in the lung parenchyma window a nodule measuring 5 mm in size is observed in series 2 image 185 in the lateral segment of the left lung lower lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion is detected . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen there is a minimal decrease in liver parenchyma density compatible with fat . there is a stone with a diameter of 7 mm in the middle part of the left kidney . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there was no finding in favor of a mass infiltration or ground glass area . when examined in the lung parenchyma window ventilation of both lung parenchyma is normal . no pericardial or pleural thickening or effusion was observed . a few millimetric nonspecific subpleural parenchymal nodules some of them calcified are observed in the upper-lower lobe of the right lung . airways trachea both main bronchi mediastinal main vascular structures heart contour size are normal . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal bilateral hilar or axillary pathological dimensions were detected . trachea both main bronchi mediastinal main vascular structures heart contour size are normal . heart and great vessels trachea both main bronchi mediastinal main vascular structures heart contour size are normal . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window there are minimal sequelae fibrotic changes in the upper lobe apex of both lungs . a few millimetric nonspecific nodules were observed in the right lung . minimal bronchiectasis are observed in the upper lobe on the right and light ground glass densities with faint borders are observed in the peribronchial area in the posterior upper lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are millimetric schmorl nodules in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment . pleuroparenchymal sequelae density increases were observed in the right lung laterobasal segment . bilateral pleural thickening-effusion was not detected . airways bilateral peribronchial thickenings and mild bronchiectatic changes prominent in the center were observed . as far as can be seen trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . atelectasis is also observed in the medial segment of the right lung middle lobe . there are millimetric nonspecific nodules in both lungs . linear density increases minimal structures distortion and calcific nodules are observed in the upper lobes of both lungs which are evaluated in favor of pleuroparenchymal sequelae changes . minimal emphysematous changes were observed in both lungs . emphysematous changes are observed in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . millimetric atheroma plaque was observed in the aorta . mediastinal structures cannot be evaluated optimally because no contrast material is given . no pathologically enlarged lymph nodes were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological wall thickness increase was observed in the esophagus within the sections . sliding type hiatal hernia was observed at the lower end of the esophagus . heart and great vessels as far as can be seen heart contour and size are normal . osseous structures thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . no fractures or lytic-destructive lesions were observed in the bone structures within the sections . there are osteophytes at the vertebral coprus corners . abdomen millimetric atheroma plaque was observed in the aorta . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma a nonspecific calcific nodule with a diameter of 6 mm was observed in the laterobasal segment of the lower lobe of the right lung . subsegmental atelectatic changes were observed in the right lung middle lobe medial left lung upper lobe inferior lingular segment and lower lobe basal segments of both lungs . peribronchial sheath thickening was observed in both lungs . segmentary-subsegmental peribronchial thickness increases and luminal narrowing were observed in both lungs . mosaic attenuation was found to be secondary to small airway stenosis . there is a mosaic attenuation pattern in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window a smear-like effusion was observed between the leaves of the pleura in both hemithorax . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea both main bronchi and segmental bronchi . mediastinum diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen calibration of mediastinal major vascular structures is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the abdominal aorta and iliac artery walls . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . the findings were evaluated as secondary to cardiac stasis . osseous structures thoracic kyphosis has increased . there are degenerative changes in bone structures . secondary sequelae changes are observed in the right 4th 5th and 6th ribs . no lytic or destructive lesions were detected in the bone structures in the study area . mild scoliosis with left opening was observed in the thoracic vertebra . abdomen diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . atherosclerotic wall calcifications were observed in the abdominal aorta and iliac artery walls . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma dependent atelectasis areas are observed in both lung lower lobes . when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . there is paraseptal emphysema in the apical segment of the upper lobe of the right lung . in the medial segment of the middle lobe of the right lung a pleural-based nonspecific nodule with a long diameter of 6 mm is observed . no pleural effusion was observed . airways no relevant findings . mediastinum calibrations of the mediastinal major vascular structures are of normal width . no lymph node was observed in the mediastinum in pathological size and appearance . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels a slight diverticular diameter increase is observed . findings secondary to a previous bypass operation are observed . there are suture materials in the coronary arteries . heart sizes are slightly increased . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in upper abdominal sections in the distal transverse colon the lumen of the colon is partially sectioned . no suspicious slight increase in wall thickness was observed in this localization . there is 17 mm diameter myelolipoma in the left adrenal gland . it is recommended to examine the patient with abdominal ct . lung parenchyma mild emphysematous changes are present in both lungs . the lower lobe bronchus of the right lung is obliterated . nonspecific ground glass density increases are observed in the upper lobe of the right lung . when examined in the lung parenchyma window between the bilateral pleural leaves free pleural effusion measuring 64 mm in thickness on the right and 41 mm on the left and atelectatic changes in the adjacent lung parenchyma prominent on the right are observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no pathological size or visible lymph node was detected . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be seen the diameter of the descending aorta was 45 mm and showed fusiform dilatation . millimetric sized lymph nodes were observed in the mediastinal upper-lower paratracheal area and subcarinal localization . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . there is dilatation in the abdominal aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . abdomen the liver contours are irregular in the upper abdominal sections entering the examination area . there are contour irregularities in the liver capsule that do not cause a significant mass effect . as far as can be seen the diameter of the descending aorta was 45 mm and showed fusiform dilatation . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . there is dilatation in the abdominal aorta . a millimetric hypodense lesion was observed at the liver segment 4a level . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma density increases in the right lung lower lobe posterobasal segment and superior segment are observed as focal ground-glass appearances . density increases were observed in the dependent areas of the lower lobes in bilateral lungs . in the evaluation of both lung parenchyma no suspicious nodule or mass was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures degenerative changes were observed in bone structures . there are degenerative changes in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . a limited number of were not observed in the right kidney lodge . there is a cortical cyst in the left kidney . lung parenchyma there is no finding compatible with significant pneumonia . mild sequelae changes are observed at the apical level . mild emphysematous changes are observed in both lungs . there is a small air cyst in the posterior segment of the upper lobe of the right lung . no pleural effusion or pneumothorax was detected . airways when the lung parenchyma is examined in the window the calibrations of the trachea and main bronchi are normal and their lumens are clear . mediastinum thoracic aorta diameter is normal . no pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level . there are lymph nodes in the mediastinum the largest of which is in the lower paratracheal area and 7 mm in size . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . left adrenal genus is slightly full . right adrenal glands were normal and no space-occupying lesion was detected . gallbladder was not observed in the lodge . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . in the spleen hilum 2 nodular densities compatible with the accessory spleen are observed . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen there is a stone of 12 mm in the gallbladder lumen . lung parenchyma at other levels lung aeration is natural . there is an azygos fissure variation in the case . when examined in the lung parenchyma window in the right lung there are faint nonspecific mild ground-glass-like density increases in the posterobasal level in the anteromediobasal area . no ground glass density increase or consolidation pleural effusion were detected . airways no relevant findings . mediastinum pulmonary trunk calibration is 28 mm slightly above normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular calibration at other levels is normal . heart and great vessels no relevant findings . osseous structures mild degenerative changes are observed in the bone structures in the examination area . abdomen an area protected from fat is observed in the vicinity of the gallbladder . in the upper superior pole of the left kidney a density of 3 mm in diameter is observed which is compatible with calculus . in the upper abdominal organs included in the sections there is a decrease in density consistent with hepatosteatosis in the liver . there is a hypodense formation in the right kidney that may be compatible with a cortical cyst . there is a density of 3x2 mm in the superior pole of the right kidney which is considered to be compatible with calculus . lung parenchyma centriacinar nodules were observed in the lower lobe of the left lung . atelectasis was observed in the right lung middle lobe and left lung upper lobe lingular segment . minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs . the described manifestations were evaluated primarily in favor of pneumonic infiltration . consolidation is observed in the laterobasal segment and anteromediobasal segment in the left lung lower lobe and in the inferior subsegment of the left lung upper lobe lingular segment . significant interlobular septal thickening is observed in both lungs more prominent in the lower lobe secondary to cardiac pathology . no mass was detected in both lungs . there are emphysematous changes in both lungs . there is minimal pleural effusion on the left . no pleural effusion was detected on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . atheroma plaques are observed in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . the largest of the described lymph nodes is observed in the subcarinal area and its short diameter is 12 mm . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is no pericardial effusion . it is understood that the patient underwent coronary by-pass surgery . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma a millimetric calcific nodule was observed in the lateral segment of the right lung middle lobe . a 67 mm diameter nodule was observed on the major fissure on the left intrapulmonary lymph node . when examined in the lung parenchyma window ground-glass-like centriacinar nodular infiltrates were observed in the basal segments of the lower lobes of both lungs . atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe lingular segment . the outlook is not typical for covid 19 pneumonia . however due to the pandemic early covid 19 pneumonia or bronchopneumonia was considered in the differential diagnosis . there is central tubular bronchiectasis in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of other vascular structures of the mediastinum is natural . mixed type hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is natural . as far as can be observed the ascending aorta is wider than normal with an anterior-posterior diameter of 5 cm . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen on non-contrast sections the liver parenchyma density is diffusely decreased consistent with hepatosteatosis . lung parenchyma the described appearance is nonspecific . it is recommended to evaluate the patient together with laboratory findings . any pathology can cause a similar appearance . there are millimetric nodules in both lungs . there is a ground-glass appearance in the central part of the upper lobe of the right lung . no mass was detected in both lungs . unilateral upper lobe involvement and central location is a rare finding in covid-19 pneumonia . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . the diameters of the aortic arch and descending aorta are normal . atheroma plaques are observed in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal . osseous structures there are old fractures in the ribs of the right hemithorax . thoracic vertebral corpus heights alignments and densities are normal . abdomen liver parenchyma density decreased in line with advanced adiposity . no upper abdominal free fluid-collection was detected in the sections . the diameters of the aortic arch and descending aorta are normal . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nodules in both lungs . there is a bilateral minimal pleural effusion and an appearance evaluated in favor of atelectasis in the lower lobes of both lungs adjacent to the pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . central venous catheter is seen on the right . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the catheter terminates in the superior distal part of the vena cava . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen this appearance is observed in the patients previous examination . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . there is thickening in the periportal region which is evaluated in favor of edema . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window central - peripheral localized lesions in both lungs more common in the lower lobes irregularly circumscribed patchy-nodular consolidative lesions with ground glass densities were observed . appearance is nonspecific . pulmonary involvement of lymphoma covid-19 pneumonia and specific infections were considered in the differential diagnosis . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum a catheter extending from the right internal jugular vein to the superior vena cava-right atrium junction was observed . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen the anterior-posterior diameter of the ascending aorta was 43 mm and the anterior-posterior diameter of the descending aorta was 30 mm showing fusiform dilatation . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . calcific atheroma plaques were observed in the coronary arteries . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the left adrenal glands were normal and no space-occupying lesion was detected . as far as can be observed in the non-contrast examination the upper abdominal organs are normal . as far as can be seen the anterior-posterior diameter of the ascending aorta was 43 mm and the anterior-posterior diameter of the descending aorta was 30 mm showing fusiform dilatation . no space-occupying lesion was detected in the liver that entered the cross-sectional area . a 25x15 cm adenoma was observed in the right adrenal gland corpus . lung parenchyma density reduction consistent with emphysema is observed in both lungs . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of major vascular structures in the mediastinum is natural . pathological size and configuration of lymph nodes were not detected at either level . there is thymic tissue in the anterior mediastinum with no mass effect and fatty involution is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition there is another 25 cm area with similar in the posterobasal segment of the lower lobe of the lung . pneumonic infiltration atelectasis was observed in bilateral lung apex . no pathological wall thickening was detected . there are similar infiltration areas of smaller size in the right lung lower lobe superior segment middle lobe medial segment and left lung lower lobe posterobasal segment . pleural effusion-thickening was not detected . when examined in the lung parenchyma window in the right lung middle lobe lateral segment adjacent to the most fissure a pleural-based consolidation area of cm was observed . airways a luminal filling defect suggesting secretion is observed in the tracheal left anterolateral wall . bilateral tubular bronchiectasis was considered . trachea and both main bronchi are open . mediastinum mediastinal major vascular structures and heart are normal . a calcific atheroma plaque was observed in the aortic arch . the thoracic esophagus is in normal calibration . heart and great vessels minimal pericardial effusion was detected . mediastinal major vascular structures and heart are normal . osseous structures vertebral plateaus have schmorl nodules . abdomen in the evaluation of the abdominal organs that enter the imaging field parenchymal calcifications were observed in the liver . a calcific atheroma plaque was observed in the aortic arch . lung parenchyma apart from this sequela parenchymal changes are observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment . no active infiltration or mass lesion was detected in both lungs . in the examination made in the lung parenchyma window there are sequela parenchymal changes in the peripheral area in the anterior segment of the left lung upper lobe which are primarily evaluated as secondary to radiotherapy . there are minimal emphysematous changes in both lungs . no pericardial-pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . as far as can be observed the pulmonary trunk both pulmonary artery calibrations are increased . it could not be evaluated optimally due to lack of contrast . mediastinal vascular structures and heart examination iv . no lymph nodes in pathological size and appearance were observed in both axillary regions bilateral retropectoral area supraclavicular fossa and mediastinum and adjacent to bilateral internal mammary vascular structures . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end . heart and great vessels an increase in heart size was observed . mediastinal vascular structures and heart examination iv . osseous structures there was no finding that could be evaluated in favor of lytic or destructive metastases . there are degenerative changes in the bone structures within the image . abdomen there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . in the upper abdominal sections within the image hyperdense stones are observed in the biliary lumen as far as they can be observed within the borders of non-contrast ct . lung parenchyma it may be consistent with pneumonic infiltration or pulmonary involvement of the primary disease . it is nonspecific . when the lung parenchyma is examined in the window the left lung upper lobe posterior segment and the consolidations in the lower lobe with areas of ground glass around it and air bronchograms in it are observed . no significant difference was detected . linear subsegmental atelectasis were observed in the middle lobe of the right lung and the left lung . thickening of interlobular septa was observed in both lungs . in the medial part of the left hemithorax an anky pleural effusion with a diameter of 26 mm was observed . pleural effusion reaching 85 cm in thickness at its widest point was observed in the right hemithorax . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . in the previous examination the diameter was measured as 36 cm at its widest point and it is progressive . the largest of the lymphadenopathies that can be observed in the mediastinum is observed at the level of the aortopulmonary window and measured approximately mm in its widest part in the previous examination the existing lymph node was measured in dimensions of mm . as far as can be observed mediastinal main vascular structures heart contour size is normal . multiple lymphadenopathy was observed in the celiac curvature splenic hilus paraaortic interaortocaval paracaval and mesenteric fatty planes paravertebral areas especially on the left in the retroperitoneal areas adjacent to the left ribs and in the omentum as far as can be seen in non-contrast sections . multiple pathological lymphadenopathy is observed in the left supraclavicular left axillary bilateral hilar prevascular level ascending aorta in the left lateral neighborhood right upper-lower paratracheal left lower paratracheal aortopulmonary subcarinal left anterior diaphragmatic recess and paraesophageal area . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures no lytic-destructive lesion in favor of metastasis was observed in bone structures . abdomen multiple lymphadenopathy was observed in the celiac curvature splenic hilus paraaortic interaortocaval paracaval and mesenteric fatty planes paravertebral areas especially on the left in the retroperitoneal areas adjacent to the left ribs and in the omentum as far as can be seen in non-contrast sections . mild hydronephrosis in the left kidney and a catheter placed in the left kidney were observed . a small amount of free fluid was observed in the abdomen . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window linear pleuroparenchymal sequelae change in the right lung lower lobe mediobasal segment and minimal thickening of the costal pleura at this level were observed . bilateral pleural effusion-thickening was not observed . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels it was observed in the form of smearing in the pericardial space . as far as can be seen mediastinal main vascular structures heart contour size are normal . pericardial thickening was not detected . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen liver gall bladder spleen pancreas and both adrenal glands are normal as far as can be observed in the non-contrast examination . no stones were observed in both kidneys within the sections . lung parenchyma widespread focal ground-glass-like density increases are observed in both lungs . pathological size and configuration of lymph nodes are not observed at both hilar levels . a nodule with a diameter of 3 mm is observed in the apicoposterior segment of the upper lobe of the left lung . it is recommended to evaluate the case with clinical and laboratory findings in terms of covid pneumonia . in the case an increase in calibration was observed in the bronchial traces at the central level and mostly at the lower lobe levels and it was evaluated as compatible with mild bronchiectasis . when examined in the lung parenchyma window both hemithorax are symmetrical . nodules with a diameter of approximately 3 mm in the anterior segment of the upper lobe of the right lung and 2 mm in diameter in the subpleural area of the middle lobe are observed more caudally . there are 2 nodules with a diameter of 2 mm in the anterior segment of the left lung upper lobe and in the lateral subpleural area . a 2 mm diameter subpleural nodule is observed at the laterobasal level of the lower lobe of the right lung . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . in the case an increase in calibration was observed in the bronchial traces at the central level and mostly at the lower lobe levels and it was evaluated as compatible with mild bronchiectasis . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen since it does not enter the image completely a clear evaluation cannot be made . other upper abdominal organs are normal . in the upper abdominal sections a nonspecific hypodense lesion of approximately 5 mm in diameter is observed at the subsegment 8 level in the anterior segment superior of the liver right lobe . the spleen is slightly enlarged . lung parenchyma no active infiltration or mass lesion was detected in both lungs . when examined in the lung parenchyma window there are areas of increased density consistent with sequela linear atelectasis in the left lung upper lobe inferior lingular segment lower lobe basal segments right lung middle lobe medial segment and basal segments . there are minimal emphysematous changes in both lungs . pleural effusion-thickening was not detected . an approximately 20 mm deep effusion was observed in the right pleural space . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calibration of mediastinal vascular structures is natural . there are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels an increase in heart size was observed . no pericardial effusion or thickness increase was observed . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image hyperdense stones were observed in the gallbladder lumen as far as they can be seen within the borders of unenhanced ct . no intraabdominal free fluid loculated collection was detected . there are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures . lung parenchyma when examined in the lung parenchyma window a moderate amount of effusion is observed in both hemithoraces more prominent on the right . there are emphysematous changes hyperemia and edematous findings under the skin . there are slightly patchy ground-glass densities in the right lung upper lobe posterior and left lung inferior lingula posterior . air bronchogram slightly consolidated areas are observed within atelectatic changes in the lower lobe basal segments . airways trachea both main bronchi are open . mediastinum fatty tissues in the mediastinum are slightly and edematous postoperative . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the cardiothoracic index increased in favor of the heart . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the left kidney is not included in the images and the right kidney is atrophic . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma diffuse peribronchial thickness increases in both lungs are present . ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . a nonspecific nodule of mm was observed in the anterior segment of the right lung upper lobe . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma subsegmental atelectasis areas were observed in the left lung inferior lingular segment and lower lobe . when examined in the lung parenchyma window bilateral peribronchial thickenings and mild bronchiectatic changes were observed . no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum on the right the image of the catheter extending to the superior vena cava is observed . lymph nodes with a short axis smaller than 7 mm were observed in the upper-lower paratracheal subcarinal localization . no lymph node was detected in mediastinal pathological size and appearance . a millimetric calcified atherosclerotic plaque was observed in the wall of the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen a millimetric calcified atherosclerotic plaque was observed in the wall of the thoracic aorta . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window there are peripherally located ground-glass-style density increases in both lungs accompanied by pleuroparenchymal densities in places . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid pneumonia during the pandemic process . air cysts are observed in the lower lobe superior segments of both lungs . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures are normal . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . a calcific atheroma plaque is observed in the aortic arch . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a calcific atheroma plaque is observed in the aortic arch . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma viral pneumonia is considered in the etiology of the described findings . in addition there are paraseptal emphysematous changes accompanying sequela changes in both lung apexes . consolidation areas with air bronchograms and ground glass densities are observed in all segments of both lung parenchyma . it is recommended to be evaluated together with clinical and laboratory findings and control after treatment . in addition there is an effusion measuring 16 mm in the deepest part of the bilateral pleural space on the left . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels an effusion measuring 13 millimeters in the deepest part is observed in the pericardial area . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen thoracic aorta diameter is normal . no pathology was detected in the upper abdominal sections included in the sections . lung parenchyma no significant pathology was observed in the parenchyma except for the nodule . in the evaluation of both lung parenchyma in the right lung lower lobe superior segment 3 mm diameter fissure-based nodules and 2 mm diameter nonspecific nodules are observed in the right lung upper lobe anterior segment . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . in the non-contrast examination no obvious pathology was detected in the abdominal sections . lung parenchyma bronchopneumonic infiltration in the upper lobe of the left lung in the form of a budding tree view developed on the background of bronchial obstruction and was thought to belong to the infectious process . fissural nodules in the left major fissure showed an increase in size . these nodules were thought to belong to maligt nodules . it is observed that the left lung lower lobe segment bronchi are not aerated in the current examination . it was thought that it may primarily belong to mucus plugs since it is observed in places as luminal obstruction and . gross size difference is not observed . there are soft tissue densities that the bronchial lumens and show within the lumens of the lower lobe basal segment bronchi . in the right lung middle lobe pleural-based nodules are stable in size . airways there are soft tissue densities that the bronchial lumens and show within the lumens of the lower lobe basal segment bronchi . mediastinum due to the lack of contrast in the current imaging aorta and pulmonary vascular structures and primary lesion borders cannot be distinguished . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion that can be distinguished by ct was detected in the bone structures . abdomen size increase was observed . its dimensions are within stable limits . it was 46 mm in the previous examination . in the upper abdomen sections the long axis of the metastatic lesion in the right adrenal gland was 48 mm . no significant difference was found in the dimensions of the suspected focus in favor of peritoneal metastases with a diameter of 18 mm in the anterior abdominal wall . due to the lack of contrast in the current imaging aorta and pulmonary vascular structures and primary lesion borders cannot be distinguished . lung parenchyma when evaluated in the parenchyma window of both lungs millimetric-sized nonspecific parenchymal nodules were observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window bulla is observed in the anterior upper lobe of the right lung . pleural effusion-thickening was not detected . at the level of the minor fissure in the right lung pulmonary with 5 mm diameter pleural extension in the anterior is observed sequela . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no fractures or lytic-sclerotic lesions were observed in the bones . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lungs there are consolidation areas in the left upper lobe inferior and right lung lower lobe with a halo sign around it and air bronchogram signs in it . it was evaluated in favor of the continuation of the infectious process in the patient known to have covid pneumonia . there is a pleural effusion measuring 24 mm in thickness in the right hemithorax . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . multiple 13 mm lymph nodes are observed in the paraaortic area in the upper abdomen . lung parenchyma no active infiltration or mass lesion was detected in both lungs . ventilation of both lungs is natural . when examined in the lung parenchyma window there are minimal parenchymal changes with sequelae at the apex of both lungs . a few millimeter-sized nonspecific nodules were observed . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph nodes in pathological size and appearance were detected in both supraclavicular fossa mediastinum and both axillary regions . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of vascular structures as far as can be observed heart contour size is normal . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . abdomen in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma no relevant findings . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . anterior osteophyte formations are observed in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . mild degenerative changes were observed . abdomen the gallbladder was not observed cholecystectomized . upper abdominal sections entering the examination area are natural . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . atelectasis was observed in both lungs . paraseptal emphysematous changes accompanied by fibrotic recessions were observed in the apex of both lungs . when examined in the lung parenchyma window thickening of the peribronchial sheath and more prominent interlobular-intralobar septal thickenings in the lower lobe basal segments were observed in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . in the mediastinum lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed . diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . calcific atheroma plaques were observed in the abdominal aorta . as far as can be seen the anterior-posterior diameter of the ascending aorta was 45 mm and the anterior-posterior diameter of the descending aorta was 34 mm larger than normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . findings were evaluated as secondary to cardiac stasis . the aortic valve is calcified . osseous structures degenerative changes were observed in bone structures . osteoporosis is observed in bone structures . height loss was observed in l1 vertebra superior end plateau . abdomen diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the abdominal aorta . as far as can be seen the anterior-posterior diameter of the ascending aorta was 45 mm and the anterior-posterior diameter of the descending aorta was 34 mm larger than normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window millimetric recessions are observed in the lower lobe posteriors and pleura in both lungs . airways trachea both main bronchi are open . mediastinum a hypodense oval-shaped finding measuring 12 mm in size is observed in the anterior of the aortic arch . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . in the first plan it was evaluated in favor of the residual thymus . mediastinal main vascular structures heart contour size are normal . small lymph node is also in the differential diagnosis . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a hypodense oval-shaped finding measuring 12 mm in size is observed in the anterior of the aortic arch . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lungs patchy ground-glass densities are observed with enlargement in the vascular structures around which a halo sign is observed more prominently in the lower lobe posteriors . the findings were evaluated in favor of covid-19 viral pneumonia . clinical and laboratory correlation and close follow-up are recommended . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are diffuse emphysematous changes in both lungs . in the left lung nodular consolidation accompanied by lower lobe anterior and superior weighted air bronchograms and minimal ground glass densities are observed around it . airways it is accompanied by minimal bronchiectasis . trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . lymph nodes with a short axis reaching 10 mm are observed in the mediastinum . other mediastinal major vascular structures heart contour are normal . calcific plaques are present in the abdominal aorta and its branches including the section . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal major vascular structures heart contour are normal . heart size was minimally increased . the ascending aorta is 40 mm and is ectatic . osseous structures there is an increase in thoracic kyphosis . bone structures in the study area are natural . anterior osteophytes are present in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . a 13 mm nodular lesion to the exophytic kidney parenchyma was observed in the middle part of the left kidney . calcific plaques are present in the abdominal aorta and its branches including the section . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the appearance can be observed in covid 19 pneumonia but it is not specific . clinical and lab correlation is recommended . when examined in the lung parenchyma window subpleural focal density nonspecific ground-glass density increases were observed in both lung lower lobe basal segments . bilateral pleural thickening - effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . as far as can be seen a catheter image extending to the superior vena cava was observed . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma during the pandemic process it was thought that the findings might be compatible with covid-19 pneumonia . peripheral and centrally located ground-glass appearances microcystic appearances and interlobular septal thickenings are observed in the upper and lower lobes of both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma a calcific nodule with a diameter of 3 mm is observed in the upper lobe apicoposterior segment of the left lung . sequelae changes are observed at the apical level in both lungs . in the posterior segment of the upper lobe a nodule with a diameter of approximately 45 mm is observed on the ground of sequelae . no lymph node with pathological size and configuration was detected at the hilar level . there are pleuroparenchymal sequelae changes in the upper lobe anterior-posterior segment transition in the right lung . sequelae changes extend caudally towards the lingular segment . there is a focal consolidation area in the inferior lingular segment . in the anterior segment caudally a largely calcific nodule of approximately mm and adjacent pleuroparenchymal sequelae changes are observed . slightly more caudally there is a largely calcific 8 mm diameter nodule . there was no finding compatible with pleural effusion pneumothorax or pneumonia in both lungs . airways lumens are clear . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum in the anterior mediastinum a fatty density appearance is observed which does not show mass configuration compatible with thymic remt . in the mediastinum there are millimetric-sized lymph nodes the largest in the right upper paratracheal area with a short axis of 6 mm that do not reach pathological dimensions . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen there is a nonspecific increase in density in the central mesentery . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is no mass or infiltrative lesion in both lungs . linear atelectasis was observed in the medial segment of the right lung middle lobe . there are millimetric nodules in both lungs . minimal bronchiectasis and minimal peribronchial thickening were observed in the central parts of both lungs . there are calcified pleural plaques in both hemithoraces . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were observed . sliding type hiatal hernia was observed at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma when examined in the lung parenchyma window mild mosaic attenuation patterns are observed in the basal segments of the lower lobes of both lungs . ventilation of both lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . it is atypical in terms of an infectious process . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart sizes are slightly increased . osseous structures there are hypertrophic osteophytic taperings anteriorly in the vertebral corpus endplates . density reduction is observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma . there are several subpleural localized nonspecific nodules less than 3 mm in diameter in the right lung . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . right central venous catheter is observed . calibrations of mediastinal main vascular structures are normal . heart and great vessels pericardial effusion is not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen a slight increase in peritoneal thickness in the area in the left upper quadrant and slight contamination in the fatty planes of the mesentery are observed . there is suture material in the left paraaortic area . no features were detected in the upper abdomen sections . a incision scar is observed on the anterior abdominal wall . lung parenchyma in the lower lobe of the right lung there is a soft tissue appearance with slightly irregular borders in the peripheral area . the described appearance is also present in the patients previous examinations and no significant difference was detected in this appearance . apart from these density increases structural distortion and volume loss which are evaluated primarily in favor of pleuroparenchymal sequelae are observed in both lungs more prominently on the right . millimetric nonspecific nodules were observed in both lungs . the described appearance was primarily considered to be a sequelae change . the described appearance and the soft tissue boundaries described in the lung center cannot be distinguished from each other in places . bronchiectasis in the upper middle and lower lobe central parts of the right lung and consolidation-soft tissue appearance in the peribronchial area are observed . the described appearance is non-specific . there are diffuse emphysematous changes in both lungs . there was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs . in the right lung lower lobe superior segment there is a clear consolidation-soft tissue density appearance . it is recommended to follow . however there was increased fdg uptake in this appearance in the previous pet ct examination . pleural effusion is observed on the right . the pleural effusion measured 35 mm at its thickest point . airways there is no obstructive pathology in the trachea and both main bronchi . mediastinum lymph nodes were observed in the mediastinum and hilar regions . these lymph nodes are also present in the patients previous examinations and no difference was found in their size and appearance . the longest diameter of the described view measured approximately 33 mm at its widest point . mediastinal structures cannot be evaluated optimally because contrast material is not given . atheroma plaques were observed in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures there was no finding that could be evaluated in favor of metastasis in the bone structures within the sections . abdomen there is a 13 mm diameter stone in the gallbladder . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . atheroma plaques were observed in the aorta and coronary arteries . lung parenchyma there is no mass or infiltrative lesion in both lungs . there are linear atelectasis in both lungs . there is no pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . as far as can be seen central venous catheter is seen on the right . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels there is no pericardial thickening . a stent was observed in the left anterior descending coronary artery . pericardial effusion is observed . the catheter terminates in the right atrium . heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed within the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum there is a millimetric lymph node . no lymph node whose short axis 1 cm in mediastinum and hilar level was not detected . calibration of the main mediastinal vascular structures is natural . in the anterior mediastinum thymic tissue with trigonal configuration and no mass effect is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . two densities are observed in the middle part of both kidneys which are considered to be compatible with 2 mm diameter calculi . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are linear atelectasis in the medial segment of the middle lobe of the right lung and the lingular segment of the upper lobe of the left lung . no mass or infiltrative lesion was detected in both lungs . there are minimal pleuroparenchymal sequelae changes in both lung apexes . the largest of these nodules is observed in the lower lobe of the right lung and measures approximately mm in size . there are nodules in both lungs some of which are calcific . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . it is understood that the patient underwent coronary by-pass surgery . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma pleuroparenchymal sequelae changes were observed in both lungs apical . a nonspecific parenchymal nodule with a diameter of 53 mm was observed in the middle lobe of the right lung . when examined in the lung parenchyma window a calcified nonspecific parenchymal nodule with a diameter of 2 mm was observed in the superior segment of the left lung lower lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum mediastinal structures were evaluated as suboptimal because the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in non-contrast examination plans . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma one or two millimetric nonspecific nodules are observed in both lungs . when examined in the lung parenchyma window emphysematous changes are observed in both lungs and slight irregularities in the pleura are observed in the parasternal area in the anterior . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window fibrotic changes are observed at the right apical level . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs including sections are normal . lung parenchyma there is one calcified nodule in the middle lobe of the right lung . when examined in the lung parenchyma window there are subsegmental atelectasis in the right lung middle lobe left lung upper lobe lingula and bilateral lower lung lobes . there are several nodules smaller than 5 mm in both lungs . pleural effusion-thickening was not detected . there are two subpleural nodules with a diameter of 6 mm in the apicoposterior segment of the upper lobe of the left lung and 52 mm in diameter in the apicoposterior segment of the upper lobe of the right lung . airways trachea both main bronchi are open . mediastinum there are several lymph nodes in the upper lower paratracheal aortopulmonary subcarinal paraesophageal the largest mm in size . there are wall calcifications in the aorta and coronary arteries . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . there is one bilateral parasternal lymph node the largest of which is 7 mm in diameter . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cardiothoracic index increased in favor of the heart cardiomegaly . mediastinal main vascular structures heart contour size are normal . osseous structures there is a milimetric sclerotic focus in the lateral part of the 2nd rib on the left . there are widespread degenerative changes in the bones in the examination area . abdomen in the sections passing through the upper part of the west in the right adrenal gland localization there are mm in size in the left adrenal gland localization mm in size oval shaped lobulated contoured hypodense lesions adenoma . thoracic aorta diameter is normal . there are wall calcifications in the aorta and coronary arteries . lung parenchyma there are bronchiectasis in both lungs lower lobe mediobasal segment right lung middle lobe and left lung lingular segment . no new appearance of infiltration was detected in the current examination . when examined in the lung parenchyma window septal thickening and honeycomb lung appearance were observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no mass-infiltration was detected in both lungs . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the diameter of the main pulmonary artery was 34 mm and showed slight dilation . there are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation . pericardial thickening-effusion was not detected . heart contour size is natural . there are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . osseous structures there are partial that cause approximately loss of height in t7 vertebrae and in l2 vertebrae . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . there are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . lung parenchyma passive atelectatic changes were observed in the medial segment of the right lung middle lobe . reticulonodular fibrotic density increases were observed in both lung apexes . there is a mosaic attenuation pattern in both lung parenchyma small airway disease small vessel disease . a thin-walled parenchymal air cyst with a diameter of 12 mm was observed in the laterobasal segment of the lower lobe of the left lung . when examined in the lung parenchyma window tubular bronchiectasis and peribronchial thickening were observed in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . atherosclerotic wall calcifications were observed in the abdominal aorta . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bridging spur formations were observed in the anterolateral corner of the vertebral corpus at the middle and lower thoracic level . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . atherosclerotic wall calcifications were observed in the abdominal aorta . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window bronchial structures in the central part of both lungs are slightly ectatic . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . in the mediastinum a few millimetric lymph nodes with a lower paratracheal short axis diameter not exceeding 1 cm are observed . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures thoracic kyphosis is flattened . no lytic-destructive lesion was observed in the bone structures . vertebra corpus heights and alignments are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a 7 mm nonspecific subpleural nodule is observed in the left lung lower lobe superiorly . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures disc protrusion accompanying osteophyte is observed in intervertebral disc . no lytic-destructive lesions were detected in the bone structures within the sections . the disc creates pressure on the spinal cord . thoracic vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window small focal ground glass density is observed in the anterobasal segment of the lower lobe of the right lung and the appearance is suspicious for ultra-early covid-19 pneumonia . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calculus with a diameter of 18 cm was observed in the upper pole of the right kidney . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma consolidations in the lower lobe basal segments of both lungs are accompanied by subsegmental atelectatic changes . when examined in the lung parenchyma window minimal peribronchial thickening was observed in the segmental-subsegmental bronchi of both lungs . the outlook is highly suspicious for covid-19 pneumonia . no mass lesion with distinguishable borders was detected in the lung parenchyma . patchy-nodular ground glass consolidations with a multilobar multisegmentary central-peripheral weighted crazy paving pattern were observed in both lungs . airways when examined in the lung parenchyma window minimal peribronchial thickening was observed in the segmental-subsegmental bronchi of both lungs . no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen lymph nodes measuring 73 mm were observed in the aortopulmonary right lower paratracheal and right hilar greater short axis . mediastinal main vascular structures heart contour size are normal . hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no nodular or infiltrative lesion was detected in the parenchyma of both lungs . mild mosaic pattern attenuations are observed at the apical levels of the upper lobes of both lungs . when examined in the lung parenchyma window there are findings consistent with a small to moderate amount of effusion in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . the ascending aorta was measured 49 mm and the descending aorta 35 mm . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the cardiothoracic index increased in favor of the heart . osseous structures there is osteopenia appearance in the bone structures included in the study area . vertebral corpus heights are preserved . abdomen liver contours are irregular . there is a small to moderate amount of free fluid in the abdomen and there are findings consistent with hyperemia edema and nodular omental in the mesenteric fatty tissues . bilateral adrenal glands were normal and no space-occupying lesion was detected . left kidney is atrophic . the ascending aorta was measured 49 mm and the descending aorta 35 mm . thoracic aorta diameter is normal . the upper abdominal organs are partially included in the study and there are large lesions in the liver with air attenuations around multiple metastatic lesions . lung parenchyma in the right lung lower lobe superior segment consolidation with air bronchograms and centriacinar nodules and budding tree appearances are observed around it . there are emphysematous changes and local atelectasis in both lungs . there are millimetric nonspecific nodules in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in the left lung . it is recommended that the patient be evaluated together with previous examinations and further examination if indicated . an irregularly circumscribed mass with coarse calcifications is observed in the medial of the right lung lower lobe superior segment . there is minimal peribronchial thickening in both lungs . the described appearance is consistent with pneumonic infiltration . the described mass measures approximately mm . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum anteroposterior diameter of the aortic arch and descending aorta are normal . there are lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . the largest of these lymph nodes is observed in the subcarinal region and its short diameter is 12 mm . there are atheromatous plaques in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . the anterior-posterior diameter of the ascending aorta is 41 mm and wider than normal . it is understood that the patient underwent coronary by-pass surgery . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . anteroposterior diameter of the aortic arch and descending aorta are normal . there is minimal thickening of both adrenal gland corpuscles . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there are subsegmental atelectasis in the right lung middle lobe left lung upper lobe lingula and bilateral lower lung lobes . there is one lap in the lower right paratracheal mm in size . there are several nodules smaller than 5 mm in both lungs . there are several nodules smaller than 5 mm in both lung major fissures lymph node . there is a mm lesion in the apicoposterior segment of the upper lobe of the right lung with irregular spiculated contours with extensions to the surrounding pleuroparenchymal structures . histopathological examination is recommended . when examined in the lung parenchyma window the bilateral lung parenchyma is emphysematous . right lung upper lobe anterior subpleural localized mm in size thickening is observed . no pleural effusion was detected . there are areas of ground glass density with subpleural localization in the posterior and lower lobes of the bilateral lung upper lobe . there is an oval-shaped nodule mm in size located subpleural in the anterior upper lobe of the left lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are several lymph nodes in the upper lower paratracheal aortopulmonary subcarinal right hilar paraesophageal the largest mm in size . there are wall calcifications in the aorta . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes in the bones in the examination area . abdomen thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . there are wall calcifications in the aorta . right adrenal gland lateral crus left adrenal gland corpus and medial crus are observed in diffusely thick appearance . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . there are several millimetric nodules in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced ct . lung parenchyma no pneumonic infiltration or consolidation area was observed in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there are nonspecific nodules in millimeter sizes . in the evaluation made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . pericardial-pleural effusion was not detected . airways trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes were observed in pathological size and appearance . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures there are degenerative changes in bone structures . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma non-specific millimetric nodules measuring 4 mm in diameter were observed in the anterior segment of the upper lobe of the right lung in both lung parenchyma . ventilation of both lungs is normal . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . no pericardial or pleural effusion was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . diffuse ectasia was observed in bilateral bronchial structures . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . calcified atheroma plaques were observed in the wall of the aortic arch . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures there are degenerative changes . no lytic or destructive lesions were observed in the bone structures within the image . abdomen calcified atheroma plaques were observed in the wall of the aortic arch . there is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis as far as can be seen within the limits of unenhanced ct in the upper abdominal sections within the image . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window a few millimetric nonspecific subpleural nodules are observed in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen a finding in favor of a 19 mm stone is observed in the gallbladder . there is a change in the direction of steatosis in the liver parenchyma . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma in the upper lobe of the left lung at the apical level there is an area of patchy ground glass density with irregular contours measuring 9 mm in size in series 2 image 42 . there are also a few described patchy nodular densities in the posterior upper lobe of the right lung . findings were evaluated in favor of infectious processes in the first place and are also present in previous examinations . mild emphysematous changes are observed in both lungs more prominently in the lower lobe basal levels and posteriors . when examined in the lung parenchyma window mild bronchiectatic changes are observed more prominently at basal levels in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . the ascending aorta measures 43 mm and is wider than normal . mild atherosclerotic changes are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures diffuse density reduction in bone structures hypertrophic-osteophytic tapering in end plates and degenerative changes were observed . abdomen upper abdominal organs are partially included in the examination and were evaluated as subopotimal . thoracic aorta diameter is normal . clinical and laboratory correlation and follow-up are recommended . lung parenchyma there are minimal emphysematous changes in both lungs . millimetric nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma it is stable . there was no finding compatible with pneumonia . when examined in the lung parenchyma window 2 mm diameter nodule is observed in the anterior segment of the right lung upper lobe . a little further inferior another stable nodule with a diameter of 2 mm is observed . no pleural effusion or pneumothorax was observed . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . thymic tissue with trigonal configuration is observed in the anterior mediastinum which does not cause a mass effect . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum soft tissue density which may be compatible with the remt thymus tissue was observed in the anterior mediastinum . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be seen calibration of mediastinal major vascular structures is natural . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures mild degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma sequelae changes are observed at the apical level . there is a density evaluated in favor of pleuroparenchymal sequelae in the posterior segment of the right lung upper lobe . pleuroparenchymal sequelae changes are observed at the lower lobe anterobasal level . pathological size and configuration of lymph nodes were not detected in both hilar levels . there was no finding compatible with bilateral pleural effusion pneumothorax or pneumonia . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum nodularity is observed in the superior mediastinum which may be compatible with the millimetric calcific lymph node . calibration of the main mediastinal vascular structures is natural . in the mediastinum at the upper paratracheal level several millimetric lymph nodes are observed in the prevascular area the largest of which is at the prevascular level and approximately 10x6 mm in size . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no relevant findings . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window in the right lung middle lobe medial segment left lung upper lobe inferior lingular segment there are areas of increase in density evaluated primarily in favor of atelectasis . no nodular or infiltrative lesion was detected in both lung parenchyma . a mosaic attenuation pattern is observed in the lower lobes of both lungs small airway diseasesmall vessel disease . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum the examination was considered suboptimal since no contrast agent was given . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type mild hiatal hernia is observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the examination was considered suboptimal since no contrast agent was given . as far as can be seen mediastinal main vascular structures heart contour size are normal . pericardial effusion-thickening was not observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections a hypodense lesion measuring mm is observed in the left lobe lateral segment of the liver at the level of segment 2 . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . it cannot be clearly characterized within the limits of non-contrast ct . lung parenchyma when examined in the lung parenchyma window both hemithorax are symmetrical . a stable nodule with a diameter of about 3 mm is observed in the dorsal subpleural area in the superior segment of the right lung lower lobe . a little more superiorly there is another subpleural 3 mm diameter nodule in the posterior segment of the upper lobe that was not detected in the previous examination . a stable nodule measuring 4x3 mm is observed at the subpleural level in the posterobasal segment of the lower lobe of the left lung . two stable nodules 4 mm and 3 mm in diameter adjacent to each other from the dorsal subpleural area are observed in the lower lobe superior segment of the left lung . airways lumens are clear . calibrations of the trachea and main bronchi are normal . mediastinum thoracic aorta diameter is normal . calibration of mediastinal major vascular structures is natural . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . thoracic aorta diameter is normal . density compatible with calculus is observed in the gallbladder . in the upper abdominal organs including sections a decrease in density consistent with mild steatosis is observed in the liver . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal main vascular structures are normal . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there is no discernible mass in the upper abdominal organs within the sections . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma emphysematous appearance is present in the upper lobes of both lungs . the findings described are consistent with covid-19 pneumonia . in addition there are nodular ground-glass densities with faint borders in different localizations in the lung parenchyma . linear subsegmentary atelectatic changes were observed in the lingular segment of the left lung . in the anterior segment of the upper lobe of the right lung a focal air trapping area around which the ground glass area is observed was observed . when examined in the lung parenchyma window in the right lung lower lobe superior and posterobasal segment and in the left lung lower lobe posterobasal segment peripherally located consolidation areas with more common crazy paving pattern and vascular enlargement on the right were observed . the ground glass area was initially evaluated in favor of sequelae . no mass lesion with distinguishable borders was detected in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of pulmonary arteries is natural . as far as can be seen the anterior-posterior diameter of the ascending aorta is 36 mm and the anterior-posterior diameter of the descending aorta is 29 mm larger than normal . calcific atheroma plaques were observed in the aortic arch and lad . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures a hemangioma was observed in the t6 vertebra . abdomen calcific atheroma plaques were observed in the aortic arch and lad . an accessory spleen with a diameter of 16 mm was observed inferior to the splenic hilum . upper abdominal organs included in the sections are normal . as far as can be seen the anterior-posterior diameter of the ascending aorta is 36 mm and the anterior-posterior diameter of the descending aorta is 29 mm larger than normal . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window patchy ground glass consolidations forming a multilobar multisegmentary central-peripheral crazy paving pattern were observed in both lungs and the appearance is highly suspicious for covid-19 pneumonia . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum pulmonary artery diameters are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen the anterior-posterior diameter of the ascending aorta was 40 mm and the anterior-posterior diameter of the descending aorta was 33 mm larger than normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the coronary arteries . heart contour size is normal . osseous structures dextroscoliosis with left thoracic opening was observed . there is height loss in l1 vertebra superior end plateaus . abdomen spleen pancreas both adrenal glands are normal . a nodular lesion area of 4 cm diameter fluid density was observed in the middle part of the left kidney cyst . as far as can be seen in the sections the contours of the liver are slightly irregular . it is recommended to be evaluated together with clinical and laboratory in terms of possible parenchymal disease . as far as can be seen the anterior-posterior diameter of the ascending aorta was 40 mm and the anterior-posterior diameter of the descending aorta was 33 mm larger than normal . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . linear atelectasis and emphysematous changes were also observed in both lungs . there are findings evaluated in favor of pleuroparenchymal sequela fibrotic changes in both lung apexes more prominent on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen there are atheromatous plaques in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window linear fibrotic density is observed in the lower lobe of the left lung . there are minimal ground glass densities in the subpleural subpleural area in the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window fibroatelectasis changes were observed in the anterobasal segment of the lower lobe of the left lung . ventilation of both lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways as far as can be seen trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis was observed in both lungs . there are emphysematous changes in both lungs more prominent on the right . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . millimetric atheroma plaques are observed in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures disc distances are preserved . there are osteophytes in the vertebral corpus corners . the neural foramina are open . vertebral corpus heights alignments and densities within the sections are normal . abdomen millimetric atheroma plaques are observed in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen there is no upper abdominal free fluid-collection within the sections . lung parenchyma ventilation of both lungs is natural . although the appearance may be due to distal airway diseases early pneumonic infiltration cannot be excluded . when examined in the lung parenchyma window diffuse mild ectasia and peribronchial diffuse minimal thickness increases were observed in both lung bronchial structures . it is recommended to evaluate or follow-up with old-dated ct examinations if any . apart from this millimetric nonspecific nodules were observed in both lungs . sequelae atelectatic changes were observed in the left lung upper lobe inferior lingular segment right lung oral lobe medial segment and upper lobe posterior . no pericardial pleural effusion or thickening was detected . in the posterobasal segment of the lower lobe of the right lung a peripheral subpleural localized area of intense increase in ground glass density measuring approximately 11x9 mm with an indistinct border was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . when examined in the lung parenchyma window diffuse mild ectasia and peribronchial diffuse minimal thickness increases were observed in both lung bronchial structures . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . osseous structures there are degenerative changes . no lytic-destructive lesion was observed in the bone structures within the image . abdomen stones were observed in the gallbladder lumen . no lymph node is observed in intraabdominal pathological size and appearance . in the upper abdominal sections within the image a decrease in density secondary to hepatosteatosis was observed in liver parenchyma density . no intraabdominal free fluid or loculated collection is observed . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is also a stable nodule with a diameter of 3 mm in the laterobasal segment . no pathological size and configuration lymph nodes were detected at both hilar levels . there was no finding compatible with pneumonia . when examined in the lung parenchyma window there is a stable nodule with a diameter of 3 mm in the laterobasal segment of the lower lobe of the left lung . pleural effusion pneumothorax is not observed in both lungs . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum thymic tissue with trigonal configuration is observed in the anterior mediastinum . no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma there was no suspicious infiltration in both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window mosaic attenuation patterns cobblestone appearances and density increases in crazy paving pattern are observed in both lungs . a space-occupying lesion is observed in the upper lobe of the right lung adjacent to the mediastinum with a size of mm in axial sections and up to 66 mm in the craniocaudal axis . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are lymph nodes in the mediastinum which were measured up to 21 mm at the carina level which were also observed in the previous examination showing increased . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the left adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is a thickening in the right adrenal gland which was evaluated in favor of previously known metastasis no significant difference was found . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma areas of increase in density consistent with linear atelectasis were observed in the inferior lingular segment of the left lung upper lobe . no mass lesions were detected in both lungs . in addition an area of increase in density consistent with linear atelectasis is observed in the anterior upper lobe of the right lung . peribronchial diffuse thickness increase is observed in both lungs . there are minimal emphysematous changes in both lungs . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image there is a diffuse decrease in liver parenchymal density secondary to hepatosteatosis . lung parenchyma when examined in the lung parenchyma window fibrotic changes and bronchial wall thickening are observed in both lungs especially in the lower lobes . apart from this a few millimetric nonspecific nodules are observed in both lungs . a 5 mm subpleural nodule was observed in the left lung lower lobe laterobasal . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures heart contour size are normal . mild dilatation and minimal mucosal thickening are seen in the middle part of the esophagus . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures osteophyte forms that tend to merge anteriorly are observed in thoracic vertebrae . surgical suture materials are available in the sternum . abdomen thoracic aorta diameter is normal . in the upper abdominal sections a cortical cyst was observed in the upper pole of the left kidney . other upper abdominal organs are normal . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma minimal fibroatelectatic sequelae changes were observed in the right lung middle lobe medial segment and left lung inferior lingular segment . when examined in the lung parenchyma window fibrotic recession accompanied by bronchiectasis and calcifications extending along the right lung upper lobe apical segment and anterior segment paramediastinal area were observed . calcific nodules with a diameter of 26 mm in the anterior segment of the left lung upper lobe were observed sitting on the major fissure in the basal part of the right lung middle lobe two in the right lung lower lobe superior segment and 26 mm in the left lung upper lobe anterior segment . pleural effusion-thickening was not detected . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum thoracic aorta diameter is normal . no lymph nodes in pathological size and appearance were observed in the mediastinum and both axillae . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no mass with distinguishable borders was observed in the pancreas on non-contrast sections . both adrenal glands are normal . the gallbladder was not observed . as far as it can be evaluated in non-contrast sections no masses with distinguishable borders were observed in the liver spleen and both kidneys within the sections . thoracic aorta diameter is normal . lung parenchyma there are diffuse metastatic lesions in all segments of both lungs . no new lesion was detected . some of the other metastatic lung lesions have mild regression in their size and some are stable . the largest is located in the upper lobe of the left lung with a long axis of 27 mm and a diameter of 16 mm located peripherally in the anterior segment of the upper lobe of the left lung . on previous imaging these lesions measured 31 mm and 16 mm . there is a pleural effusion reaching 6 cm between the leaves of the right pleura and 2 cm between the leaves of the left pleura . airways no relevant findings . mediastinum a central venous catheter is observed . heart and great vessels in the coronary arteries there are calcified atheroma plaques of in the lad . osseous structures it is also available in the old review . there are components showing extension in places . widespread metastatic lesions are observed in the vertebrae ribs both and sternum in all bone structures that enter the imaging field . if necessary mri examination is recommended . a newly developed pathological fracture is observed in the right 2nd posterior rib . in the metastatic lesion in the l1 vertebral body it a significant volume in the vertebral body . the metastatic lesion in the l1 vertebral body is also observed with its component extending towards the right pararenal area . also available in old . in the t9 vertebra the component of the tumoral lesion in the vertebral body extends into the spinal canal . therefore it a for fracture . abdomen in the sections passing through the upper abdomen calculus is observed in the gallbladder . right adrenal gland lateral crus is observed . the mass lesion whose mediolateral diameter was 16 mm in the lateral crus in the previous examination was 13 mm in the current examination . it appears to be slightly regressed in current examination . the right kidney is operated . lung parenchyma the outlook is highly suspicious for early covid-19 pneumonia . apart from this no mass lesion with distinguishable borders was detected in both lungs . millimetric parenchymal nodules were observed in the right lung middle and upper lobe anterior segment . when examined in the lung parenchyma window in the left lung lower lobe superior segment a wide nodular ground-glass opacity forming a crazy paving pattern with interlobular septal thickening was observed . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . there are several nodules in both lungs with a short diameter of less than 3 mm . there are areas of linear atelectasis in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . the widths of the mediastinal main vascular structures are normal . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in bone structures . in the thoracic region left-facing scoliosis is observed . there are osteophytes bridging anteriorly in places at the corners of the thoracic vertebra corpus . abdomen within the limits of non-contrast bt there is no discernible mass in the upper abdominal organs . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . free pleural effusion measuring 22 mm in thickness on the right and 21 mm on the left and mild atelectatic changes in the adjacent lung parenchyma were observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . the diameter of the main pulmonary artery was 32 mm and increased . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels the diameter of the ascending aorta is 40 mm and shows dilatation . heart size increased . pericardial minimal effusion was observed . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . osseous structures multiple sclerotic lesions were observed in all bone structures in the study area . evaluation for sclerotic metastases is recommended . abdomen a millimeter-sized accessory spleen was observed adjacent to the spleen hilus . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . double catheter and grade 2 hydronephrosis on the right and grade 3 on the left were observed in both kidney collecting systems . no gall bladder was observed in the upper abdominal sections included in the examination area cholecystectomized . lung parenchyma apart from this there are a few more difficult to distinguish ground glass opacities with scattered . a similar appearance is also present in the left lung upper lobe lateral lingular segment . findings are one of the frequently observed findings in covid-19 pneumonia . these views have been interpreted in favor of sequelae . there are linear densities in the pleuroparenchymal band formation towards this area . in addition there are focal pleural thickness increases in the subpleural area in the lower lobe of the left lung . when examined in the lung parenchyma window focal ground-glass density in subpleural location is observed in the right lung lower lobe laterobasal segment . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways there is fullness in the anterior of the trachea compatible with cardiac recess . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . a few millimetric calcific atheroma plaques are observed in the coronary arteries aortic arch and descending aorta . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . sliding type small hiatal hernia is present . heart and great vessels pericardial effusion-thickening was not observed . a few millimetric calcific atheroma plaques are observed in the coronary arteries aortic arch and descending aorta . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes and a decrease in their densities in the bone structures in the study area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a few millimetric calcific atheroma plaques are observed in the coronary arteries aortic arch and descending aorta . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window posterobasal dependent ground glass densities are observed in the lower lobe of both lungs . millimetric nonspecific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . in the bilateral axillae increased number of lymph nodes with short axes and fusiform fatty hilus reaching 10 mm in size on the right are observed . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaques are present in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal sections there is diffuse density loss in the liver . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . a suspicious hypodense appearance is observed approximately 14 mm in size with no clear boundaries between the liver segments . other upper abdominal organs included in the sections are normal . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the examination made in the lung parenchyma window no active infiltration mass or nodular lesion was observed in both lung parenchyma . ventilation of both lungs is normal . several nonspecific nodules measuring 4 mm in size are observed in the right lung parenchyma the largest of which is in the upper lobe anterior segment . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and heart examination could not be evaluated optimally due to lack of iv contrast . there are no lymph nodes in pathological size and appearance in both axillary regions and mediastinum . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . mediastinal vascular structures and heart examination could not be evaluated optimally due to lack of iv contrast . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . in the axial sections adjacent to the inferior falciform ligament a loculated collection measuring mm is observed . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen in the upper abdomen sections within the image hypodense lesions with a diameter of 7 millimeters are observed at the level of segment 2 and 6 of the liver the largest of which cannot be characterized within the borders of non-contrast ct . lung parenchyma no mass or infiltrative lesion was detected in both lungs . minimal peribronchial thickening was observed in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are paraseptal emphysematous changes in the bilateral apex . linear pleuroparenchymal bands with local sequelae are observed in both lungs . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . there are diffuse mild ectasia and peribronchial thickness increases in bilateral bronchial structures . mediastinum no lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . osseous structures in the upper abdominal sections within the image there are hypodense lesions measuring 9 mm in diameter at the level of liver segment 2 and segment 8 the largest of which is segment . no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image there are hypodense lesions measuring 9 mm in diameter at the level of liver segment 2 and segment 8 the largest of which is segment . no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . lung parenchyma when examined in the lung parenchyma window intense patchy ground glass consolidations forming a crazy paving pattern accompanied by central-peripheral linear subsegmentary atelectatic changes in both lungs were observed and the appearance is compatible with covid-19 pneumonia . no mass lesion with limited was detected in both lungs . it is recommended to be evaluated together with clinical and laboratory . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the mediastinum lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures at the thoracic level left-facing scoliosis was observed . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . with a diameter of 2 mm was observed in the lower pole of the right kidney . calculi measuring mm was observed in the lower pole of the left kidney . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma right upper-bilateral lower paratracheal millimetric lymph node is observed . in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window as far as can be observed secondary to movement both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures thoracic kyphosis is increased . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma bilateral fissural thickening was observed . no mass or infiltrative lesion was observed in both lungs . there are sometimes linear atelectasis in both lungs . increasing bilateral pleural effusion and passive atelectasis in the adjacent lungs are observed in the follow-up . airways there is no obstructive pathology in the trachea and both main bronchi . bronchial wall calcifications were observed . mediastinum atheroma plaques are observed in the aorta and coronary artery . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . the aortic arch was observed to be elongated . a mixed type hiatal hernia is observed in the lower end of the esophagus . heart and great vessels heart contour and size are normal . osseous structures a soft tissue component is observed in the lytic bone lesion adjacent to the costochondral junction of the 5th rib in the right hemithorax . its size increased by mm on follow-up . progression was also observed in the lesion at the left third costochondral junction . lytic bone lesions are observed in the bone structures within the sections multiple myeloma . bone lesions increase in size from place to place . old pathological rib fractures were observed on both sides . abdomen endoscopy is recommended . atheroma plaques are observed in the aorta and coronary artery . there is no upper abdominal free fluid-collection within the sections . mild wall thickening is observed in the herniated stomach segment . the aortic arch was observed to be elongated . lung parenchyma when examined in the lung parenchyma window there are ground-glass densities in which vascular are also observed in a patchy manner located peripherally in both lungs . close monitoring of clinical laboratory correlation is recommended . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a millimetric nonspecific nodule in the upper lobe of the left lung . no mass or infiltrative lesion was observed in both lungs . there are linear areas of atelectasis in both lungs and accompanying nonspecific ground-glass areas in the lower lobe posterior segments . there are more prominent centriacinar emphysema and bulla-bleb formations in the upper lobes of both lungs . a few lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area and no enlarged lymph nodes in pathological size and appearance are detected . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . minimal peribronchial thickness increase is observed . mediastinum the widths of the mediastinal main vascular structures are normal . a few lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area and no enlarged lymph nodes in pathological size and appearance are detected . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen as far as it can be evaluated within the non-contrast ct limits there is no discernible mass in the upper abdominal organs . lung parenchyma covid-19 pneumonia has also been evaluated in accordance with frequently reported imaging features . other viral pneumonias can be considered in the differential diagnosis . when examined in the lung parenchyma window there are ground-glass density increases in the subpleural area and peribronchovascular area of both lungs and subsegmental atelectic changes in the left lung lower lobe . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was non-contracted . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes are observed in bone structures . abdomen it was evaluated in favor of hyperplasia rather than adenoma . diffuse thickening is observed in the bilateral adrenal gland . no dilatation was detected in the thoracic aorta . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window a few nodules with a diameter of 6 mm were observed in the parenchyma of both lungs the largest of which was in the right middle lobe laterally . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a cortical hypodense lesion of mm is observed in the upper pole of the left kidney . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is linear atelectasis in the lingular segment of the left lung upper lobe . apart from this both lung ventilation is normal . no mass or infiltrative lesion was detected in both lungs . there is an appearance that may belong to a subpleural lymph node the largest of which is approximately 7 mm in diameter in the subpleural area in the middle lobe of the right lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen in the liver parenchyma density a decrease in density compatible with advanced adiposity is observed . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . calcified atheroma plaques are observed in the wall of the aortic arch . mediastinal structures cannot be evaluated optimally because contrast material is not given . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcified atheroma plaques are observed in the wall of the aortic arch . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no mass or infiltrative lesion was detected in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . there is an appearance compatible with thymic remt in the anterior mediastinum . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma there are emphysematous changes in both lungs . occasionally linear atelectasis was observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . there are lymph nodes in the mediastinum and hilar regions the largest measuring 10 mm in short diameter . paratracheal cysts are observed at the mediastinal entrance . atheroma plaques are observed in the aorta and coronary arteries . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . it is understood that the patient underwent coronary bypass surgery . osseous structures no fractures or lytic-destructive lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there are appearances evaluated in favor of pleuroparenchymal sequela fibrotic changes in both lung apex . advanced emphysematous changes were observed in both lungs more prominently in the upper lobe . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there are diffuse atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are diffuse atheromatous plaques in the aorta and coronary arteries . lung parenchyma a 2 mm calcific nodule was observed in the upper lobe of the right lung . when examined in the lung parenchyma window reticular densities are observed in the posterior peribronchial area in the upper lobe of the right lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma focal consolidative parenchyma areas were detected in the middle lobe on the right and the lingular segment on the left . although the outlook was evaluated in favor of covid pneumonia during the pandemic process the occasional bud branch views made us that the case may be superposed to bacterial infection . on this floor thickening and pleuroparenchymal density increases were observed in the interstitial scars from place to place . no pathologically enlarged lymph nodes were detected in the hilar area . in addition bud branch views were detected at the level of the upper lobe of the right lung and partially in the anterior segment of the left lung upper lobe . on the left 1-2 nodules the largest of which are 6 mm in diameter superposed to the interlobar fissure are observed . when examined in the lung parenchyma window diffuse focal ground-glass-like density increases were observed in both lungs . a pleural effusion with a thickness of 19 mm was observed in the left pleural space . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . multiple lymph nodes were observed in the mediastinum at the upper-lower paratracheal prevascular level in the aorticopulmonary window and in the subcarinal area the largest of which was in the subcarinal area and measured approximately mm in size . mediastinal main vascular structures are normal . hiatal hernia was observed in the case . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . kto is in normal calibration . osseous structures degenerative changes were observed in the bone structure in the examination area . vertebral corpus heights are preserved . abdomen right adrenal glands were normal and no space-occupying lesion was detected . intrahepatic bile ducts were prominent in the liver in the upper abdominal organs included in the sections . a clear evaluation could not be made in the non-contrast examination . thoracic aorta diameter is normal . ectasia in the right kidney pelvicalyceal system extrarenal pelvis variation and ectasia in the proximal ureter were detected . the gallbladder was distant and a density compatible with calculus was observed in it . the soft tissue around the left adrenal was indistinguishable from the plane . significant effusion in all areas contamination in the mesenteric planes and widespread lymph nodes were observed in the abdomen . thickening was observed in the peritoneal reflections . at the central level a soft tissue appearance was observed in the form of a large mass indistinguishable from the pancreas duodenum and . lung parenchyma emphysematous appearance is present in both lungs more prominent in the upper lobes . no significant parenchymal pneumonic infiltration was detected . airways when examined in the lung parenchyma window central bronchial walls are thickened in both lungs . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . stent-like appearances are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures thoracic vertebrae in the bone structures in the study area have a appearance . abdomen there is a biliary drainage catheter inserted into the liver from segment 6 . both adrenal glands are slightly thick . transplanted liver is observed in the upper abdominal organs included in the sections . lung parenchyma in the left lung there are areas of diffuse ground glass density and consolidations which are also observed in air bronchograms infection clinical evaluation and radiological follow-up are recommended . widespread consolidations in the right lung including air bronchograms and thickening of the interstitial elements are present . there is moderate pleural effusion in the left hemithorax . in the right hemithorax there are thickenings of the pleural surfaces and prominent at the level of the posterobasal segment of the lower lobe and thickening of the soft tissue density leading to infiltration in the adjacent ribs metastasis . in the lower lobe of the right hemithorax there are hyperdense images on the pleural faces secondary to pleurodesis . when examined in the lung parenchyma window there is pleural effusion showing moderate loculation in the right hemithorax . airways trachea both main bronchi are open . mediastinum there are wall calcifications in the aorta and coronary arteries . an image of a possible port catheter with its distal end in the superior vena cava is observed . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there is minimal pericardial effusion which is 4 mm in its thickest part . mediastinal main vascular structures heart contour size are normal . osseous structures in the right hemithorax there are lesions of infiltrative soft tissue density widespread around the ribs and adjacent to the right lateral part of the d12 l1 vertebra . there are widespread degenerative changes in the bones in the examination area . abdomen there are widespread linear effusions in the subcutaneous tissue and between the planes in the examination area . there are wall calcifications in the aorta and coronary arteries . in the sections passing through the upper part of the west liver contours are lobulated . thoracic aorta diameter is normal . there is widespread free effusion in the abdomen . the right lobe ratio increased in favor of the left lobe findings that may be compatible with chronic liver disease . the medial crus of the right adrenal gland is seen in a diffusely thick appearance . there is a 25 mm diameter nodular hypodense lesion in the medial crus of the left adrenal gland . lung parenchyma when examined in the lung parenchyma window consolidation area in which air bronchograms were observed in the posterobasal segment of the left lung lower lobe was observed and it was evaluated as compatible with lobar pneumonia . bronchopneumonic infiltration is observed in the medial and lateral segments of the right lung middle lobe . control imaging would be appropriate due to the suspicion of possible space-occupying lesion after treatment . in the lower lobe superior segment a mass consolidation area of 2 cm in diameter is observed around the segmental bronchus . airways no relevant findings . mediastinum in the mediastinum there are short mediastinal lymph nodes between 1 and 15 cm in diameter located in the paraaortic bilateral lower subcarinal and hilar . calibrations of mediastinal major vascular structures are natural . calibration of the esophagus was followed naturally . heart and great vessels the diameter of the ascending aorta increased by 46 mm . pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . in the supraclavicular fossa no lymph node was observed in the axilla in pathological size and appearance . abdomen no omental or peritoneal space-occupying lesion was observed . there is a cortical cyst in the upper pole of the left kidney . loculated or free fluid is not observed in the upper abdominal sections . no lymph node was detected in pathological size and appearance . no space-occupying lesions were detected in the adrenal glands in the upper abdominal sections . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . it is also available in the old review . no significant difference was found according to the previous i . a nodule with a diameter of 4 mm is observed at the apical level of the upper lobe of the right lung . emphysematous changes in the upper zones and mosaic attenuation pattern in the lower zones are observed in both lungs . there is a slight prominence in the pleura adjacent to the interlobar fissure on both sides . airways lumens are clear . when examined in the lung parenchyma window calibrations of the trachea and main bronchi are normal . mediastinum millimetric calcific atheroma plaques are observed in the aortic arch and ascending aorta . calibration of other major vascular structures of the mediastinum is natural . the aortic arch calibration was measured as and wider than normal . cto is within normal limits . no pathological size and configuration lymph nodes were detected in the mediastinum . a few lymph nodes with a short axis not exceeding 1 cm are observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels stent appearance and atherosclerotic changes in coronary arteries are observed in lad . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen the aortic arch calibration was measured as and wider than normal . cto is within normal limits . millimetric calcific atheroma plaques are observed in the aortic arch and ascending aorta . lung parenchyma it is recommended to evaluate the case in terms of lobar pneumonia together with clinical and laboratory findings . there are slight sequelae changes at the base of the lower lobe . a mild ground-glass-like density increase is observed in the right lung lower lobe superior segment . both hilar levels can be distinguished on non-contrast examination . an air cyst is observed at the laterobasal level of the lower lobe of the right lung . in the lower lobe of the left lung ground glass-like density increases are observed in and around the consolidated area containing air bronchograms which covers most of the lobe . when examined in the lung parenchyma window both hemithorax are symmetrical . airways calibration of trachea and main bronchus is natural . mediastinum millimetric lymph nodes are observed in the mediastinum . calcific atheroma plaques are observed in the coronary arteries in the ascending and descending aorta in the aortic arch . cto is within the normal range . it is larger than normal . the aortic arch calibration is 33 mm . no lymph node with pathological size and configuration was detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the coronary arteries in the ascending and descending aorta in the aortic arch . osseous structures there are degenerative changes in the bone structure . findings compatible with dish are observed . changes secondary to sternotomy are observed . abdomen the gallbladder is contracted . however in these conditions there are millimetric-sized densities in the gallbladder that are considered compatible with the . calcific atheroma plaques are observed in the coronary arteries in the ascending and descending aorta in the aortic arch . cto is within the normal range . it is larger than normal . the right adrenal gland locus is normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . the aortic arch calibration is 33 mm . the surrounding soft tissue plans in the study area are natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma these lesions are not observed in the current examination . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . in the apical segment of the upper lobe of the right lung a pleural-based nonspecific nodule of 4 mm in diameter was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . there are diffuse mild ectasia and peribronchial thickness increases in bilateral bronchial structures . mediastinum calcified atheroma plaques were observed on the walls of the aortic arch and coronary vascular structures . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image . abdomen calcified atheroma plaques were observed on the walls of the aortic arch and coronary vascular structures . no pathology was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma in lung parenchyma evaluation aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . there is a mild sliding type hiatal hernia . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in upper abdominal sections moderate hepatosteatosis is observed in the liver . lung parenchyma slight parenchymal aeration differences are observed in the lower lobe basal segments . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no pleural effusion was observed . airways trachea and both main bronchi lobar and segmental bronchi air passages are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is normal . heart and great vessels left ventricular diameter increased . diffuse calcific atherosclerotic plaques were observed in the lad and circumflex . heart size increased . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen no relevant findings . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . sequelae changes are observed at the level of major fissure in the right lung . there are pleuroparenchymal sequelae changes in the middle lobe of the right lung . when examined in the lung parenchyma window both hemithorax are symmetrical . there is a 2 mm diameter nodule in the left lung upper lobe anterior segment lateral subpleural area . pneumonia pneumothorax pleural effusion were not detected . a nonspecific nodule with a diameter of 2 mm is observed in the subpleural area in the middle lobe of the right lung . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . thymic tissue with trigonal configuration without mass effect is observed in the anterior mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window mild linear atelectatic changes are observed in the left lung upper lobe inferior lingula . a few millimetric nonspecific subpleural nodules are observed in the middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are diffuse degenerative changes in the bone structures in the examination area and tapering in the end plates of the vertebral corpuscles . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window paraseptal emphysematous changes are observed in the upper lobes of both lungs . no active infiltration or mass lesion was detected in both lungs . linear sequelae fibrotic bands were observed in the left lung lingular segment and lower lobe right lung lower lobe and middle lobe and upper lobe anterior segment . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma in addition bronchiectasis thickening of the bronchial wall and peribronchial reticulonodular infiltrates more prominently in the left lingula and lower lobe are observed . there are several nonspecific nodules in both lungs the largest of which reaches 5 mm in diameter . airways when examined in the lung parenchyma window there are thickenings of the bronchial walls at the central level in both lungs . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is 40 mm and ectatic . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window millimetric non-specific nodules are observed in both lungs . there are atelectasis in the form of thick bands . there are infectious processes in the patients history two and secondary changes in are in the differential diagnosis . mild dependent atelectasis and patchy ground-glass densities are observed with the left lung lower lobe being more prominent at the basal level . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . there is a hypodense finding lipoma cyst in the anterior chest wall in the midline just anterior to the sternum in series 4 image 45 in which millimetric air density is also observed in the soft tissue density . abdomen there is a hypodense finding lipoma cyst in the anterior chest wall in the midline just anterior to the sternum in series 4 image 45 in which millimetric air density is also observed in the soft tissue density . clinical laboratory correlation is recommended . upper abdominal organs are included in the study partially and evaluated as suboptimal . there is a density change in the liver parenchyma towards mild hepatosteatosis . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window both lungs are emphysematous . minimal passive atelectatic changes were observed in the lower lobe basal segments of both lungs . is recommended . multiple parenchymal nodules less than 5 mm in diameter were observed in both lungs . the outlook is nonspecific but sequelae or early-stage covid-19 pneumonia could not be excluded . pleuroparenchymal fibroatelectasis sequelae changes were observed in the left lung upper lobe lingular segment . a ground-glass area was observed in a focal area in the mediobasal segment of the lower lobe of the right lung . segmentary-subsegmental minimal peribronchial thickening was observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in their lumen . mediastinum calcific atheroma plaques were observed in the abdominal aorta and visceral branches . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in lad . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures diffuse osteodegenerative changes were observed in the thoracolumbar vertebrae . the present appearance was observed in both first rib sternal joints . a maligt expansile lytic bone lesion with soft tissue component and bone cortex was observed measuring mm in its widest part transverse x anterior-posterior and mm in the long axis extending from the manubrium sterni to the corpus proximal . abdomen calcific atheroma plaques were observed in the abdominal aorta and visceral branches . in the case with a primary it is recommended to evaluate and follow-up together with previous examinations if any . the right kidney is atrophic . a well-circumscribed mass lesion with the size of mm in the left adrenal gland was observed and it was evaluated in favor of adenoma . lung parenchyma when examined in the lung parenchyma window consolidation and ground glass density areas are observed in the right lung upper lobe anterior segment left lung lower lobe anterior and posterior posterobasal segment and left lung upper lobe anterior segment . no pericardial-pleural effusion or increase in thickness was detected . airways there are diffuse mild ectasia and peribronchial minimal wall thickness increases in bilateral bronchial structures . trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum there are calcified atheromatous plaques on the wall of the coronary vascular structures in the descending aorta . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . abdomen there are calcified atheromatous plaques on the wall of the coronary vascular structures in the descending aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . no free fluid or loculated collection solid mass was detected as far as can be observed within the borders of non-contrast ct in the upper abdominal sections included in the examination area . lung parenchyma in addition bilateral minimal pleural effusion which was observed to have newly developed in the current examination was observed and was measured as 10 mm on the right at its deepest point . airways review . trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image several hyperdense stones measuring mm in diameter are observed in the left kidney . thoracic aorta diameter is normal . no intraabdominal free fluid or loculated collection is observed . no solid mass was detected as far as can be observed within the limits of unenhanced ct . hyperdense stone is observed in the gallbladder lumen . lung parenchyma there is a millimetric nodule adjacent to the fissure in the superior segment of the lower lobe of the right lung . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there are surgical materials in and around the ascending aorta . it is understood that the patient underwent aortic valve replacement . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the right lung lower lobe superior segment a ground glass-like density increase is observed in and around the consolidative area in which air bronchograms are observed . no pleural effusion or pneumothorax was detected . airways when examined in the lung parenchyma window trachea and both main bronchi are normal . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are millimetric nonspecific nodules in the right lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . a millimetric atheroma plaque was observed in the left anterior descending coronary artery . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . no mass or infiltrative lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . there are millimetric nonspecific nodules in both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures the neural foramina are narrowed . there are osteophytes in the vertebral corpus corners . vertebral corpus heights alignments and densities within the sections are normal . intervertebral disc distances are narrowed . abdomen there are atheromatous plaques in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma mild emphysematous changes were observed in both lungs . follow-up is recommended . when examined in the lung parenchyma window in the apex of the left lung density increases which were evaluated in favor of hematoma were observed in the first plan in which air images were observed in the dense content with a long axis of 64 mm and an ap diameter of 40 mm . there are atelectatic changes with slight volume loss in the lower lobes of both lungs . between the bilateral pleural leaves there is a free pleural effusion measuring 22 mm in thickness on the right . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . there are postoperative free air images and effusions in the form of plastering in the anterior mediastinum . heart and great vessels postoperative changes and suture materials were observed in the anterior pericardium . there is metallic density of aortic valve replacement . osseous structures no relevant findings . abdomen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . lung parenchyma centracinar emphysematous changes are observed in both lungs . there are sequelae changes in the apex of both lungs the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung . in both lung parenchyma there are bud tree appearances which are more clearly observed in the lower lobes evaluation for infective pathologies is recommended . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum in the mediastinum lymph nodes with a fusiform configuration the largest of which reaches 10 mm in diameter at the precarinal level are observed . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures there are osteophytic degenerative changes in the vertebral corpus end plateaus in the bone structures within the image . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when both lung parenchyma windows are evaluated mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . atelectasis was observed in the middle lobe of the right lung . millimetric sized nonspecific parenchymal nodules were observed in both lungs . bilateral pleural thickening - effusion was not observed . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma views are primarily nonspecific . in pandemic conditions covid-19 pneumonia is in the differential diagnosis . in addition there is a peripherally located ground glass opacity in the right lung lower lobe superior segment . when examined in the lung parenchyma window in the right lung in the upper lobe posterior segment a centrally located ground-glass opacity is observed . focal ground glass densities are also present in the subpleural area in the posterior segment of the left lung lower lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen liver density decreased in line with hepatosteatosis . thoracic aorta diameter is normal . it is recommended to be evaluated together with clinical and examination findings . other upper abdominal organs are normal . liver sizes increased . lung parenchyma the largest of these nodules is observed in the laterobasal segment of the lower lobe of the left lung and its longest diameter is 5 mm . the appearance described due to volume loss was thought to be primarily passive atelectasis . there are millimetric nodules in both lungs . there is consolidation adjacent to the effusion in the lower lobe of the left lung . no mass was detected in both lungs . in addition there are linear atelectasis in both lungs . minimal emphysematous changes were observed in both lungs . there is minimal pleural effusion on the left . no pleural effusion was detected on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . atheroma plaques are present in the coronary arteries . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen in the liver parenchyma density a decrease in density consistent with moderate and severe adiposity was observed . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma minimal bronchiectasis and peribronchial are observed in the lower lobe of the left lung . emphysematous changes in both lungs and atelectasis in both lungs were observed . no mass or infiltrative lesion was detected in both lungs . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the main pulmonary artery diameter measured 37 mm and was wider than normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . diffuse atheroma plaques are observed in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed the heart is larger than normal . the ascending aorta measures 41 mm in diameter and is wider than normal . there is no pericardial thickening . there is pericardial effusion measuring 15 mm in its thickest part . pacemaker electrodes terminate in the right atrium and ventricle . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal collection was detected in the sections . diffuse atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma no nodular or mass-occupying lesion was detected in the lung parenchyma . in the case with a history of covid pneumonia it was thought that the radiological findings belonged to the late recovery period of the previous infection . it was primarily thought that the consolidation area in the right lung lower lobe anterobasal segment belonged to the atelectatic parenchyma . in the lung parenchyma bilaterally asymmetrical subpleural septal prominence and accompanying parenchyma areas of light ground glass density are observed . no pleural effusion was detected . airways trachea both main bronchi lobar and segmental bronchi air passages are open . bronchial wall thickness increases are observed . mediastinum there are wall calcifications and calcific atherosclerotic plaques in the aortic arch . right upper paratracheal lower paratracheal paraaortic and suspicious perihilar short mediastinal lymph nodes below 1 cm in diameter were observed . sliding type hiatal hernia is present . heart and great vessels calcific plaques are observed in the lad and its branch . heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . in the axilla and supraclavicular fossa no lymph node in pathological size and appearance was observed in the cross-section . abdomen there are wall calcifications and calcific atherosclerotic plaques in the aortic arch . the gastric is atrophic in appearance . have . in upper abdominal sections there is calculus with a diameter of 19 mm in the gallbladder lumen . lung parenchyma in both lung parenchyma there are ground-glass densities with a tendency to centrally weighted peribronchovascular more common on the right . when examined in the lung parenchyma window central bronchovascular structures are evident . a pleural effusion of 15 mm on the right and 5 mm on the left was observed in the bilateral hemithorax . subpleural fine reticular densities and millimetric nonspecific nodules are seen in both lungs . airways trachea both main bronchi are open . mediastinum aortic and coronary artery atherosclerosis is observed . there are lymph nodes in the mediastinum the largest of which reaches mm in diameter . diffuse calcified plaques are seen in the thoracic aorta abdominal aorta and its branches . the pulmonary trunk and the right and left pulmonary arteries are 37 mm 31 mm and 32 mm respectively and are ectatic . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the heart size has increased . aortic and coronary artery atherosclerosis is observed . osseous structures bone structures in the study area are natural . there are surgical changes in the sternum . vertebral corpus heights are preserved . abdomen aortic and coronary artery atherosclerosis is observed . diffuse calcified plaques are seen in the thoracic aorta abdominal aorta and its branches . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a few millimetric nonspecific parenchymal nodules were observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the lower lobe of the left lung budding tree appearances are observed in a small area . it was learned that the patient was from the cavitary lesion wall and it was compatible with benign pathology . diffuse emphysematous changes are observed in both lungs . the longest diameter of the described lesion was measured 85 mm at its widest point series 2 100 . apart from this there are budding tree appearances in the right lung middle lobe and lower lobe adjacent to the described area . the effusion measured 5 cm on the right at its thickest point . in the upper lobe of the right lung there is an appearance compatible with a large with a cavity in the central part . when evaluated together with the cavitary lesion in the upper lobe of the right lung the findings were thought to be due to a specific infection . there is atelectasis adjacent to the effusion in both lung lower lobes . this is thick-walled . bilateral pleural effusion is observed more prominently on the right . no significant pleural thickening was detected . the pleural effusion continues to the upper lobe of the lung when the patient is in the supine position . airways tracheostomy is available . when the patient was examined previously the presence of lymphadenopathy extending along the trachea to the right of the midline in the paratracheal region was noted . no obstructive pathology was detected in the trachea and in both main bronchi in this examination . mediastinum it is understood that the lymphadenopathy described in this examination has almost completely disappeared and an increase in density in this localization . atheroma plaques are observed in the aorta and coronary arteries . there are lymph nodes in the mediastinum and hilar regions the largest of which is short 1 cm in diameter . no pathologically enlarged lymph nodes were observed . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels there is minimal pericardial effusion . heart contour and size are normal . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . this appearance may belong to a consolidation with cavitation in the central part or it may be due to a soft tissue mass . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances and consolidations were observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the right hemithorax there is a thorax tube extending from the lung basal to the upper lobe posterior segment and its is dense . the appearance is suggestive of viral pneumonia covid-19 pneumonia . it may be compatible with secretion . in addition there are ground-glass-like density increases in the upper lobe and middle lobe on the right and partially on the left partially in the lingular segment and thickening of the interlobular septa on the ground . there is no lymph node in pathological size and configuration that can be distinguished from consolidative areas at both hilar levels . when examined in the lung parenchyma window there are dense consolidative areas with air bronchograms in the posterobasal segments and upper lobe posterior levels in the zones of both lungs with ground-glass-like density increases around it aspiration pneumonia . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . the significant compression effect is not seen in the current review . calibration of vascular structures in the mediastinum is natural . calcific atheroma plaques are observed in the aortic arch and coronary arteries . there is a catheter appearance that extends from the anterior of the abdomen to the mediastinum on the right and terminates in the neighborhood of the right atrium . in the retrosternal area there is a collection that from the thorax inlet in the anterior superior mediastinum and extends to the level of the pulmonary artery outlet with the largest axial plane dimensions measuring mm and giving a density value of approximately . with the described collection the intermediate fatty planes of the mediastinal vascular structures are clear . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the aortic arch and coronary arteries . there is a catheter appearance that extends from the anterior of the abdomen to the mediastinum on the right and terminates in the neighborhood of the right atrium . cto is normal . in the post-op case postoperative changes are observed in the soft tissue planes in the sternum and in the pericardium . mild irregularity and thickening are observed in the pericardium more prominently in the anterior . osseous structures in the post-op case postoperative changes are observed in the soft tissue planes in the sternum and in the pericardium . degenerative changes are observed in the bone structure entering the examination area . abdomen in the upper abdominal organs included in the sections the spleen is lobulated . calcific atheroma plaques are observed in the aortic arch and coronary arteries . lung parenchyma millimetric nonspecific nodules were observed in both lungs . mosaic density differences are observed from place to place . minimal density increase in the form of peribronchial ground glass was observed in a focal peribronchial focal area in the posterior upper lobe on the right . bronchial wall thickening and atelectasis in the form of peribronchial bands are observed in the upper lobe anterior and medial lobe on the right and in the upper lobe anterior on the left . when examined in the lung parenchyma window peribronchial and subpleural weighted air cysts are present in both lung parenchyma . there are subpleural reticular densities and minimal fibrotic densities with sequelae in the posteriors of both lungs . airways as far as can be evaluated trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal examination is suboptimal due to lack of contrast . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are millimetric anterior osteophytes in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are emphysematous changes in both lungs . linear atelectasis was observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . intervertebral disc spaces are narrowed in places . abdomen there is no discernible mass in the upper abdominal organs within the sections . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mild reticular bronchiectasis were observed in both lungs . other viral pneumonias can be considered in the differential diagnosis . clinical and laboratory correlation is recommended . pleuroparenchymal sequelae density increases were observed in the upper lobes of both lungs causing contour irregularities in the apical segments . the outlook is consistent with the frequently reported imaging features of covid-19 pneumonia . no pleural effusion was detected . when examined in the lung parenchyma window ground glass density increases were observed in the lower lobes of both lungs with septal thickenings showing a tendency to coalesce in the peripheral subpleural areas . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the upper abdominal sections in the study area 4 mm diameter calculi is observed in the middle zone of the left kidney . lung parenchyma pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial segment . minimal emphysematous changes were observed in both lungs . when examined in the lung parenchyma window in the anterobasal segment of the lower lobe of the right lung a pleural-based consolidation area of approximately mm mm in the previous examination was observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . sliding hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a moderate amount of effusion in the left hemithorax and atelectatic changes and volume reduction in the lower lobe of the left lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . infectious findings observed in the previous study in the lung parenchyma in the right hemithorax were not detected in the current study . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels is observed in the cardiac region . correlation is recommended . osseous structures osteopenic degenerative appearances in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window formations the largest of which the upper lobe of the right lung measuring mm in the long axis and accompanying parenchymal destruction and fibrotic bands are observed . millimetric ground glass nodules with faint borders were observed in the upper lobe of the left lung . paraseptal-centriacinar emphysema areas are also observed in the upper lobes of both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen within the sections the upper abdominal organs are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is minimal peribronchial thickening in both lungs . nodules measuring approximately 6 mm in diameter the largest in the middle lobe of the right lung were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . sliding type hiatal hernia was observed at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the corners of the corpus . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma in addition to these nodular appearances with a ground glass appearance were observed in both lungs in the peripheral regions . the described views were evaluated in favor of covid-19 pneumonia during the pandemic process . no mass was detected in both lungs . no pleural or pericardial effusion was detected . in the lateral part of the right lung lower lobe superior segment a triangular ground-glass appearance and enlarged vascular structures in this localization are observed in the subpleural area . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion is detected and there are a few millimetric nonspecific nodules . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no space-occupying lesion was observed in the lung parenchyma . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node or space-occupying lesion in pathological size and appearance was detected in the axilla supraclavicular fossa and mediastinum . calibrations of mediastinal major vascular structures are natural . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no fracture was observed in bone structures . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window there are sequelae parenchymal changes at the apex of both lung parenchyma . ventilation of both lungs is normal . no active infiltration or mass lesion was detected . airways trachea both main bronchi are open . mediastinum it could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without iv contrast . no pathologically enlarged lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . it could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without iv contrast . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated hyperdense stones in millimetric sizes are observed in both kidneys . lung parenchyma peribronchial thickening and ground-glass densities are observed in the bilateral lung . findings are suggested to be with clinical and laboratory findings in terms of chronic infections . pleuroparenchymal fibroatelectasis sequelae causing volume loss and structural distortion were observed in the left lung superior lingular segment right lung middle lobe medial segment and left lung inferior lingular segment . follow-up is recommended . when examined in the lung parenchyma window paraseptal-centriacinar emphysema areas are observed more commonly in the upper lobes of both lungs . a mm parenchymal subpleural nodule with slightly irregular borders is observed in the anterior segment of the right lung upper lobe . a smooth surface nodule of approximately mm in size was observed in the pleura at the anterior-posterior segment border of the upper lobe of the right lung . airways although the mediastinal cannot be evaluated optimally in the non-contrast examination trachea both main bronchi are in the midline and no obstructive pathology was observed in the lumen . intraparenchymal segmental arteries and bronchial arteries are prominent . mediastinum right upper bilateral subcarinal aortopulmonary short axis lymph node that did not reach the pathological dimensions measured below 1 cm was observed . atherosclerotic wall calcifications are observed in the thoracic aorta and coronary arteries . as far as can be seen on non-contrast sections superior vena cava and inferior vena cava are observed to be wider than normal . pulmonary trunk and right and left pulmonary diameters were 36 mm 27 mm and 25 mm respectively and increased . thoracic aorta diameter is normal . findings may be compatible with pulmonary hypertension . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels atherosclerotic wall calcifications are observed in the thoracic aorta and coronary arteries . correlation with clinical and laboratory is recommended . the heart size is increased especially in the right atrium and right ventricle . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen two calcules which took the shape of structures were observed in the upper and middle zone of the left kidney . atherosclerotic wall calcifications are observed in the thoracic aorta and coronary arteries . thoracic aorta diameter is normal . liver spleen both adrenal glands and pancreas are natural . intraparenchymal segmental arteries and bronchial arteries are prominent . lung parenchyma in terms of viral infective processes clinical and laboratory correlation of the patient is recommended . when examined in the lung parenchyma window in the lower lobes of both lungs reticulonodular density increases some of which are nodular in character and some of them are of ground glass density are observed in the vicinity of the subpleural areas . airways trachea both main bronchi are open . mediastinum no stenosis was detected . other mediastinal main vascular structures heart contour size are normal . thoracic aorta diameter is normal . the diameter of the descending thoracic aorta increased by 70 mm at its widest point . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . aneurysmatic dilatation is also observed in the partially aorta entering the image area . it was understood that an endovascular stent was placed in it . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no stenosis was detected . thoracic aorta diameter is normal . the diameter of the descending thoracic aorta increased by 70 mm at its widest point . upper abdominal organs included in the sections are normal . aneurysmatic dilatation is also observed in the partially aorta entering the image area . it was understood that an endovascular stent was placed in it . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pneumonic consolidation areas are observed in the middle lobe of the right lung and the basal segment of the lower lobe and in the lower lobe of the left lung . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum there are bilateral lower paratracheal nonspecific lymph nodes less than 1 cm in diameter in the mediastinum . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . calcific atheroma plaques are observed in the coronary arteries . the diameter increase is more prominent in the left ventricle and left atrium . osseous structures in the left 8th rib an old fracture line was observed at the costal vertebral junction . vertebral corpus heights are preserved . it extends towards the of the sternium . in the supraclavicular fossa no lymph node was observed in the axilla in pathological size and appearance . no lytic destructive lesion was detected in the bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no features were detected in the upper abdomen sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition 2 nonspecific nodules measuring 75 mm in size are observed in the right lung parenchyma and 1 in the left lung lower lobe anterobasal segment the largest in the right lung upper lobe anterior segment . of the findings described primarily considered to be pneumonic infiltration . when examined in the lung parenchyma window in the lower lobe of the left lung a large area of ground glass densities is accompanied by areas of increased centracinar nodular density . right pleural effusion is not observed . there is minimal effusion measuring 7 mm in the deepest part of the left pleural space . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum multiple lymph nodes with fusiform configuration are observed at all levels in the mediastinal lymph node with fatty hilus measuring more than 1 cm in diameter the largest of which is short . the shortest diameter of the lymph nodes at the subcarinal level was measured as 17 mm . mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast . atherosclerotic plaques are observed on the walls of the aorta and coronary vascular structures . there are calcified atheroma plaques in the abdominal aortic wall . there is no pathological increase in wall thickness in the thoracic esophagus and there is a slight hiatal hernia in the sliding type at the lower end of the esophagus . heart and great vessels mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast . in the pericardial area there is an effusion measuring approximately 115 mm in size at its most place . heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures in the study area and the height of the vertebral corpus was preserved . abdomen no solid mass was detected within the borders of ct in the upper abdominal sections included in the sections . atherosclerotic plaques are observed on the walls of the aorta and coronary vascular structures . there are calcified atheroma plaques in the abdominal aortic wall . lung parenchyma when examined in the lung parenchyma window a subpleural millimetric calcific nodule was observed in the posterobasal region of the lower lobe of the left lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma a nodule with a diameter of 4 mm in the posterobasal segment of the lower lobe of the left lung and 5 mm in the middle lobe of the right lung is observed . in the right lobe a focal ground glass density is observed in an area of 1 cm adjacent to the . right upper-bilateral lower paratracheal milimetric size 1-2 lymph nodes are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen ectasia was not detected in the part that entered the examination area . in sections passing through the upper part of the abdomen millimetric calcules are observed in both kidneys . lung parenchyma there is mild traction bronchiectasis in the upper lobe anterior bronchus . subpleural fibrotic changes and several nodules the largest of which reach 7 mm in diameter are observed in the remaining lung parenchyma . when examined in the lung parenchyma window soft tissue densities are observed in the upper lobe of the right lung starting from the upper lobe bronchi and extending to the pleura accompanied by atelectasis and fibrotic densities . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal structures are deviated to the right . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are observed in the aorta and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not observed . there is mild thickening of the pericardium . heart contour size is normal . osseous structures bone structures are degenerative and have a porotic appearance . abdomen other upper abdominal organs included in the sections are normal . a cyst is observed in the upper pole of the right kidney . calcific plaques are observed in the aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window linear fibroatelectatic sequelae changes were observed in both lower lobe posterobasal segments of both lungs . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum 1-2 calcified lymph nodes that did not reach pathological dimensions were observed in the right upper and lower paratracheal area . thoracic aorta diameter is normal . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . when the upper abdominal organs included in the sections were evaluated a calculi image with a diameter of 2 mm was observed in the upper pole of the left kidney . lung parenchyma they did not show any significant changes at follow-up . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no significant change was observed in the appearance of soft tissue density in the anterior mediastinum which did not show any clear mass border . the heart and mediastinal vascular structures have a natural appearance . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window in the lower lobe of the left lung there is an area of increase in density consistent with consolidation in which air bronchograms are observed accompanied by an increase in peribronchial thickness . it is recommended to evaluate and follow up with clinical and laboratory findings . no mass lesions were detected in both lungs . pneumonic infiltration is considered in its etiology . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node was detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . there is a slight sliding type hiatal hernia at the lower end of the esophagus . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . pericardial effusion was not detected . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no relevant findings . abdomen in the upper abdominal sections within the image there is a hypodense lesion measuring approximately 7x5 mm in size which cannot be characterized within the borders of non-contrast ct in liver segment . no lytic or destructive lesions were detected in the bone structures within the image . lung parenchyma a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . right lower paratracheal subcarinal and right hilar millimetric nonspecific calcified nodules were observed . pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe . no mass lesion-active infiltration was detected in the lung parenchyma . when examined in the lung parenchyma window calcified pleural plaques were observed in the of the right hemithorax . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum it is recommended to be evaluated together with us . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the mitral valve is calcified . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . pericardial effusion-thickening was not observed . osseous structures minimal height loss was observed in the t9 vertebra superior end plate . vertebral corpus heights are preserved . osteoporotic appearance was observed in the vertebrae . abdomen other upper abdominal organs included in the sections are normal . as far as can be seen within the sections liver left lobe and caudate lobe are prominent . bilateral adrenal glands were normal and no space-occupying lesion was detected . liver contours are lobulated . the described findings are consistent with chronic liver parenchymal disease . 1 cm diameter calculus was observed in the gallbladder lumen . the parenchyma is heterogeneous . lung parenchyma in both lungs faint and fine nodularities are observed being slightly more prominent in the upper zones . in terms of infective processes it is recommended to be evaluated together with clinical and laboratory findings . no apparent bronchiectasis was detected in both lungs . nodules with a diameter of 3 mm in the anterior segment of the right lung upper lobe mm in the caudal of the upper lobe posterior segment 2 mm in diameter in the middle lobe and 5x3 mm in the middle lobe more caudally 6x4 mm in size in the lower lobe laterobasal segment of the left lung and 4 mm in diameter in the laterobasal segment are observed . pleural effusion is not observed . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . there is a small tracheal diverticulum on the right posterolateral aspect of the thoracic inlet . mediastinum it is wider than normal . there was no pathological size and configuration of lymph nodes at both levels . the aortic arch calibration was measured as 35 mm . a millimetric-sized calcific atheroma plaque is observed in the aortic arch . cto is within the normal range . there are lymph nodes in millimeter sizes in the mediastinum . heart and great vessels no relevant findings . osseous structures s-shaped scoliosis is observed at the level . degenerative changes are observed in the bone structures in the study area . abdomen it is wider than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch calibration was measured as 35 mm . a millimetric-sized calcific atheroma plaque is observed in the aortic arch . cto is within the normal range . in the upper abdominal organs including sections a decrease in density consistent with hepatosteatosis is observed in the liver . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window both lungs are emphysematous . a thin-walled parenchymal air cyst of 1 cm in diameter was observed in the basal segment of the lower lobe of the right lung . a few millimetric nonspecific parenchymal nodules were observed in both lungs . the left hemidiaphragm is elevated . linear subsegmental atelectasis changes were observed in the right lung middle lobe basal segment left lung upper lobe inferior lingular and left lung lower lobe anteromediobasal segment . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi . mediastinum the diameters of the pulmonary trunk and right-left pulmonary arteries were measured 39 mm 26 mm and 23 mm respectively . in the non-contrast examination the mediastinal could not be evaluated optimally . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . as far as can be seen the ascending aorta was observed wider than normal with an anterior-posterior diameter of 37 mm . osseous structures osteodegenerative changes were observed in the bone structure in the study area . abdomen as far as can be seen within the sections liver both adrenal glands are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . two hypodense nodular lesion areas with a diameter of 27 mm were observed in the upper pole of the left kidney cyst . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . consolidative density with air bronchograms is observed in the upper lobe anterior segment and lingular segment in the left lung . consolidative parenchyma areas with air bronchograms are observed in the right lung starting from the middle lobe and lower lobe superior segment and extending towards the basal . sequelae changes especially at basal levels or pleuroparenchymal density increases consistent with band atelectasis are observed in the lower lobe segments . no pathological size and configuration of lymph nodes were detected at both hilar levels . a ground-glass nodule with a diameter of approximately 6 mm is observed in the upper lobe posterior segment caudal to the right lung . no significant pleural effusion was detected in both lungs . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum the aortic arch calibration is wider than normal . millimetric sized calcific atheroma plaques are observed at the level of the aortic root . in the mediastinum subcarinal millimetric lymph nodes are observed at the prevascular level in the upper-lower paratracheal area . calibration of other mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto slightly increased in favor of the heart . osseous structures degenerative changes are observed in the bone structure and it has a heterogeneous appearance . there are widespread millimeter-sized hypodense areas in the bone structure . abdomen density compatible with 2 mm diameter calculi is observed in the middle part of the left kidney . liver and spleen gall bladder and pancreas are normal in non-contrast sections passing through the upper abdomen . left adrenal genu level is slightly prominent . millimetric sized calcific atheroma plaques are observed at the level of the aortic root . the aortic arch calibration is wider than normal . right adrenal is normal . surrounding soft tissue planes are normal . lung parenchyma when examined in the lung parenchyma window a 3 mm diameter nodule is observed in the dorsal subpleural area in the right lung superior segment . there are two subpleural nodules with a diameter of 2 mm in the posterior segment of the upper lobe . there was no finding compatible with pleural effusion pneumothorax or pneumonia in both lungs . airways lumens are clear . trachea calibration of both main bronchi is normal . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . surrounding soft tissue planes are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma minimal peribronchial thickening is observed in both lungs most prominently in the upper lobe of the left lung . no mass or infiltrative lesion was detected in both lungs . it is recommended that the patient be evaluated for distal airway disease . there are millimetric nonspecific nodules in both lungs . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are calcific lymph nodes in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen the gallbladder was not observed operated . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window there are ground-glass-like density increases that form slightly confluence at the base on the right which are scattered in the periphery of both lungs and there are changes in the accompanying interstitial scars . it has been evaluated as compatible with covid pneumonia during the pandemic process . bilateral pleural effusion pneumothorax were not detected . airways trachea both main bronchi are open . mediastinum there are millimetric-sized calcific atheroma plaques in the ascending aorta aortic arch and descending aorta . calibration of the aortic arch measured 33 mm . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calibration at other levels is normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there are millimetric-sized calcific atheroma plaques in the ascending aorta aortic arch and descending aorta . heart contour size is normal . pericardial effusion-thickening was not observed . osseous structures vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen there are millimetric-sized calcific atheroma plaques in the ascending aorta aortic arch and descending aorta . there is a decrease in density consistent with steatosis in the liver to the upper abdominal organs included in the sections . a cortical exophytic cyst is observed in the posterior of the left kidney . calibration of the aortic arch measured 33 mm . calibration at other levels is normal . lung parenchyma the finding is nonspecific . there are several nonspecific nodules in the left lung with a diameter of 2 mm in the lower . there were no pathologically sized and configured lymph nodes at both hilar levels . there are several nodules the largest of which is 3 mm in diameter in the lower lobe of the right lung . however it is seen in bronchiolitis and other infectious diseases with endobronchial spread pneumonias . when examined in the lung parenchyma window widespread millimeter-sized nodules are observed in both lungs . pleural effusion or pneumothorax is not observed in both lungs . airways no relevant findings . mediastinum thoracic aorta diameter is normal . millimetric sized lymph nodes are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . densities compatible with mild pleuroparenchymal sequelae are observed in the lingular segment on the left . mild emphysematous changes are observed in both lungs . there are densities in the middle lobe on the right which are considered compatible with pleuroparenchymal sequelae . a stable 5 mm subpleural nodule is observed at the laterobasal level of the lower lobe of the right lung . there was no finding consistent with pneumonia pleural effusion or pneumothorax in both lungs . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum a venous port is observed at the right pectoral level . the catheter terminates distal to the superior vena cava . there are millimetric lymph nodes in the mediastinum . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . calcific atheroma plaques are observed in the left coronary artery . osseous structures mild degenerative changes are observed in the bone structures in the examination area . abdomen spleen ap size is larger than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated in the right lobe of the liver a millimetric hypodense lesion consistent with the cyst identified in the mri examination is observed at the dome level . lung parenchyma when examined in the lung parenchyma window ground-glass density increases were observed in both lungs with septal thickenings and septal thickenings showing a common tendency to coalesce in the upper and lower lobes . the outlook is consistent with the frequently reported imaging features of covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . bilateral pleural thickening-effusion was not detected . airways as far as can be seen trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial minimal effusion was observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific pulmonary nodules were observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a few mm nodules the largest of which reached 3 mm in diameter were observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a thickening reaching 8 mm ap diameter is observed in the left adrenal gland genus . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma bacterial pneumonia is considered in its etiology . when examined in the lung parenchyma window in the lower lobe of the right lung there is an area of increase in density consistent with consolidation in the paramediastinal area in which air bronchograms are also observed . there are minimal emphysematous changes in both lungs . no mass lesions were detected in both lungs . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were detected in both axillary regions and mediastinum . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window diffuse spread in both lungs mostly peripherally located nodular patchy nodules of ground glass density with a halo sign around it are observed . the findings were evaluated in favor of covid-19 viral pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a lymph node measuring up to 15 mm in size in the posterior of the sternum . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . in the follow-up regression in the dimensions especially in the subcarinal lymph node was considered . mediastinal main vascular structures are normal . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen there is no upper abdominal free fluid-collection within the sections . appearance of accessory spleen was observed . lung parenchyma when examined in the lung parenchyma window there are several millimetric nodules in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . a calcified lymph node at the prevascular level was observed on the right . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes were observed in the bone structures in the study area . abdomen other upper abdominal organs are normal . in case of clinical necessity further examination with mri is recommended . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is a millimetric nodule in the peripheral subpleural area in the middle lobe of the right lung . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma the outlook can be seen in the early stage of covid-19 pneumonia . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . in both lung parenchyma several non-specific parenchymal nodules were observed in different localizations the largest of which was 62 mm in diameter in the middle lobe of the right lung . clinical laboratory correlation is recommended . when examined in the lung parenchyma window focal ground glass density increases with faint borders were observed in the peripheral subpleural area of both lungs . bilateral pleural thickening - effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum calcified atherosclerotic changes were observed in the wall of the abdominal aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery are present in the stent material in the coronary artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery are present in the stent material in the coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . degenerative changes were observed in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the abdominal aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery are present in the stent material in the coronary artery . upper abdominal sections entering the examination area are natural . lung parenchyma pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances were observed in both lungs . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in addition two nodules with a diameter of 6 mm in the middle lobe of the right lung and 45 mm in diameter in the lower lobe laterobasal segment are observed . mosaic attenuation is present in the lower lobes of both lungs small airway disease small vessel disease . in the evaluation of both lung parenchyma the largest one is 11 mm in diameter at the apex of the right lung and consolidations of ground glass density are observed in the upper lobe of the right lung . although pericardial effusion in the form of minimal smearing was observed pleural effusion-thickening was not detected in both hemithorax . airways right upper paratracheal bilateral lower paratracheal millimetric lymph node is observed . trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . calcific atherosclerotic plaques are observed in the walls of the coronary artery in the aortic arch and in the descending and abdominal aorta . mediastinal vascular structures have a natural appearance . heart and great vessels the cardiothoracic index was slightly increased in favor of the heart . calcific atherosclerotic plaques are observed in the walls of the coronary artery in the aortic arch and in the descending and abdominal aorta . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the gallbladder is operated and a metallic clip is observed in its lodge . calcific atherosclerotic plaques are observed in the walls of the coronary artery in the aortic arch and in the descending and abdominal aorta . lung parenchyma the described findings were primarily evaluated in favor of infectious pathologies and post-treatment control is recommended . in both lungs there are centriacinar nodular density increases in the middle lobe of the right lung and upper lobe of the left lung and scattered in the lingular segments in the lower lobes which are more prominently observed in the lower lobe superior in both lungs and in the lingular segments . when examined in the lung parenchyma window paraseptal emphysematous changes are observed in the upper lobe apex of both lungs . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum lymph nodes with fusiform configuration with a short diameter of 6 mm are observed at the prevascular level . no pathologically enlarged lymph nodes were detected in the mediastinum and at both hilum levels . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the heart contour and size are natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no pericardial effusion or thickening was detected . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the heart contour and size are natural . osseous structures no lesion suggesting lytic-destructive metastasis was detected in the bone structures included in the study area . vertebral corpus heights are preserved . abdomen in the evaluation of the upper abdominal organs included in the sections the spleen has a full appearance splenomegaly there is a mm diameter nodular appearance in the spleen hilum compatible with the accessory spleen . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . focal ground-glass density increase was observed in the right lung lower lobe mediobasal segment and it was thought to be related to spur compression at this level . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . atelectatic changes were observed in the lower lobe of the left lung . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma peripherally located faint ground glass opacities observed in the left lung suspicion in terms of covid-19 . no nodular lesions were detected in both lung parenchyma . when examined in the lung parenchyma window the left lung volume appears to be reduced and peripherally located pleuroparenchymal linear opacities together with slightly limited ground glass opacities are observed in the lower lobe segments and the lingular segments of the upper lobe of the left lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peribronchial and subpleural glass densities are present in both lung parenchyma more prominently in the right lower lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen diffuse density loss is observed in the liver in the upper abdominal organs included in the sections . lung parenchyma active infiltration or mass lesion is not detected in both lungs . density increases are observed in the ground glass density which is considered secondary to the dependent effect in both lung bases . there are minimal centracinar emphysematous changes in both lungs . no pericardial-pleural effusion or increased thickness was detected . airways when examined in the lung parenchyma window diffuse mild ectasia and thickness increases are observed in bilateral bronchial structures . trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . no pathological increase in wall thickness is observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . calibration of the vascular structures heart contour and size are normal as far as can be observed . osseous structures no lytic or destructive lesion is observed in the bone structures within the image . vertebral corpus heights are preserved . abdomen a hyperdense stone with a diameter of 4 mm is observed in the middle zone of the left kidney . anterior variation is observed in both kidneys . in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma there is diffuse peribronchial thickness increase in both lungs . in both lungs there are areas of increase in density of ground glass density with indistinct borders in the peribronchial areas accompanied by increases in peribronchial thickness more prominent on the right . no mass lesions were detected in both lungs . although the described findings may belong to the cardiac pathology of the patient pneumonic infiltration cannot be excluded . in both pleural spaces there is a subcentimetric effusion on the left and a depth of approximately 20 mm on the right . airways trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum widespread calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . pulmonary trunk and both pulmonary artery calibrations are increasing . no lymph node was observed in the mediastinum in pathological size and appearance . measured in and dimensions respectively . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels there is an increase in heart size . the catheter terminates in the right ventricular wall . pericardial effusion was not detected . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen widespread calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . no pathology was detected in the upper abdominal sections within the image . measured in and dimensions respectively . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when evaluated in both lung parenchyma windows no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma emphysematous changes are observed in the apex of both lungs . in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are sequela parenchymal changes in the bilateral apex and right lung lower lobe posterobasal segment . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels it cannot be evaluated optimally due to the lack of contrast and the calibration of vascular structures heart contour and size are natural . mediastinal vascular structures and heart examination iv . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no intraabdominal free fluid-collection was detected . as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image no solid mass was detected . colonic loops are observed anterior to the liver chilaiditi syndrome . no lymph node was detected in intraabdominal pathological size and appearance . lung parenchyma the outlook is in favor of viral pneumonia . these findings are frequently observed in covid-19 pneumonia . when examined in the lung parenchyma window nodular patchy ground glass opacities are observed in both lungs in a general and patchy manner generally subpleural . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma viral pneumonias in the etiology of the findings covid-19 pneumonia was considered . when examined in the lung parenchyma window density increases in diffuse ground glass density involving all segments of both lungs and areas of density increase consistent with multilobar indeterminate limited consolidation were observed . pericardial pleural effusion was not detected . airways there is diffuse ectasia in the bronchial structures in both lungs . no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum it could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without iv contrast . no lymph node was detected in pathological size and appearance . multiple lymph nodes with fusiform configuration were observed in the mediastinum with a short diameter of less than 1 cm . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels an increase in heart size was observed . it could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without iv contrast . as far as can be seen the ascending aorta was calibrated to 41 mm and was wider than normal . osseous structures no lytic or destructive lesion was observed . vertebra corpus heights and alignments are natural . abdomen in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window patchy ground glass consolidations are observed in both lobes of the left lung peripherally located in the middle and lower lobes of the right lung creating a crazy paving pattern and the appearance is highly suspicious for covid 19 pneumonia . pleuroparenchymal fibrotic sequelae density increases are observed in the right lung middle lobe medial and left lung upper lobe lingular segments . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition focal ground glass densities are observed in the anterior segment of the upper lobe of the right lung and the anterior segment of the upper lobe of the left lung and the middle lobe . pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma density increases suggestive of subpleural bands are observed in the lower lobes of both lungs . airways millimetric tracheal air cysts are observed on the right lateral wall of the trachea . trachea and main bronchi are open . mediastinum calcific plaques are observed in the walls of the aortic arch and coronary artery . no pathological lap was detected in the mediastinum . right upper bilateral lower paratracheal aortopulmonary millimetric lymph node is observed . the ap diameter of the descending aorta is 34 cm and wider than normal . heart and great vessels calcific plaques are observed in the walls of the aortic arch and coronary artery . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen in the non-contrast examination of sections passing through the upper part of the abdomen thickening in the stomach and antrum region is selected . bilateral adrenal glands appear natural . calcific plaques are observed in the walls of the aortic arch and coronary artery . the ap diameter of the descending aorta is 34 cm and wider than normal . lung parenchyma apart from this no active infiltration was detected in a mass lesion with distinguishable borders in both lungs . millimetric calcified nodules were observed in both lungs . it is recommended to be evaluated together with clinical and laboratory . when examined in the lung parenchyma window nodular ground glass density of 9 mm in diameter was observed in the peripheral subpleural area in the posterobasal segment of the right lung lower lobe and it is highly suspicious for ultra-early covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum thoracic aorta diameter is normal . in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen on non-contrast sections the upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . thoracic aorta diameter is normal . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass or infiltration was detected in both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures there are degenerative changes in bone structures . abdomen no significant pathology was detected in the abdominal sections . calcific atheroma plaques were observed in the main vascular structures . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the peribronchial area of both lungs there are bronchovascular prominences and occasionally suspicious budding tree views . pleural effusion-thickening was not detected . when examined in the lung parenchyma window there is subpleural sequela fibrotic density in the anterior upper lobe of the left lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are paratracheal lymph nodes in the mediastinum with short axes reaching 8 mm . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures anteriorly extending osteophytes are observed in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mild emphysematous changes are present in both lungs . when examined in the lung parenchyma window mild clarification in interstitial signs in both lungs and a peripherally localized mild mosaic attenuation pattern are observed . no solid-cystic lesion was detected . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no significant space-occupying nodule or lesion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the thoracic ascending aorta measures 45 mm and is wider than normal . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures there is diffuse density reduction in bone structures . abdomen there is slight irregularity in the contours of the liver parenchyma and a slightly heterogeneous appearance in the parenchyma . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma linear atelectasis was observed in the medial segment of the right lung middle lobe . there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are fixation materials and screws secondary to scoliosis in the vertebral corpuscles . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . there are diffuse and widespread ground-glass-like density increases in both lungs suggestive of covid pneumonia . pleural effusion-pneumothorax was not observed . a nodule with a diameter of 8 mm is observed in the subpleural area in the middle lobe of the right lung . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum calcific atheroma plaque is observed in the aortic arch descending aorta and coronary arteries . no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaque is observed in the aortic arch descending aorta and coronary arteries . cto is within normal limits . osseous structures there are findings compatible with dish at the lower dorsal level . degenerative changes are observed in the bone structure entering the examination area . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . there is a decrease in density consistent with mild steatosis in the liver entering the cross-sectional area . mild hiatal hernia is observed in the sections passing through the upper abdomen . calcific atheroma plaque is observed in the aortic arch descending aorta and coronary arteries . diverticulum appearances are observed in the descending colon and at the level of the splenic flexure . lung parenchyma no lymph node with pathological size and configuration was detected at the hilar level . when examined in the lung parenchyma window widespread and confluent ground-glass-like density increases and consolidative areas are observed in both lungs . there are fibroatelectatic linear density increments accompanying the image in places . it is compatible with the diagnosis in the case with covid anamnesis . a 2 mm diameter nodule is observed in the right lung upper lobe anterior segment subpleural area . airways no relevant findings . mediastinum there are lymph nodes in the mediastinum the largest of which is at the aorticopulmonary window and is 17x12 mm in size . aortic arch calibration is 33 mm wider than normal . millimetric sized calcified plaques are observed in the coronary arteries in the aortic arch . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures there are findings compatible with dish . degenerative changes are observed in the bone structure . abdomen millimetric sized calcified plaques are observed in the coronary arteries in the aortic arch . bilateral adrenal glands were normal and no space-occupying lesion was detected . aortic arch calibration is 33 mm wider than normal . a decrease in density consistent with steatosis is observed in the liver . there is a cortical exophytic cyst in the right kidney . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in both lung parenchyma diffuse ground glass densities are observed in all segments mostly peripherally located . in the evaluation of both lung parenchyma emphysematous areas are observed at the apex of both lung parenchyma . in addition there are several nonspecific subpleural nodules the largest of which is 35 mm in diameter in the laterobasal segment of the lower lobe of the left lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . right upper-lower paratracheal aortapulmonary millimetric lymph nodes are observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . right renal microcalculus is observed . an exophytic cortical cyst of 7-8 mm in diameter is observed in the left kidney . lung parenchyma when examined in the lung parenchyma window in both lungs atypical pneumonic infiltrates are observed in the upper lobes more prominent and in the form of ground glass opacity accompanied by septal thickenings . radiological findings were evaluated as compatible with covid pneumonia . there are many millimetric nonspecific nodules measuring 5 mm in diameter based on the pleura in the right lung lower lobe posterobasal segment in the right lung middle lobe and in the left lung lower and upper lobe the largest of which is in the left lung upper lobe posterior segment . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . siliding type mild hiatal hernia is present . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in bone structures . no lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance . abdomen when the upper abdominal organs included in the sections were evaluated gallbladder is operated . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the outlook primarily suggested early covid-19 pneumonia . clinical and laboratory correlation is recommended . when examined in the lung parenchyma window nodular ground glass density increases were observed in the peripheral subpleural area in the lower lobes of both lungs . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . there are several nodules with a diameter of 45 mm in both lungs the largest of which is in the lateral segment of the left lung lower lobe . linear atelectasis areas are observed in both lungs . no pleural-pericardial effusion or thickening was detected . in the apical segment of the upper lobe of the right lung there is a cavitary lesion with a diameter of 75 mm with a thick asymmetrical wall 5 mm at its widest point accompanied by pleural recesses . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . there are heterogeneous sclerotic nonspecific foci in the right 4th and left 7th ribs . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . hyperdense materials are observed secondary to perigastric operation . calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when evaluated together with the clinical knowledge of the patient these appearances were evaluated primarily in favor of viral pneumonia . the distributions and appearances of these findings in covid-19 pneumonia are frequently observed . more findings are observed in peripheral regions . many of the frosted glass areas are round in shape . there is also consolidation in several areas . no mass was detected in both lungs . peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the corners of the thoracic vertebral corpus . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen the gallbladder was not observed operated . there is a decrease in liver parenchyma density consistent with minimal-moderate adiposity . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma when examined in the lung parenchyma window nonspecific millimeter nodules with a diameter of 4 mm in the right lung lower lobe laterobasal segment and 3 mm in diameter in the posterobasal segment are observed . bilateral pleural effusion was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . possible operative density is observed along the greater curvature of the stomach . lung parenchyma there are emphysematous changes and occasional pleuroparenchymal sequelae in the right lung . the largest of these masses are observed within the horizontal and oblique fissures and measure approximately 29 mm in the thickest part series 2 section . in addition there are thin appearances in places within the effusion . although these appearances are nonspecific in this examination when evaluated together with the patients previous examinations these appearances were thought to be infiltration . in the apical segment of the upper lobe of the right lung an irregularly bordered soft tissue density with a longest diameter of 30 mm is observed . when the previous examinations of the patient are examined increased fdg uptake is observed in pet-ct in this localization . the largest of the described lymphadenopathies is observed in the right hilar region and its short diameter is 22 mm . no infiltrative lesion was detected in the right lung . as far as can be followed it was learned from the patients history that he had undergone left upper lobectomy . total loss of aeration is observed in the lower lobe of the left lung and there is an appearance of consolidation-soft tissue density in the left pulmonary hilus whose borders cannot be clearly distinguished . when this appearance was evaluated together with previous examinations it was thought to be a metastatic mass . there are also millimetric nodules in the right lung . these appearances were evaluated in favor of metastases . it is understood that the dimensions of the mass described in the upper lobe apical segment of the right lung have increased slightly . the mass boundaries cannot be distinguished from the pleura . a mass whose borders cannot be distinguished from the pleura is observed in the left hemithorax at the level where the 2nd and 3rd ribs with the sternum . it is observed that the described lesion extends along the mediastinal pleura especially in the medial and anterior sections and there are pleural thickenings in the left hemithorax . minimal pleural effusion is also observed on the right and there is a drainage catheter in the effusion at the level of the lower lobe of the lung . in the left hemithorax at the level of the middle part of the hemithorax infiltrative appearances are observed in the intercostal area and subcutaneous adipose tissue in soft tissue density whose borders cannot be distinguished from the muscle and pleura in this localization . pleural effusion is observed on the left . in addition there are masses in the right lung adjacent to the upper and lower lobes which are thought to primarily from the pleura and most of them are in the form of plaques . in addition there is a slight increase in the size of the masses described in the right lung and thought to be of pleural origin . airways there is no obstructive pathology in the trachea and right main bronchus . mediastinum the widths of the mediastinal main vascular lung parenchyma there are sequelae changes at the anterobasal level of the lower lobe of the right lung . pathological size and configuration of lymph nodes are not observed at both hilar levels . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . at the posterobasal level of both lungs there are primarily density increases which are considered compatible with the vascular density . a 2 mm diameter nodule is observed at the level of the minor fissure on the right . there are sequelae changes in the lingular segment . a slight thickening of the peribronchial sheath is observed at the base of the right lung . sequelae changes are observed in the middle lobe on the right . an increase in the peribronchial sheath is also observed in the left lung . it looks stable . pleuroparenchymal sequela changes are observed in the anterior segment of the left lung upper lobe . there was no finding compatible with pneumonia pleural effusion or pneumothorax . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . pulmonary trunk calibration is 29 mm slightly wider than normal . it is slightly wider than normal . calibration of other mediastinal major vascular structures is normal . the aortic arch calibration is 33 mm . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures degenerative changes are observed in the bone structure . abdomen it is slightly wider than normal . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . the aortic arch calibration is 33 mm . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . a few millimetric nonspecific parenchymal nodules were observed in both lungs . atelectasis causing volume loss and structural distortion was observed in the basal left lung lower lobe adjacent to the effusion . mosaic attenuation was found to be secondary to small airway stenosis . linear subsegmental atelectatic changes were observed in each lung . no mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma . segmental-subsegmental peribronchial thickening and mosaic attenuation pattern were observed in both lungs . when examined in the lung parenchyma window a slightly thick-walled pleural effusion measuring 33 mm in the deepest part of the left hemithorax was observed . airways no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be observed the calibration of the mediastinal main vascular structures is natural . calcific atheroma plaques were observed in the abdominal aorta . free air image was also observed in the mediastinum . lymph nodes reaching pathological dimensions measuring 9 mm in the short axis of the right upper paratracheal region were observed in the mediastinum and hilar regions . atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries . the described findings were evaluated in favor of early post-op changes . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . heart size increased . surgical suture materials secondary to valvuloplasty were observed in the aortic valve . osseous structures on the anterior surface of the sternum there is a skin defect on the anterior wall of the thorax and there is a drainage catheter placed at this level . vertebral corpus heights are preserved . suture materials secondary to surgery were observed in the sternum . spur formations bridging with each other were observed in the right anterolateral corners of the thoracic vertebrae . at the posterior surface of the sternum and the interface of the pericardium a collection of mm in which air images were observed was observed . abdomen diffuse thickening was observed in both adrenal glands in the upper abdominal organs included in the sections . calcific atheroma plaques were observed in the abdominal aorta . atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal sequela changes are observed in the posterior segment of the right lung upper lobe . no consolidation or space-occupying lesion was observed in both lungs . it is recommended to be evaluated together with clinical and examination findings in terms of covid-19 pneumonia . pericardial pleural effusion and thickness increase were not observed . in the right lung middle lobe lateral segment a barely distinguishable ground-glass opacity is observed in the subpleural area . airways the trachea is in the midline and both main bronchi are open . mediastinum no lymphadenopathy was detected in the mediastinal area in pathological size and appearance . calcific plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures heart contour size are normal . thoracic esophageal wall thickness is normal . heart and great vessels other mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes in the bones . abdomen when the upper abdominal organs included in the examination are evaluated a hypodense appearance is observed in the left kidney which is evaluated in favor of a simple cortical cyst . subcutaneous fatty tissues have a natural appearance . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma a nodule with a diameter of 5 mm was observed in the middle lobe of the right lung . there are minimal emphysematous changes in both lungs . there are linear atelectasis in the right lung middle lobe medial segment left lung upper lobe lingular segment and left lung lower lobe . no mass or infiltrative lesion was detected in both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma linear consolidation areas are observed in the upper lobe superior lingular segment in the left lung and in the lower lobes of both lungs . this appearance is more prominent in the right lung lower lobe posterobasal and was primarily evaluated in favor of atelectasis . these appearances were also present in the previous examination of the patient and no difference was detected . minimal emphysematous changes are observed in both lungs . no active infiltration consolidation or space-occupying lesion was observed in both lungs . airways in the midline of the trachea both main bronchi are open . mediastinum evaluation of solid organs vascular structures and mediastinal structures is suboptimal because the examination is non-contrast . no lymphadenopathy was observed in the mediastinum and both axillae in pathological size and appearance . mediastinal vascular structures appear normal within the limits of the unenhanced examination . heart and great vessels a smear-like effusion is observed in the pericardial area . heart sizes are normal . a port catheter extending from the right anterior chest wall to the right atrium is observed . osseous structures a similar appearance is also present at the level of the sternoclavicular and costosternal junction on the right . the patient who is followed up with multiple myeloma has lytic changes consistent with multiple myeloma especially in the vertebrae . abdomen no relevant findings . lung parenchyma however it is not specific . the outlook can be traced in covid-19 pneumonia . when examined in the lung parenchyma window focal ground glass density increases were observed in the lower lobe mediobasal segment of both lungs . in addition bud branch appearances and acinar opacities are present in the anterior segment of the upper lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . it may be compatible with covid-19 bacterial infection . bilateral pleural thickening-effusion was not detected . airways bilateral peribronchial thickenings were observed . no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma multiple calcific nonspecific nodules with a diameter of 2 mm are observed at the posterobasal level of the lower lobe of the right lung . a 5 mm diameter calcific nodule is observed at the lower lobe anteromediobasal level in the left lung . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . there was no finding compatible with pleural effusion pneumothorax pneumonia . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum calibration of the main vascular structures in the mediastinum is normal . there is thymic tissue in the anterior mediastinum with trigonal configuration that does not cause mass effect . no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window ground glass densities are present in both lung lower lobe . a millimetric nodule of 3 mm in size is observed in the apex of the upper lobe of the right lung . mild thickenings are observed in bilateral major fissures more prominently in the upper part of the left . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . on the right a catheter inserted in the jugular vein and ending at the junction of the right atrium vena cava is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . on the right a catheter inserted in the jugular vein and ending at the junction of the right atrium vena cava is observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pleuroparenchymal sequelae density increases were observed in the lower lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures mild degenerative changes are observed in bone structures . there is left-facing scoliosis in the thoracic vertebrae . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the study area hypodense lesions measuring 21 mm in diameter were observed in the liver at the level of segment 3 cyst . lung parenchyma when examined in the lung parenchyma window mild emphysematous appearance is observed in both lungs . pleural effusion-thickening was not detected . airways there are bronchiectasis and thickening of the bronchial wall more prominently in the middle and lower parts of both lungs and at these levels reticulonodular ground glass densities and occasionally mucus secretions are observed adjacent to the bronchi . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . the spleen is mm and is close to the physiological upper limit . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal pleuroparenchymal sequelae changes in both lung apexes . there are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . a few millimetric nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window millimetric sized nonspecific parenchymal nodules were observed in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . schmorl nodules were observed at multiple levels in the thoracic vertebrae . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window central bronchovascular structure walls are thickened in both lungs . minimal atelectasis was observed in the posterobasal region of the left lung lower lobe . nodules reaching 6 mm in diameter were observed in both lungs the largest of which was in the posterobasal right lower lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . a catheter extending from the right jugular vein to the right atrium is observed . calcific plaque is present in lad . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal organs including sections the spleen is mm and larger than normal . lung parenchyma these findings are in favor of viral pneumonia . when examined in the lung parenchyma window widespread patchy ground glass densities are observed in both lungs and tend to into consolidation areas in places . it was evaluated primarily in favor of covid-19 pneumonia in pandemic conditions . airways trachea is in the midline both main bronchi are open . mediastinum no pathological lymphadenopathy was detected in both axillae . other mediastinal main vascular structures heart contour size are normal . thoracic aorta diameter is normal . no lymphadenopathy was detected in the mediastinal area in pathological size and appearance . there are calcific atheromatous plaques in the aorta and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . the upper abdominal organs included in the examination have a natural appearance . no space-occupying lesion was detected in the liver that entered the cross-sectional area . there are calcific atheromatous plaques in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window in both lungs ground-glass-like density increases are observed accompanied by occasional thickening of the interlobular septa on the ground which is predomitly located on the peripheral periphery . there is a 4 mm diameter nodule in the right lung lower lobe laterobasal segment . in the left lung sequelae changes are observed at the laterobasal and posterobasal level . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum the aortic arch calibration is 32 mm . calibration of mediastinal major vascular structures at other levels is normal . it was as larger than normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . pulmonary trunk calibration is 30 mm . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen it was as larger than normal . in the upper abdominal organs included in the sections a decrease in density consistent with hepatosteatosis is observed in the liver . the aortic arch calibration is 32 mm . lung parenchyma there is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment . apart from this both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are diffuse areas of atypical pneumonic infiltration in both lungs . it is accompanied by pleuroparenchymal linear atelectasis in places . it was understood that it developed in the process between the two imaging . radiological findings are compatible with covid pneumonia . tubular bronchiectasis foci are observed in the upper lobe of the right lung . in lung parenchyma evaluation in the right lung there is a slight smear-like pleural effusion between the pleural leaves . airways no relevant findings . mediastinum mediastinal calcified lymph nodes are present . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels mild smear-like pericardial effusion was detected . heart size slightly increased . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when both lung parenchyma windows are evaluated pleuroparenchymal density increases were observed in both lungs apical . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . bilateral peribronchial thickenings were observed . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mild scoliosis with left opening was observed in the thoracic aorta . as far as can be observed mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . mild scoliosis with left opening was observed in the thoracic aorta . liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area consistent with fatty deposits . lung parenchyma it creates suspicion in terms of covid . apart from this no consolidation or space-occupying lesion was observed in both lungs . when examined in the lung parenchyma window aeration of both lung parenchyma is natural . in the posterior subpleural area of the left lower lobe superior segment of the left lung a minimal ground glass opacity with suspicious faint borders is observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in the right lung peribronchial consolidation and ground glass densities are observed in the middle lobe lateral lower lobe superior posterior and lower lobe superior minimally in the left . millimetric nonspecific stable nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . due to the lack of contrast the mediastinum cannot be evaluated optimally . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is 38 mm and slightly ectatic . other mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the vertebrae . thoracic kyphosis is present . abdomen diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there is an air cyst in the lower lobe on the right reaching 39 mm in diameter superiorly . peribronchial ground glass densities are observed especially in the lower lobe and consolidations in the left lower lobe . in the right upper lobe posterior there is an irregular limited soft tissue density including calcifications adjacent to the major fissure and at this level consolidation and mass cannot be made clearly . emphysematous changes in both lungs and sequelae changes are seen especially in the right upper lobe apex . when examined in the lung parenchyma window there are effusions and atelectasis in both hemithorax . airways bronchiectasis in the lungs thickening of the bronchial wall are seen . trachea both main bronchi are open . mediastinum in the mediastinum and in both hilar regions multiple lymph nodes up to 12 mm in the short axis of the larger ones are observed . aortic and coronary artery atherosclerosis is observed . calcific plaques were observed in the aorta and its branches in the upper abdominal sections . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . aortic and coronary artery atherosclerosis is observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are degenerative . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific plaques were observed in the aorta and its branches in the upper abdominal sections . aortic and coronary artery atherosclerosis is observed . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is recommended to be evaluated together with clinical and laboratory findings in terms of covid . when examined in the lung parenchyma window focal ground glass density is observed in a single focus in the posterior subpleural area in the superior segment of the left lung upper lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma fibroatelectatic sequelae changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung . segmentary-subsegmental tubular bronchiectasis is observed in both lungs and peribronchial thickening is present . linear fibroatelectasis changes were observed in the anterior mediobasal segment of the lower lobe of the left lung . when examined in the lung parenchyma window pleuroparenchymal density increases were observed in both lung apical segments . no pleural effusion was detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar pathological dimensions were detected . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen liver spleen pancreas and both adrenal glands are normal as far as can be observed in contrast-enhanced examinations . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . metallic sutures secondary to the operation were observed in the gallbladder fossa . no stones were observed in both kidneys within the sections . thoracic aorta diameter is normal . no intraabdominal free-loculated fluid was detected . lung parenchyma findings are consistent with interstitial lung disease stated in clinical preliminary diagnosis . the described findings were also present in the previous examination of the patient and no difference was found . volume loss is most prominent especially in the right lung upper lobe apical segment and middle lobe . no mass or infiltrative lesion in both lungs was detected in this examination . there is also volume loss in both lungs . there was no difference in size and appearance . in both lungs interlobular septal and minimal interstitial thickenings which are more prominent in the lower lobes and peripheral subpleural areas and a honeycomb appearance consistent with lung disease are observed in places . there is no pleural or pericardial effusion . airways there is a paratracheal cyst just to the right of the midline in the distal part of the trachea . the described appearance is also present in the previous examination of the patient . no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the diameters of the aortic arch and descending aorta are normal . there are millimetric lymph nodes in the mediastinum and hilar regions . there are no pathologically enlarged lymph nodes . mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery is wider than normal in diameter . millimetric atheroma plaques are observed in the aorta and coronary arteries . mixed type hiatal hernia is observed at the lower end of the esophagus . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . vertebral corpus heights alignments and densities within the sections are normal . intervertebral disc distances are preserved . abdomen millimetric atheroma plaques are observed in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . the diameters of the aortic arch and descending aorta are normal . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a non-specific parenchymal nodule with a diameter of 35 mm was observed in the inferior lingular segment of the left lung . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . a millimetric-sized nonspecific hypodense lesion was observed in the left lobe of the liver . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is minimal bronchiectasis in the central parts of both lungs . minimal emphysematous changes were observed in both lungs . there are several millimetric nonspecific nodules in the right lung . there are pleuroparenchymal sequelae changes in both lung apexes more prominent on the right . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no enlarged lymph nodes in pathological dimensions . there are millimetric lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures the neural foramina are open . there are millimetric osteophytes at the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities within the sections are normal . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma mass lesion with distinguishable borders in both lungs no active infiltration was detected . linear subsegmental atelectatic changes were observed in the lingular segment of the left lung . when examined in the lung parenchyma window a thin-walled parenchymal air cyst of 77 mm in diameter located subcapsular anteriorly in the medial segment of the middle lobe of the right lung was observed . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in rca and lad . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes were observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma due to its lesion character it has been interpreted primarily in favor of covid-19 pneumonia . however due to its localization and monitoring of the lesion in a single area follow-up ct of the patient is recommended after treatment . nodular consolidation area is observed in the peribronchial area in the anterior segment of the right lung upper lobe . when examined in the lung parenchyma window right lung is decreased secondary to scoliosis . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures wide scoliosis is observed in the thoracic region with its opening to the left . abdomen multiple kidney stones are observed in both kidneys included in the examination . the proximal ureter which is included in the left kidney examination area is minimally evident . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few millimetric nonspecific parenchymal nodules were observed in both lungs . in the evaluation of both lung parenchyma no mass or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma a small air cyst is observed in the superior segment of the lower lobe of the left lung . when examined in the lung parenchyma window on the left two of approximately mm and 4x2 mm are observed superposed on the interlobular fissure . there was no finding compatible with bilateral pleural effusion pneumothorax or pneumonia . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . millimetric sized calcific atheroma plaques are observed in the aortic arch . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures there is s-shaped scoliosis at the dorsal level . degenerative changes are observed in the bone structure . there is trabecular compatible with hemangioma in l3 vertebra . abdomen diverticulum is observed at the level of the splenic flexure in the upper abdominal organs included in the sections . however no sign of diverticulitis was detected . millimetric sized calcific atheroma plaques are observed in the aortic arch . lung parenchyma nodules up to 12 mm in diameter are observed in both lungs the larger of which is in the posterobasal right lower lobe . when examined in the lung parenchyma window mosaic density differences are observed in both lungs most in the lower lobe . airways at the central level bronchovascular structures are prominent and slight thickenings are observed in the bronchial walls . trachea both main bronchi are open . mediastinum mediastinal main vascular structures heart contour size are normal . there are lymph nodes in the mediastinum with short axes reaching 9 mm in diameter . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaques are seen in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures in the bone structures in the study area thoracic scoliosis with a left-facing scoliosis was observed . there is a degenerative appearance in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mass lesion with distinguishable borders in both lungs no active infiltration was detected . parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window emphysematous changes are also observed in both lungs . emphysematous changes are in the form of centriacinar-paraseptal emphysema areas in the apex of both lungs and ground glass areas are observed around them . in addition there are ground glass densities in the posterior subpleural areas of both lung lower lobe basal segments . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures an increase in trabeculation secondary to osteopenia was observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a 4 mm diameter nodule in the lingular segment on the left . when examined in the lung parenchyma window 2 subpleural nodules with a diameter of 2 mm are observed anteriorly in the middle lobe of the right lung . mild thickenings are observed in the subpleural interlobular septa in the upper lobes . bilateral pleural effusion pneumothorax were not detected . airways no relevant findings . mediastinum there are millimetric calcific atheroma plaques in the coronary arteries in the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the aortic arch calibration is 33 mm and wider than normal . hiatal hernia is observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are millimetric calcific atheroma plaques in the coronary arteries in the aortic arch . calibration of other vascular structures is natural . cto is within normal limits . the ascending aorta is calibrated to 42 mm and wider than normal . osseous structures vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen there is mild hepatosteatosis in the liver . however no sign of diverticulitis was detected . there are millimetric calcific atheroma plaques in the coronary arteries in the aortic arch . the aortic arch calibration is 33 mm and wider than normal . in the upper abdominal organs included in the sections cortical cysts were observed in both kidneys the largest of which was mm on the right . a millimetric nodular density is observed in the anterior aspect of the spleen accessory spleen lymph node . there are diverticula appearances at the ascending colon level . parenchymal calcification is observed in the left lobe of the liver . lung parenchyma there are several . there is one millimetric nonspecific pulmonary nodule in the upper lobe of the right lung . radiological findings were evaluated as compatible with covid infection with lung parenchyma involvement . in the right lung upper lobe anterior segment lower lobe laterobasal segment and upper lobe posterior segment there are subpleural ground glass density infiltration areas . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels calcified atheroma plaques are present in lad . pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen there is a cortical cyst in the right kidney . in the upper abdominal sections there is a lesion of fat density compatible with a cortical cyst and millimetric angiomyolipoma in the left kidney . in the tail part of the pancreas there is a lobulated contoured lesion of solid density with a diameter of 25 mm containing a focal calcification focus . it will be appropriate to examine the upper abdomen with mri . it cannot be characterized in this examination . lung parenchyma pleuroparenchymal thick sequelae density is observed in the posterobasal segment of the left lung lower lobe . in the evaluation of both lung parenchyma in the right lung nodules of approximately mm in size with irregular contours extending to the fissure localization in the middle lobe 5 mm in diameter in the lower lobe laterobasal segment and 3 mm in diameter in the middle lobe are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . right upper bilateral lower paratracheal aortopulmonary narrow lymph nodes less than 1 cm in diameter are observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there is a subcentimetric minimal effusion in the left pleural space . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . the pulmonary trunk is larger than normal with a diameter of 31 mm . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels there is an increase in heart size . mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination . the appearances were primarily evaluated as secondary to heart failure . no pericardial effusion or thickness increase was observed . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . the spleen size is markedly increased . as far as it can be seen within the borders of non-contrast ct in the upper abdomen sections within the image indistinct hypodensities are observed in the subcapsular localization of the spleen and were primarily evaluated in favor of . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with clinical and laboratory . minimal tubular bronchiectatic changes revealed in the current examination were observed in both lungs . the outlook is consistent with covid-19 pneumonia . when examined in the lung parenchyma window in both lungs there is a multilobar multisegmental central-peripheral localized crazy paving pattern accompanied by widespread linear subsegmental atelectatic changes and pneumonic infiltration with signs of vascular enlargement . a slightly more prominent smear-like effusion on the left between the bilateral pleural leaves and compressive atelectasis in the basal segments of the lower lobes of both lungs were observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum a catheter image extending from the port chamber and right internal jugular vein to the superior-right atrium junction of the vena cava was observed on the anterior chest wall on the right . the mediastinum could not be evaluated optimally in the non-contrast examination . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries or in the lad . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calibration of mediastinal main vascular structures as far as can be observed is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like effusion was observed between the pericardial leaves . heart contour size is normal . osseous structures there is diffuse idiopathic bone hyperostosis in the cervical and thoracic vertebrae . abdomen the pancreas is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries or in the lad . as far as can be seen within the sections gall bladder was not observed operated . some thinning of the cortex and chronic sequelae changes were observed in both kidneys . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window millimetric air cyst in the middle lobe of the right lung and subpleural focal atelectasis medially are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral degenerative changes are present . abdomen there are hypodense lesions of mm on the right and mm on the left in both adrenal glands entering the section area . other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lung parenchyma there are ground-glass densities in all lobes which tend to merge widely from the central to the periphery . airways at these levels trachea and esophageal integrity as far as can be followed are normal . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . in addition paraesophageal and paratracheal air densities are observed at the paramediastinal and upper mediastinal levels . at these levels trachea and esophageal integrity as far as can be followed are normal . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . other upper abdominal organs are natural . in the upper abdominal organs there is a millimetric accessory spleen adjacent to the spleen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window 2 mm diameter nonspecific nodule is observed in the middle lobe of the right lung . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are operative changes at the gastric outlet level in the gallbladder lodge in the upper abdominal organs included in the sections . a nodular formation is observed in the vicinity of the spleen which is considered to be compatible with the accessory spleen in millimetric dimensions . lung parenchyma focal ground-glass density increase was observed in the mediobasal segment of the lower lobe of the right lung and it was thought to be related to the spur compression observed in the vertebra . a few millimetric nonspecific parenchymal nodules were observed in both lungs . clinical and laboratory correlation is recommended . ground-glass density increases in the posterobasal segment of the lower lobes of both lungs and focal consolidation areas in the right lung were observed . the outlook can be traced to early covid pneumonia but not specific . when both lung parenchyma windows are evaluated mild emphysematous changes were observed in both lungs . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be observed there are lymph nodes in the mediastinum upper and lower paratracheal and in the subcarinal area the short axis of the largest one with a fatty hilus measuring 11 mm . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structures in the study area . focal ground-glass density increase was observed in the mediobasal segment of the lower lobe of the right lung and it was thought to be related to the spur compression observed in the vertebra . no lytic-destructive lesions were detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . lung parenchyma radiological findings were evaluated as compatible with covid-19 pneumonia . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . there are areas of ground glass infiltration in the upper and lower lobes of both lungs and slightly more prominent subpleural location in the lower lobes . no pleural effusion was detected . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum calcified atherosclerotic plaques are observed in the abdominal aorta and its branches . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels mitral valve calcification is observed . pericardial effusion was not detected . heart dimensions and compartments appear natural . calcified atherosclerotic plaques are observed in the coronary arteries . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no loculated or free fluid was observed in the upper abdominal sections . calcified atherosclerotic plaques are observed in the abdominal aorta and its branches . in upper abdominal sections gallbladder not observed operated . mild fusiform enlargement due to atherosclerotic vascular disease is observed in the celiac trunk . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . nonspecific parenchymal nodules with a diameter of 65 mm were observed in both lungs the largest of which was right lung upper lobe lobe junction and adjacent to the minor fissure . as far as it can be observed secondary to movement artifacts more widespread centriacinar emphysematous changes in the posterior part of the upper lobes of both lungs and in the superior segment of the left lung lower lobe and fibrotic recessions in the vicinity were observed . linear atelectatic changes were observed in the medial segment of the middle lobe of the right lung the inferior lingular segment of the left lung and the basal segment of the lower lobe of the left lung . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum a few pathologically sized lymph nodes were observed prevascular aortopulmonary the largest of which was 17x12 mm . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen an accessory spleen with a diameter of 12 mm was observed in the upper pole anterior of the spleen . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lung parenchyma the bronchial walls are thickened at the central level and ground glass densities and minimal consolidations are observed in the peribronchial areas . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . other mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . hiatal hernia was observed in the distal esophagus . heart and great vessels the heart size has increased . pericardial effusion-thickening was not observed . linear atelectasis are present in paracardiac areas . osseous structures left-facing scoliosis is observed in the thoracic vertebrae . abdomen in the upper abdominal sections there is a suspicious nodular appearance that cannot be evaluated optimally due to the partial of the right kidney into a section of approximately 28 mm in size . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window pleuroparenchymal linear atelectasis changes were observed in the right lung upper lobe anterior-posterior lower lobe laterobasal and left lung upper lobe lingular and anterobasal subsegment of lower lobe anteromediobasal segment . nonspecific parenchymal nodules with a diameter of 69 mm were observed in both lungs the largest of which was in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment . airways nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the trachea and the walls of both main and segmental bronchi . the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . metallic sutures secondary to previous surgery were observed in the sternum and anterior mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the diameter of the pulmonary conus was 33 mm and was observed wider than normal . the anterior-posterior diameter of the ascending aorta was 51 mm and the anterior-posterior diameter of the descending aorta was 26 mm . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . there is a prosthesis in the aortic valve . as far as can be seen cardiac pace maker was observed on the anterior chest wall on the left and lead catheters extending to the right ventricular apex were observed . osseous structures metallic sutures secondary to previous surgery were observed in the sternum and anterior mediastinum . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen subcentimetric calculi were observed in the gallbladder lumen . minimal hyperplasia was observed in the medial crus of the left adrenal gland . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . right adrenal is normal . upper abdominal organs included in the sections are normal . the anterior-posterior diameter of the ascending aorta was 51 mm and the anterior-posterior diameter of the descending aorta was 26 mm . nodular lesion areas with a fluid density of 2 cm in diameter were observed in both kidneys the largest on the left cyst . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window slight patchy ground glass densities are observed in both lungs mostly peripherally located with small halo signs in small dimensions . the findings were initially evaluated in favor of covid-19 viral pneumonia . clinical laboratory correlation monitoring is recommended . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma millimetric focal consolidation was observed in the posterior segment of the right lung upper lobe . there are ground-glass density or crazy paving infiltrates in the medial of the right lung lower lobe superior and posterobasal segment . similar appearances were also observed in the left lung lingular segment . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . viral pneumonia there are bilateral cylindrical bronchiectasis . mediastinum no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . calcific atheroma plaques in the main vascular structures and stent appearances in the coronary arteries were observed . osseous structures a hemangioma appearance was observed in the vertebral body . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the evaluation of both lung parenchyma no mass nodule or infiltration was detected in both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . right upper paratracheal hilar fat content prominent narrow lymph node less than 1 cm in diameter is observed . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the anterior segment of the upper lobe of the right lung an irregularly contoured nodule with partial calcification is observed approximately mm in size in the localization of sequelae densities . right upper-lower paratracheal narrow lymph node less than 1 cm in diameter is observed . in the evaluation of both lung parenchyma subsegmental atelectesis is observed in the upper lobe anterior segment and middle lobe in the right lung . in addition more prominent emphysematous areas and mild bronchiectasis are observed at these levels . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the gallbladder is operated . lung parenchyma mosaic attenuation is present in both lungs secondary to small airway disease secondary to small vessel disease . after appropriate treatment control is recommended . it is not possible to exclude the mass on the consolidation ground . when examined in the lung parenchyma window in the middle lobe of the right lung a mm nodule with a consolidation area containing an air bronchogram and cavitary is observed . calcified lymph nodes are observed in the right hilar region in the paratracheal area . in the right lung lower lobe posterobasal segment a mm consolidation area is observed in the subpleural area . an increase in fatty tissue thickness is observed on the right . no pleural effusion was detected . there are bilateral subpleural nodules some of which contain calcification the largest of which is 6 mm in diameter in the apical segment of the right lung upper lobe . airways examination is suboptimal because of respiratory artifacts . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal structures are slightly deviated to the right . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . right lung upper lobe azygos fissure variation was observed . when examined in the lung parenchyma window pleuroparenchymal sequelae density increases in the apex of both lungs fibrotic changes causing retraction in the pleura and accompanying calcific nodules were observed evaluated in favor of sequelae changes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . millimetric calcific lymph nodes were observed in the paraesophageal area . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window azygos fissure variation was observed in the upper lobe of the right lung . a few millimetric nonspecific parenchymal nodules were observed in both lungs . segmentary-subsegmental peribronchial thickening was observed in both lungs . diffuse linear subsegmental atelectatic changes were observed in the middle lobe of the right lung the inferior lingular of the left lung and the lower lobes of both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum thymic remt was observed in the anterior mediastinum . in the non-contrast examination the mediastinal could not be evaluated optimally . in the mediastinum mm lymph nodes the largest of which did not reach pathological dimensions were observed in the right lower lower paratracheal area . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is no mass or infiltrative lesion in both lungs . there are millimetric nonspecific nodules in both lungs . these findings are more prominent in the peripheral parts and lower lobes . peripheral and centrally located ground glass areas and linear density increases are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung . the described findings are in the style frequently observed in covid-19 pneumonia . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were observed . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen in the liver parenchyma there is a decrease in density consistent with moderate adiposity . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . in both lungs there are nodular lesions in millimetric dimensions the largest of which is mm in the posterobasal segment of the left lung lower lobe . it is recommended to evaluate or follow up with old-dated ct examinations if any . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . an increase was observed in both pulmonary artery calibrations and descending aorta calibrations . as far as can be seen there are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end . heart and great vessels there is an increase in heart size . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . osseous structures there is an increase in thoracic kyphosis in the bone structures within the image . no lytic or destructive lesions were detected in the bone structures within the image . in the vertebral corpus corners osteophytic taperings that tend to merge in the right anterolateral side are observed . abdomen an increase was observed in both pulmonary artery calibrations and descending aorta calibrations . in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . as far as can be seen there are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures . it cannot be clearly characterized cyst within the limits of unenhanced ct . no lymph node was observed in intraabdominal pathological size and appearance . there is a 15 mm diameter lesion of hypodense fluid density located in the posterior cortical region of the left kidney midzone as far as can be seen within the borders of the unenhanced ct in the upper abdominal sections within the image . no intraabdominal free fluid loculated collection was detected . lung parenchyma there are minimal emphysematous changes . no active infiltration mass or nodular lesion was detected in both lungs . when examined in the lung parenchyma window there are diffuse peribronchial thickness increases in both lung bronchial structures that become evident in the form of plastering . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum heterogeneous hypodense appearance of residual thymus tissue was observed in the anterior mediastinum . the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . atelectatic changes were observed in the adjacent lung parenchyma . according to the previous examination a stable pulmonary nodule with a diameter of 65 mm was observed at the level of the left lung lingular segment . pleural effusion-thickening was not detected . pleural effusion observed on the left was not detected in the current examination . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . port chamber and catheter image extending superiorly to the vena cava were observed on the right anterior chest wall . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected within the limits of non-contrast ct . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . the pericardial effusion area is stable on current examination . osseous structures multiple fracture lines showing in some of the and 9th elevations on the right and in the 6th rib lateral are observed . no new fracture lines were observed in the current examination . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . lung parenchyma in the left hilar localization the patients primary mass is localized and there is slight fullness in the non-contrast examination . in the current examination it is observed that the consolidation area which may be compatible with has developed in the right lung middle lobe . in addition it is observed that the crazy paving pattern accompanied by interlobular septal thickening in the areas of ground glass densities and ground glass densities in the upper lobe of the right lung . in addition diffuse peripheral lung parenchyma and peribronchial ground glass are observed in both lungs . pleural thickening-effusion in the form of thin smearing is observed in the right hemithorax . airways no relevant findings . mediastinum subcarinal and right bronchial calcified lymphadenomegaly is observed and was also present in the previous examination . mediastinal lymphadenomegaly with a narrow diameter of 15 mm in the right upper paratracheal larger is observed . heart and great vessels the cardiothoracic index was slightly increased in favor of the heart . pericardial effusion in the form of thin smears is observed . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen in the sections passing through the upper part of the abdomen no pathology was detected in the bilateral adrenal lobes . lung parenchyma centriacinar nodular densities are observed in the anterior segment in the upper lobe of the left lung in the superior and inferior lingular segments in the superior segment of the lower lobe of the left lung in the anterior segment of the upper lobe in the right lung and in the peribronchial areas of the medial segment of the middle lobe of the right lung . it may be compatible with viral pneumonia infiltration . not compatible with typical covid-19 pneumonia . when examined in the lung parenchyma window diffuse emphysematous changes in both lungs and band formations in the apical segments are observed . airways trachea both main bronchi are open . mediastinum no paravascular pretracheal subcarinal or bilateral hilar-axillary enlarged lymph nodes were detected in pathological dimensions . calcific atheroma plaques are observed in the aorta and coronary arteries in the mediastinal main vascular structures . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . calcific atheroma plaques are observed in the aorta and coronary arteries in the mediastinal main vascular structures . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . the right kidney was not observed in the image area . in the upper abdominal organs including sections nodular lesions are observed in the left kidney with fluid density that may be compatible with a cyst . calcific atheroma plaques are observed in the aorta and coronary arteries in the mediastinal main vascular structures . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma since the finding is it would be appropriate to correlate it with its clinic . areas of increased aeration are observed in the lung parenchyma secondary to small airway involvement . no consolidation area was detected in the lung parenchyma . no solid or mass lesion was observed . airways no relevant findings . mediastinum there are stable nonspecific lymph nodes in the mediastinum with short axes less than 1 cm in subcarinal right lower paratracheal and bilateral hilar locations . calibrations of mediastinal major vascular structures appear natural . esophageal calibration is natural . heart and great vessels no effusion was detected between pericardial leaves . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . heterogeneity compatible with bone marrow infiltration of multiple myeloma and lytic lesions with faint borders are observed in bone structures . trabecular prominences are present . abdomen loculated or free fluid was not detected . no space-occupying lesion was detected in the adrenal glands in the upper abdominal sections that entered the image area . no remarkable pathology is observed . lung parenchyma the described findings are compatible with bronchiolitis . when examined in the lung parenchyma window diffuse centriacinar emphysematous changes were observed in both lungs . no mass lesion with distinguishable borders was detected in both lungs . more extensive segmental-subsegmental peribronchial thickening was observed in the lower lobe basal segments of both lungs . in addition more widespread peribronchial centrilobular nodules in the lower lobes budding tree view are present . diffuse linear atelectasis was observed in both lungs . sequela thickening of pleura was observed in bilateral hemithorax . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches . as far as can be seen thoracic aorta calibration is natural . in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the diameters of the pulmonary trunk right and left pulmonary arteries increased by 32 mm 21 mm and 22 mm respectively . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart sizes are natural . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . osseous structures osteodegenerative changes were observed in the bone structures in the study area . abdomen atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches . minimal thickening was observed in both adrenal glands . as far as can be seen thoracic aorta calibration is natural . as far as can be seen within the sections nonspecific hypodense lesions the largest of which is 145 mm in diameter were observed in segments 3 6 and 7 of both lobes of the liver cyst . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . a 35 mm diameter cortical cyst was observed in the lower pole of the left kidney . lung parenchyma the findings are accompanied by sequelae parenchymal changes and viral pneumonias covid-19 pneumonia are considered in its etiology . when examined in the lung parenchyma window in both lungs multilobar mostly peripheral subpleural ground glass and density increase areas compatible with consolidation are observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . in the mediastinum there are lymph nodes that are short in diameter less than 1 cm in fusiform configuration pathologically sized and . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . minimal pericardial effusion was observed . osseous structures in addition no lymph nodes in pathological size and appearance were observed in both axillary regions and supraclavicular fossae . vertebral corpus heights are preserved . no lytic or destructive lesions were observed in the bone structures within the image . abdomen calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . free fluid loculated collection is not observed . in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma there are bulla formations in the apex of both lungs prominent on the right . a thoracic tube extending to the apex of the right lung is observed and was also detected in the previous examination . multiple air cysts were observed in both lungs . a suspicious appearance in terms of fistula was observed in the superior segment of the lower lobe of the right lung . airways there is a view of the tracheostomy cannula . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . in places the appearance is accompanied by sequelae changes . it is compatible with the anamnesis . when examined in the lung parenchyma window in the case with covid there are ground-glass-like density increases in both lungs . no significant pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum lymph nodes are observed in the mediastinum at the prevascular level and in the upper-lower paratracheal area with the largest measuring approximately mm at the prevascular level . calibration of mediastinal major vascular structures is natural . a mild hiatal hernia is observed in the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels metallic density is observed at the level . cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aortic coronary arteries . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed in the aortic coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels fluid is observed in superior paracardiac recess . pericardial effusion with a thickness of approximately 12 mm is observed . calcific plaques are present in the coronary arteries . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen there are peripancreatic interaortokaval paraaortic and lap masses that form a mesenteric with a size of approximately cm which covers the abdomen to a large extent . lung parenchyma when examined in the lung parenchyma window in both lung parenchyma multilobar consolidation and ground glass density areas are observed mostly peripheral subpleural and viral pneumonias covid-19 pneumonia are considered in the etiology of the findings . no bilateral pleural effusion or increase in thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were observed in both axillary regions and mediastinum . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures heart contour and size are normal . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels minimal pericardial effusion is observed . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures heart contour and size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . vertebral corpus heights are preserved . abdomen no intraabdominal solid lesion was detected . intraabdominal free fluid loculated collection is not observed . there is a diffuse density decrease secondary to hepatosteatosis in liver parenchyma density as far as can be seen within the borders of unenhanced ct in the upper abdominal sections within the image . lung parenchyma there is an air cyst in the upper lobe of the right lung . the described manifestations were primarily thought to be compatible with sequelae changes or interstitial lung disease . no mass or infiltrative lesion was detected in both lungs . there are microcystic appearances and interlobular septal and interstitial thickenings in the lower lobes of both lungs especially in the basal segments especially in the peripheral areas . there are emphysematous changes in both lungs . there are appearances evaluated in favor of linear atelectasis pleuroparenchymal sequela fibrotic changes in the right lung middle lobe and left lung upper lobe lingular segment and both lung lower lobes . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are lymph nodes in the mediastinum and hilar regions the largest measuring 10 mm in short diameter . atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures there are hypertrophic osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . intervertebral disc distances are significantly narrowed and there is sclerosis in the adjacent endplates . vertebral corpus heights and alignments within the sections are normal . abdomen intra-abdominal free fluid-collection or pathologically enlarged lymph nodes were not observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma accompanying paraseptal emphysematous areas that are more prominent in this localization and prominent centriacinar emphysematous areas on the minimal left are observed . in addition fibrotic recessions pleuroparenchymal sequelae densities accompanying minimal traction bronchiectasis are observed in the right lung middle lobe left lung upper lobe apicoposterior segment and lingular segment . in the evaluation of both lung parenchyma pleuroparenchymal sequelae and fibrotic densities are observed in the apex of both lungs . the ground glass densities observed in the previous examination in the posterior segment of the right lung upper lobe regressed . in the left lung upper lobe apicoposterior segment hyperdense nodularities are observed in the bronchi which may belong to mucus plugs which were also observed in previous examinations . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum because of its prominent central hilus it was first evaluated as benign . the heart and mediastinal vascular structures have a natural appearance . right upper-lower paratracheal narrow diameter reaching 1 cm lymph node that was not selected in the previous examination is observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma pleuroparenchymal sequelae changes were observed in both lung apex . there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum calcific atheroma plaques are observed in the abdominal aorta . calibration of the main mediastinal vascular structures is natural . millimetric sized lymph nodes are observed in the mediastinum . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . when examined in the lung parenchyma window peripheral sclerotic nonspecific but benign nodular lesions are observed in the rib structures of the right hemithorax . abdomen as far as can be observed in the non-contrast examination the spleen both kidneys and both adrenal glands are normal . the gallbladder is contracted . a decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area . however no signs of diverticulitis were detected . calcific atheroma plaques are observed in the abdominal aorta . there is an appearance that is considered compatible with the area protected from fat in the vicinity of the gallbladder bed . there is one or two diverticula appearance at the level of ascending and descending colon . lung parenchyma outlook covid 19 pneumonia includes typical-probable findings . other viral pneumonias can be considered in the differential diagnosis . when both lung parenchyma windows are evaluated in both lungs ground glass density increases were observed in the peripheral subpleural area which tended to coalesce from place to place . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mediastinal main vascular structures heart contour size are normal . as far as can be observed minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen apart from this the upper abdominal organs included in the sections are normal . as far as can be observed minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . clinical and laboratory correlation is recommended . liver parenchyma density in the cross-sectional area has decreased diffusely in accordance with fatty deposits . bilateral adrenal glands are normal and no space-occupying lesion was detected . lung parenchyma no mass or infiltrative lesion was observed in both lungs . multiple lymph nodes with a diameter of 16 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the subcarinal area . in the lower lobes of both lungs interlobular septal thickness increases more prominent on the right are accompanied . there are diffuse centriacinar emphysema in both lungs sequela fibrotic changes accompanied by more prominent tractional bronchiectasis and pleural in the upper lobes . in the lower lobe of the right lung an increase in pleural thickness of approximately 6 mm including calcified areas is observed . airways peribronchial diffuse thickness increase is observed . no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . multiple lymph nodes with a diameter of 16 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the subcarinal area . sliding type hiatal hernia is observed at the esophagogastric junction . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels dilatation is observed . heart contour and size are normal . osseous structures there are widespread degenerative changes in bone structures within the sections . no lytic-destructive lesion with selectable borders was observed . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . as far as it can be evaluated within the non-contrast ct limits there is a 9 mm diameter hypodense lesion in the left kidney cyst . lung parenchyma it causes obstruction in the distal branches of the basal segment . he measured 85 cm in his previous examination . there is a nodular lesion in the linguloinferior segment of the left lung upper lobe . there is a metastatic mass lesion in the segment of the left upper lobe of the lung . it was measured 37 mm in the previous examination . there is a primary mass lesion in the basal segment of the lower lobe of the left lung . the size of this lesion is 21 mm . the lesion dimensions are approximately 65 cm . no newly developed lesion was detected in the lung parenchyma during the process . there was no significant difference in the dimensions of the nodular lesion which is thought to be pleural-based metastatic in the posterior segment of the left lung upper lobe . airways no relevant findings . mediastinum there was no significant difference in the sizes of mediastinal lymph nodes . it cannot be differentiated with vascular structures due to the lack of contrast material . the short axis of the most clearly distinguishable left paraaortic lymph node was 11 mm . there are left paraaortic left lower paratracheal subcarinal and left hilar mediastinal lymph nodes in the mediastinum . heart and great vessels no relevant findings . osseous structures no lymph node in pathological size and appearance was observed in the axilla and supraclavicular fossa . no lytic-destructive lesions were detected in bone structures . abdomen no additional pathology was observed in the upper abdominal sections . the short axis of the most clearly distinguishable left paraaortic lymph node was 11 mm . asymmetrical thickness increase is observed in the left adrenal gland corpus and it is stable . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma clinical laboratory correlation is recommended for early onset of an infectious process . when examined in the lung parenchyma window a slightly patchy ground-glass density is observed in the paracardiac area in the medial side of the middle lobe of the right lung . it is difficult to distinguish from normal parenchyma . there are atelectatic changes in the lung parenchyma adjacent to the vertebral corpuscles secondary to these described . atelectasis is also in its differential diagnosis . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures there are atelectatic changes in the lung parenchyma adjacent to the vertebral corpuscles secondary to these described . vertebral corpus end plates have a tendency to tapering and bridging . diffuse density reduction is observed in bone structures . abdomen stomach cholecystitis clinical correlation is recommended . upper abdominal organs are included in the study partially and evaluated as suboptimal . the gallbladder chamber enters the examination partially and there is a partial fullness at this level which was not observed in the previous examination but in the current examination . lung parenchyma at the apical level there are sequelae changes on both sides . no pathological size and configuration lymph nodes were detected at both hilar levels . mild emphysematous changes are observed in the evaluation of both lungs in the parenchyma window . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures in the right there is a hypodense formation with a slightly sclerotic appearance which partially enters the image at the proximal level . it cannot be evaluated . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . sonographic evaluation is recommended . lung parenchyma there is a fuller appearance in the right hilar region . findings were evaluated in favor of infectious processes . there are nodular thickenings in the right major fissure . when examined in the lung parenchyma window diffuse budded tree images in both lungs bronchiectasis atelectasis in the left lung lower lobe volume loss patchy ground glass densities are observed in the left upper lobe of the left lung and middle lobe of the right lung . it was evaluated in favor of effusion in the first plan . airways trachea both main bronchi are open . mediastinum the pulmonary artery was measured 35 mm the right main pulmonary artery was 23 mm and the left main pulmonary artery was 28 mm and it was wider than normal . the ascending aorta was measured 39 mm the descending aorta 29 mm and the aortic arch 27 mm and it was wider than normal . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . there are calcific atheroma plaques in the coronary arteries . the ascending aorta was measured 39 mm the descending aorta 29 mm and the aortic arch 27 mm and it was wider than normal . it is not distinguished from vascular structures . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs were partially included in the sections and were evaluated as suboptimal . the ascending aorta was measured 39 mm the descending aorta 29 mm and the aortic arch 27 mm and it was wider than normal . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders of both lungs was detected . when examined in the lung parenchyma window as far as it can be observed secondary to motion artifacts linear atelectatic changes were observed in the middle and left lung inferior lingular segments of the right lung . airways trachea and both main bronchi were and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels in the patient whose aortic valve and vessel were a prosthesis was observed at the level of the aortic valve . heart size increased . pericardial effusion-thickening was not observed . dilatation was observed in the ascending aorta and its diameter was 46 mm at this level . osseous structures syndesmophytes bridging each other were observed at the mid-thoracic level . surgical sutures secondary to the previous operation in the sternum were observed . abdomen liver gallbladder spleen both adrenal glands pancreas and both kidneys are normal as far as can be observed within the sections . a 25 cm diameter hypodense lesion was observed in the upper pole of the right kidney cyst . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . there are small lymph nodes with a short axis measuring up to 8 mm in both axillary regions . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma ventilation of both lungs is normal and there is no mass or infiltrative lesion in both lungs . the budding tree appearances and ground glass areas observed in the upper lobe of the right lung in the previous examination of the patient were not observed in this examination . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum there are pathological millimetric lymph nodes in the mediastinum and hilar regions . mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no pathologically enlarged lymph node was observed . there is no upper abdominal free fluid-collection within the sections . lung parenchyma in the evaluation of both lung parenchyma there is focal ground glass density in the posterobasal segment of the lower lobe of the left lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels there is minimal pericardial effusion . the ascending aorta is 5 cm dilated . the heart is in natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . calcific atheroma plaques were observed in the main vascular structures . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when evaluated in both lung parenchyma windows no mass nodule-infiltration was detected in both lung parenchyma . 1-2 millimetric nonspecific parenchymal nodules are observed in the lower lobe of the left lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum calibrations of mediastinal major vascular structures are natural . no lymph node in pathological size and appearance is observed in the supraclavicular fossa axilla and mediastinum . the esophagus is in normal calibration . heart and great vessels heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen there is advanced hepatosteatosis in upper abdominal sections . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . local and linear atelectasis were observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were observed . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen there is no upper abdominal free fluid-collection within the sections . lung parenchyma ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . pleural effusion-thickening was not detected . pericardial pleural effusion was not detected . airways trachea both main bronchi are open . mediastinum mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures vertebral corpus heights are preserved . no lytic or destructive lesions were detected in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma in the evaluation of both lung parenchyma no suspicious nodule mass or infiltration was detected in both lungs . there are bilateral subpleural bands . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures there are degenerative changes in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . in both lungs nonspecific parenchymal nodules some of them calcified were observed with a diameter of 32 mm in the right middle lobe lateral segment and 6 mm in diameter the largest in the lower lobe laterobasal segment on the left . when examined in the lung parenchyma window in both lungs more diffuse centriacinar-paraseptal emphysematous changes were observed in the upper lobes . mild bronchiectatic changes and peribronchial thickening were observed in both lungs . pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe and left lung upper lobe lingular segment . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . osseous structures a degenerative schmorl nodule was observed in the t7 vertebra superior end plate . abdomen as far as can be seen within the sections upper abdominal organs are normal . the right adrenal gland locus is normal and no space-occupying lesion was detected . nodular thickening was observed in the left adrenal gland crus . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . according to the previous examination several millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window minimal bronchiectatic changes were observed in the center of both lungs . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum calcified atherosclerotic changes were observed in the wall of the abdominal aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes and stent materials were observed in the coronary artery wall . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen its contours show lobulation . it is recommended to be evaluated in terms of chronic liver parenchymal disease . postoperative changes and subdiaphragmatic post-op effusion were observed in the operation site . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . spleen size increased . the right kidney was not observed secondary to the operation . in the upper abdominal sections in the study area the left lobe of the liver is hypertrophied . calculus were observed in the gallbladder . collateral veins were observed . parenchymal calcifications were observed in the posterior right lobe of the liver . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a ground glass nodule with a diameter of 5 mm in the apicoposterior segment of the left upper lobe . when examined in the lung parenchyma window sequelae changes are observed in the laterobasal and posterobasal segments of the left lung lower lobe . again there are changes in the superior segment of the lower lobe that are compatible with sequelae with partial calcification . there are sequelae changes at the fissure level on the left . there is a 2 mm diameter nodule in the anterior segment of the left lung upper lobe and a metallic density of approximately 8 mm in the lingular segment . it was evaluated as compatible with sequelae changes in partially calcific appearance in the subpleural area at the posterobasal level in the lower lobe . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures there are millimetric-sized densities compatible with the foreign body within the subcutaneous soft tissue planes on the right half of the chest wall and within the muscle structures on the left . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal sections included in the sections metallic artifact is observed in the right lobe of the liver . lung parenchyma no significant lymph node was detected in both hilar-level non-contrast examinations . sequelae changes are observed at both apical levels . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . consolidative parenchyma areas are observed in the lower lobe of the left lung which are more prominent in the basal segments but also in a focal area in the superior segment accompanied by ground-glass-like density increases around which air bronchograms are found . there are pleuroparenchymal sequelae changes in the posterobasal segment of the left lung lower lobe . no significant pleural effusion was observed in both lungs . a nodule with a diameter of approximately 4 mm is observed in the dorsal subpleural area in the superior segment of the lower lobe . airways calibration of the trachea and main bronchi is normal . mediastinum cto is within the normal range . in the mediastinum multiple lymph nodes are observed in millimetric sizes . catheter appearance is observed in the superior vena cava . calibration of the aortic arch and other major vascular structures is natural . heart and great vessels no relevant findings . osseous structures minimal degenerative changes are observed in the bone structure . abdomen in the sections passing through the upper abdomen a decrease in density consistent with hepatosteatosis is observed in the liver . surrounding soft tissue plans are natural . cto is within the normal range . both adrenals are natural . calibration of the aortic arch and other major vascular structures is natural . lung parenchyma pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . the left lobe of the liver extends to the upper pole of the spleen variation . lung parenchyma no mass with distinguishable borders was detected in the lung parenchyma . there are fibroatelectatic changes at the bases of both lungs . on the left there is pleural fluid reaching a thickness of about 12 mm . when examined in the lung parenchyma window the right diaphragm has an appearance and pleural effusion reaching approximately 18 mm in its thickest part on the right and compressive atelectasis in the adjacent lung are observed . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no lymph node reaching mediastinal pathological dimension was detected . thoracic aorta diameter is normal . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no obvious pathology was detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is fluid in the perihepatic and perisplenic area . there are multiple metastatic masses and calcified metastases in the parenchyma . the liver entering the section area is larger than normal . thoracic aorta diameter is normal . other areas are normal . only the tail part of the pancreas can be observed and it is edematous . upper abdominal organs included in the sections are normal . lung parenchyma in the evaluation of both lung parenchyma 1-2 nodules of low density with a nonspecific appearance are observed with a diameter of 2 mm in the peripheral lung parenchyma in the upper lobe anterior segment of the right lung and 4 mm in diameter in the lower lobe anterobasal segment . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . bilateral adrenal glands appear natural in non-contrast sections passing through the upper part of the abdomen . lung parenchyma in the evaluation of both lung parenchyma patchy ground glass densities are observed peripherally located in the paramediastinal area in the right lung lower lobe superior segment in the lower lobe laterobasal and posterobasal segments in the left lung lower lobe superior segment and in the lower lobe mediobasal segment . it is seen that the center of ground glass densities in the bilateral lower lobe has become more consolidated . subpleural bands are observed in the basal segment of the lower lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the non-contrast examination of the sections passing through the upper part of the abdomen . lung parenchyma right upper-bilateral lower paratracheal few millimetric lymph nodes are observed . in the evaluation of both lung parenchyma in both lung parenchyma compatible with metastasis are observed in many colon ca patients in all segments of the lung in both lobes the largest of which is in the right lung lower lobe basal segment with a size of approximately cm . passive glass appearance is observed in the lung parenchyma adjacent to the effusion . pleural effusion measuring approximately 25 cm in thickness is observed in the right hemithorax in its thickest part . airways trachea and main bronchi are open . mediastinum calcific atherosclerotic plaques are observed in the walls of the aortic arch coronary artery descending and abdominal aorta . no pathological lap was detected in the mediastinum . heart and great vessels no relevant findings . osseous structures posterior longitudinal ligament calcification is observed in the middle dorsal localization dish disease . although the ribs were evaluated as suboptimal due to movement artifacts in the bones no significant lytic-destructive lesion was detected . abdomen calcific atherosclerotic plaques are observed in the walls of the aortic arch coronary artery descending and abdominal aorta . left adrenal gland body part has nodular appearance . in the upper sections passing through the abdomen omental soft tissue are observed in the left quadrant . in the sections passing through the upper part a diffuse appearance is observed in the abdomen . metastases are observed in all segments in both lobes 5 cm in size in the posterior segment of the right lobe of the liver which can be selected without contrast the larger one in both lobes in all segments of the liver . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window bilateral minimal peribronchial thickenings and mild bronchiectatic changes prominent in the center were observed . in both lungs apical pleuroparenchymal sequelae density increases were observed . no mass nodule-infiltration was detected in both lung parenchyma . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there are atelectasis in the right lung middle lobe medial segment left lung upper lobe lingular segment and both lung lower lobes . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . emphysematous changes were observed in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were observed . millimetric atheroma plaque is observed in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fracture lytic-destructive lesion was detected in the bone structures within the sections . periosteal reaction was not detected . abdomen no upper abdominal free fluid-collection was detected in the sections . millimetric atheroma plaque is observed in the aorta . lung parenchyma in lung parenchyma evaluation no pneumonic infiltration or consolidation area was observed in both lung parenchyma . the increase in pleuroparenchymal linear nonspecific density in the apical segment of the right lung upper lobe is consistent with the sequelae change . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . aberrant right subclavian artery variation was observed . esophageal calibration was followed naturally . heart and great vessels calcified atheroma plaque is observed in lad . pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures fracture line is not observed . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window ground-glass densities which can hardly be distinguished from millimetric nodular parenchyma in both lungs especially in the middle lobe of the right lung atelectatic changes in the inferior lingula of the left lung upper lobe and nonspecific nodules of 4 mm in diameter in the lateral side of the right lung middle lobe series 2 image were observed . airways trachea both main bronchi are open . mediastinum there are millimetric nonspecific nodules in the mediastinum . a few small lymph nodes are observed in the mediastinum . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . it was evaluated in favor of aneurysm . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures a finding consistent with hemangioma was observed in the l1 vertebral body . slight tapering was observed in the vertebral corpus end plates . mild s-shaped scoliosis was observed in the dorsal lumbar vertebrae . diffuse density reduction was observed in bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . it was evaluated in favor of aneurysm . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in the left lung upper lobe posterior in a focal area adjacent to the major fissure suspicious ground-glass density of mild nodular character is observed . a millimetric nodule is observed in the middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window diffuse emphysematous appearance and sequela fibrotic changes are observed in both lungs . thickening of the bronchial wall and peribronchial fibrotic changes are observed especially in the lower lobes . in places fibrotic densities are accompanied by faintly limited nonspecific ground glass densities . there are subpleural reticular densities and honeycomb appearances most prominently in the left lingula and lower lobe posterobasal . airways thickening of the bronchial wall and peribronchial fibrotic changes are observed especially in the lower lobes . trachea both main bronchi are open . mediastinum the pulmonary artery is 35 mm and is ectatic . there are lymph nodes in the mediastinum with short axes reaching a diameter of 95 mm . calcific plaques are observed in the aorta and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is 41 mm and is ectatic . heart contour size is normal . osseous structures thoracic severe is observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . calcific plaques are observed in the aorta and coronary arteries . in upper abdominal sections there is a cortical hypodense lesion in the left kidney cyst . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . in addition calcific nodules with a diameter of 45 mm were observed in both lungs the largest of which was in the basal lower lobe of the right lung . it is recommended to evaluate and follow-up together with previous examinations if any . as far as can be observed secondary to motion artifacts parenchymal nodules with a diameter of 7 mm in the middle lobe on the right and 51 mm in diameter in the lower pole laterobasal segment on the left were observed . airways trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative schmorl impressions were observed in the end plateaus at the lower lumbar level . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window linear subsegmental atelectatic changes were observed in the lingular segment of the left lung upper lobe . mass lesion with distinguishable borders - active infiltration was not detected in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are natural . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . defined findings were evaluated in favor of sequelae . when examined in the lung parenchyma window mosaic attenuation pattern was observed in the lung parenchyma small airway disease small vessel disease . widespread pleuroparenchymal fibroatelectasis sequelae and subpleural striations in the lower lobe basal segments were observed in the anterior upper lobe of the right lung the middle lobe the inferior lingular of the left lung and the lower lobe basal segments of both lungs . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . occasionally calcific atheroma plaques were observed in the coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are thickness increases in the interlobular septal areas . there is in both lung fissures . findings are consistent with pulmonary edema and were thought to be secondary to cardiac causes . no space-occupying mass lesion was detected in both lungs . when examined in the lung parenchyma window several lymph nodes were observed in the right lung hilum the largest of which was 12 mm in the short axis . pleural effusions with a thickness of approximately 2 cm in the right lung and approximately 15 cm in the left lung and compression atelectasis in the accompanying parenchyma are observed in both lungs . airways several lymph nodes are observed in the pretracheal area the largest of which is 5 mm in the short axis . mediastinum its contours natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size increased . osseous structures no fracture lytic or destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . its contours natural . calcific atheroma plaques are observed in the aorta and coronary arteries . in the upper abdominal organs included in the sections free fluid is present in the perihepatic area . no space-occupying lesion was detected in the liver that entered the cross-sectional area . evaluation of solid organs and vascular structures is suboptimal since the technique is non-contrast . lung parenchyma an air cyst is observed in the superior segment of the lower lobe of the right lung . when examined in the lung parenchyma window diffuse emphysematous changes and fibrotic densities which are more prominent in the upper lobes of both lungs are observed . it is to be compatible with covid-19 pneumonia . mosaic attenuation pattern is observed in both lungs small airway-small vessel disease . there are interlobar and interlobular septal thickness increases in the peripheral parts and upper lobes of both lungs . the largest of these nodules is observed in the lateral part of the right lung middle lobe and reaches a diameter of about 5 mm . no lymphadenopathy was detected in the mediastinum and at the level of both lung hilum in pathological size and appearance . there is nodular ground glass opacity in the subpleural area in the lateral part of the lower lobe of the left lung . there are nonspecific sequela pulmonary nodules in both lungs some of which are subpleural and calcific in appearance . similar appearances are also observed in the subpleural areas of the lower lobes of both lungs . no pleural effusion or increase in thickness was detected . airways trachea is in the midline both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aorta and coronary arteries . no lymphadenopathy was detected in the mediastinum and at the level of both lung hilum in pathological size and appearance . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels minimal pericardial effusion is observed in the pericardial area . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the upper abdominal organs included in the examination have a natural appearance . calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma although the described appearances are not specific when evaluated together with the clinical preliminary diagnosis these appearances were thought to be compatible with infective pathology viral pneumonia . these findings are among the findings that can be observed in covid-19 pneumonia . there is linear atelectasis in the medial segment of the right lung middle lobe . no mass was detected in both lungs . in the upper and lower lobes of both lungs and in the middle lobe of the right lung especially peripherally located ground glass appearance and nodules with ground glass areas around it are observed . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window linear atelectatic changes are observed in the basal segment of both lung lower lobes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the spleen measures mm and is larger than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few millimetric nonspecific nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there are sometimes linear atelectasis in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when the lung parenchyma window is examined there are bronchiectatic changes in both lungs . subsegmental linear atelectasis areas were observed in the middle lobe of the right lung and the lingular segment of the left lung . pleural effusion-thickening was not detected . there are several nodules in both lungs the largest of which is 8x5 mm in size located subpleural in the anterior segment of the right lung upper lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . lymph nodes with a short axis smaller than 10 mm some of which contain calcification were observed in the pretracheal prevascular and subcarinal hilar regions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is recommended to be evaluated together with the clinic in terms of interstitial fibrosis . a 3 mm diameter nodule is observed in the anterior segment of the left lung upper lobe . when examined in the lung parenchyma window there are findings consistent with emphysema in both lungs . sequelae changes at the apical level blep formations are observed . in both lungs thickening of the interlobular septa especially at the lower lobe levels and a honeycomb appearance are observed at these levels . no lymph node with pathological size and configuration is observed at the hilar level . pneumonia pleural effusion or pneumothorax were not observed in the case . airways no relevant findings . mediastinum aorta calibration is 33 mm wider than normal . calibration of other major vascular structures is natural . multiple millimetric lymph nodes are observed in the mediastinum . heart and great vessels cto is normal . the ascending aorta is calibrated 43 mm wider than normal . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen aorta calibration is 33 mm wider than normal . it was initially evaluated as compatible with adenoma . there is a slight increase in density in the gallbladder which is suspicious for bile sludge . if necessary us examination is recommended . in the upper abdominal organs included in the sections there is a decrease in density consistent with hepatosteatosis in the liver . a nodular formation with a diameter of approximately 10 mm and a density of 8 hu is observed in the medial crus of the left adrenal gland . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are subsegmental atelectasis and dependent density increases in the bilateral lower lobe segments . in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . if there is clinical doubt is recommended . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma lymph node that does not reach the pathological size and configuration at the hilar level is observed . when examined in the lung parenchyma window 2 mm diameter nodule is observed in the posterobasal segment of the lower lobe of the right lung . there was no finding compatible with pleural effusion pneumothorax or pneumonia in both lungs . airways no relevant findings . mediastinum in the mediastinum there are lymph nodes in millimetric sizes . calibration of mediastinal major vascular structures is natural . in the anterior mediastinum there is thymic tissue with trigonal configuration hypodense areas compatible with fat involution which does not show mass effect . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the right lung lower lobe posterobasal segment areas containing air bronchogram compatible with atelectasis-consolidation were observed adjacent to the effusion . subsegmentary atelectatic changes were observed in the lower lobe of the right lung . clinical and laboratory correlation is recommended . when examined in the lung parenchyma window between the bilateral pleural leaves a free pleural effusion measuring 37 mm on the right and 27 mm on the left extending at the level of the fissure on the right was observed . airways bilateral peribronchial thickenings were observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed . as far as can be seen heart size has increased cardiomegaly . there is postoperative suture material in the pericardium . osseous structures metallic suture materials of the sternotomy were observed on the thoracic wall . degenerative changes were observed in bone structures . abdomen calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed . in the upper abdominal sections within the study area the dimensions of both kidneys increased and multiple some hyperdense mostly hypodense lesions were observed in both kidneys polycystic kidney disease . no lytic-destructive lesion was detected . lung parenchyma in the evaluation of both lung parenchyma there are consolidations in the right lung lower lobe superior segment and left lingular segment . pleural effusion-thickening was not detected in both hemithorax . airways it is suboptimal due to motion artifacts . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . emphysematous changes are observed in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are calcifications in the lymph nodes . no pathologically enlarged lymph nodes were observed . millimetric atheroma plaques are observed in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type minimal hiatal hernia at the lower end of the esophagus . therefore it was primarily considered in favor of benign pathology . there is no pathological wall thickness increase in the esophagus within the sections . in the vicinity of the lower end of the esophagus lymph nodes whose borders cannot be distinguished from the esophagus and whose size is in diameter are observed . it is recommended to follow . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen when evaluated together with their density they were thought to be cysts . no mass with distinguishable borders was detected in the peritoneum and omentum . millimetric atheroma plaques are observed in the aorta . there are hypodense lesions in the posterior segment of the right lobe of the liver and in the left kidney that cannot be characterized because of the lack of contrast . no upper abdominal free fluid-collection was detected in the sections . if present the patient should be evaluated together with previous examinations and usg is recommended if there is an indication . lung parenchyma it is understood that the patient with a history of covid pneumonia without sequelae . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdominal sections . lung parenchyma in the evaluation of both lung parenchyma a consolidation area containing air bronchograms is observed in the posterior segment of the right lung upper lobe . a similar appearance is also observed in the right lung lower lobe superior segment . ground glass appearances around the consolidation and interlobular septal thickenings in these ground glass appearances create crazy paving appearance . in addition there are linear pleuroparenchymal recessions in the posterobasal segment of the lower lobe . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . lymph nodes with a narrow diameter of 7 mm in the right upper paratracheal larger one are observed . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen images are observed in both kidneys . lung parenchyma no nodular lesions were detected in both lung parenchyma . the findings are in favor of viral pneumonia . when examined in the lung parenchyma window widespread patchy ground glass areas are observed in both lungs . these findings are also frequently observed in covid-19 pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma radiological findings were evaluated as compatible with lung parenchymal involvement of covid infection . there is mild parenchymal involvement . it is observed in places as ground glass density and increased septal thickness . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . in lung parenchyma evaluation both lungs have localized peribronchial and subpleural consolidation areas . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window no active infiltrating mass was detected in both lungs and there are a few millimetric nodules some of them pure calcified nonspecific in both lungs . pleural effusion-thickening was not detected . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures heart contour and size are normal . no pathological wall increase was detected in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures heart contour and size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no solid mass was detected in the upper abdominal sections within the image . no space-occupying lesion was detected in the liver entering the section area . lung parenchyma clinical laboratory correlation of findings and close follow-up are recommended . when examined in the lung parenchyma window right lung upper lobe anterior paramediastinal left lung upper lobe anterior posterior sternum posterior right lung lower lobe posteriorly paraaortic and paravertebral area right lung lower lobe anterior pleural localized patchy ground glass densities covid-19 viral pneumonia due to current pandemic in the first place evaluated in its favour . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in this localization acinar nodules are present in a focal area . significant bronchial wall thickness increase is observed in both lung segment bronchi . the presence of bronchopneumonia could not be excluded . this appearance may be due to secretions . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . although stenosis was not observed in the lumen calibration the presence of vascular peribronchial lymph nodes was not excluded because the soft tissue densities in the lung hilus were not given contrast material . it is most prominent in the middle lobe of the right lung . mild tubular bronchiectasis and secretions in the lumen are present in the middle lobe of the right lung accompanied by subsegmental linear atelectasis . no pleural effusion was detected . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are normal . no space-occupying lesion was detected in the mediastinal fat pad . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . calcified atherosclerotic plaques are observed in the circumflex and lad . osseous structures hemangioma is present in t3 vertebra posterior . no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections there is a 7 mm diameter fat density lesion compatible with in the left adrenal gland corpus . lung parenchyma when examined in the lung parenchyma window in the upper lobe of the right lung a few millimetric nonspecific nodules located in the superior peripheral are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are included in the study partially and evaluated as suboptimal . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window although there is a decrease in the density of the common consolidation and ground glass densities in both lungs it is observed that these levels tend to coalesce the consolidations are by the ground glass density and its spread slightly increases . airways it is observed that bronchial enlargements and linear fibrotic densities are formed in the existing ground glass areas . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections there is diffuse density loss in the liver . lung parenchyma ventilation of both lungs is natural . a few millimeter-sized nonspecific nodules are observed in both lung parenchyma . in the examination made in the lung parenchyma window active infiltration in both lungs no mass was detected . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels it could not be evaluated optimally due to the lack of contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . mediastinal vascular structures and heart examination iv . osseous structures changes that tend to merge in the vertebral corpus corners and lesions consistent with hemangioma in trabecular pattern are observed in the vertebral corpuscles . vertebra corpus heights and alignments are natural . no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image a hyperdense nodular lesion with a diameter of 7 mm located cortical in the upper pole of the left kidney is observed as far as can be observed within the borders of non-contrast ct . it was evaluated in favor of hemorrhagic cystic lesion . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma no mass infiltration was detected in both lung parenchyma . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window right lung upper lobe volume decreased . several nonspecific parenchymal nodules were observed in the upper lobe of the right lung the larger of which was 3 mm in diameter and the larger one was calcified . there are pleural parenchymal sequelae density increases in the upper lobe of the right lung . in the left lung lower lobe laterobasal segment there are contour irregularities in the pleura and increase in pleural parenchymal sequelae density . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was not contracted . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the mediastinum and heart slightly to the right . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the mediastinum and heart slightly to the right . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no mass or infiltrative lesion was detected in both lungs . in addition there are millimetric nonspecific nodules in both lungs . it is recommended to evaluate and follow up with previous examinations if any . there is a slightly irregularly circumscribed nodule measuring approximately m in the posterior segment of the right lung upper lobe . there is minimal bronchiectasis in the central parts of both lungs . occasional atelectasis was observed in both lungs . because the nodule was small it could not be characterized . there are emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . central venous catheter is seen on the right . no pathologically enlarged lymph nodes were observed . the catheter terminates in the superior distal part of the vena cava . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures this appearance is consistent with the diagnosis of multiple myeloma . widespread low density and lytic lesions consistent with osteopenia are observed in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma there are emphysematous changes in both lungs . when both lung parenchyma windows are evaluated there are atelectatic changes in the lower lobes of both lungs and bilateral free pleural effusion . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mediastinal main vascular structures are natural . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels pericardial mild effusion was observed . as far as can be observed heart sizes have increased . pericardial thickening was not detected . osseous structures degenerative changes were observed in bone structures . it is recommended to be evaluated for dish disease in the right anterolateral aspect of the thoracic vertebra . no lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lungs there are patchy ground glass densities and enlargements in vascular structures in crazy paving pattern . the findings were evaluated in favor of covid-19 viral pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a diffuse density decrease in the bone structures in the study area and there are degenerative height losses . abdomen thoracic aorta diameter is normal . in fascia light is observed in the oily planes . other upper abdominal organs are normal . there are two around the spleen measuring up to 10 mm with the same density as the spleen . lung parenchyma when examined in the lung parenchyma window interlobular septal thickening interstitial involvement and linear sequelae atelectasis areas are observed in both lungs especially in the lower lobes . subpleural recessions are observed and . no pleural effusion or pneumothorax was observed in either hemithorax . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal pretracheal bilateral hilar axillary lymph node is not observed in pathological size or appearance . thoracic esophagus calibration is normal . heart and great vessels heart contour and dimensions are normal . pericardial effusion was not detected . osseous structures no relevant findings . abdomen no increase in wall thickness was detected . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window there is a mosaic attenuation pattern in the right lung middle lobe left lung upper lobe lingular and lower lobes small airway disease small vessel disease . paramediastinal passive atelectatic changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the upper lobe of the left lung . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum calibration of mediastinal hilar vascular structures is natural . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart sizes are slightly increased . as far as can be observed the ascending aorta is wider than normal with an anterior-posterior diameter of 43 mm . osseous structures spur formations bridging with each other were observed in the right anterolateral corner of the vertebrae at the mid-thoracic level . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are linear sequela fibrotic changes in the lower lobes . when examined in the lung parenchyma window a millimetric calcific nodule is observed in the middle lobe of the right lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum the aortic arch is slightly ectatic . there are calcific atheroma plaques in the aorta and its branches . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the vertebrae . abdomen the aortic arch is slightly ectatic . bilateral adrenal glands were normal and no space-occupying lesion was detected . there are calcific atheroma plaques in the aorta and its branches . thoracic aorta diameter is normal . there is a hypodense appearance in the form of a band of approximately mm slightly extending out of the capsule which cannot be evaluated as optimal since the liver partially enters the section in segment . in addition due to the lack of contrast the distinction of vascular structure cannot be made clearly . upper abdominal organs included in the sections are normal . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window sequelae changes are observed bilaterally at the apical level . no finding compatible with pneumonia is observed . no pleural effusion or pneumothorax was detected in both lungs . there is a 2 mm diameter nodule in the lateral subpleural area in the anterior segment of the left lung upper lobe and a 2 mm diameter nodule in the laterobasal segment . there is a subpleural 2 mm diameter nodule in the anterior segment of the right upper lobe and a 4 mm diameter nodule superposed on the interlobar fissure . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . nodular formation which is considered compatible with the accessory spleen is observed in the vicinity of the spleen . when the upper abdominal organs included in the sections were evaluated there is a nonspecific hypodense lesion with a diameter of about 15 mm in the middle part of the spleen . lung parenchyma clinic and lab . it is one of the atypical findings of covid-19 pneumonia and cannot be excluded . tree with bud appearance is observed in bilateral upper lobe lower lobe superior segment and right lung middle lobe . in the evaluation of both lung parenchyma no mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions are detected in the bone structures . abdomen verification is recommended . hepatosteatosis is observed in the sections passing through the upper part of the abdomen . lung parenchyma there are millimetric nonspecific nodules in the bilateral lung parenchyma . when examined in the lung parenchyma window dependent ground glass densities sequela fibrotic changes and subpleural millimetric air cysts are observed in the posterobasal areas of both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there was no finding in favor of pneumonic infiltration-mass in the lung parenchyma . atelectatic changes were observed in the lower lobe and middle lobe of the right lung . atelectasis is clearly observed in the lower lobe . a smear-like effusion was also observed in the left pleural space and compressive atelectasis were observed in the subpleural areas of the lower lobe of the left lung . when examined in the lung parenchyma window effusion which also forms a phantom tumor in the fissure in the right pleural space measuring 33 mm in its widest part was observed . a drainage catheter extending from the intercostal space to the right pleural space was observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels an effusion measuring mm was observed in the thickest part of the pericardial space . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands are normal and no space-occupying lesion is detected . as far as can be seen within the sections it was learned that the patient was a liver right lobe . an incision line is observed on the anterior abdominal wall . liver left lobe contours and parenchyma density are normal . postop changes were observed in the intra-abdominal fatty planes adjacent to the cross-sectional area . other upper abdominal organs are normal . lung parenchyma emphysema areas are observed in the upper lobes of both lungs . increases in pleuroparenchymal calcific density in both upper lobe apical segments of both lungs favor sequelae of previous tb infection . no infiltration in the form of consolidation area was detected in the lung parenchyma . there is loss of lung parenchyma . in the case with covid the presence of pneumonia in these areas cannot be excluded . traction bronchiectasis is present . no suspicious nodular or mass-occupying lesion was detected in the aerated lung parenchyma . fibrosis is observed . in the lung parenchyma there are widespread parenchymal ground glass densities which are observed predomitly in the subpleural areas towards the lower lobes . diffuse plaque-like pleural thickness increase and calcification are observed in the right lung pleura . no pleural effusion was observed . airways although the air passages of the trachea and both main bronchi lobar and segmental bronchi are open mild tracheomegaly is observed . mediastinum there is a slight deviation to the right in the mediastinum . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels focal calcific atherosclerotic plaque is observed in lad . heart dimensions and compartments appear natural . pericardial effusion was not detected . osseous structures there are degenerative changes in bone structures . no lytic-destructive lesion was detected . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window there are sequelae fibrotic changes in the upper lobe apex of both lungs . nodules some of which are calcific 23 mm in size are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pneumonic infiltration was not observed . when examined in the lung parenchyma window there are fibrotic densities in the right lung middle lobe lateral and lower lobe posterior mediobasal . there are bilateral nonspecific nodules with a diameter of 3 mm . slight mosaic density differences are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebrae are degenerative . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is an increase in ground glass density with focal septal thickenings in the left lung inferior lingular segment . clinical-laboratory correlation is recommended . it may be compatible with an infectious process . there are fibroatelectatic changes in both lungs . when examined in the lung parenchyma window mild emphysematous changes are present in both lungs . the view is . in both lung parenchyma parenchymal nodules were observed in different localizations the largest of which was 56 mm in diameter in the lower lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . thoracic kyphosis has increased . abdomen no dilatation was detected in the thoracic aorta . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in the lower lobe superior segment of the right lung focal ground-glass nodules are observed and there are pulmonary nodules in this area that are primarily evaluated in favor of sequelae change . in addition a few millimetric-sized nonspecific pulmonary nodules are observed in both lungs . airways trachea is in the midline both main bronchi are open . mediastinum evaluation of mediastinal structures is suboptimal when the examination is unenhanced . thoracic aorta diameter is normal . mediastinal main vascular structures appear natural . in the mediastinal area no lymphadenopathy was detected in the pathological size and appearance of both lung hilum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures no fractures lytic or sclerotic lesions were detected in bone structures . abdomen skin and subcutaneous fatty tissues have a natural appearance . thoracic aorta diameter is normal . the upper abdominal sections included in the examination have a natural appearance . lung parenchyma no suspicious mass or nodular space-occupying lesion was detected in the lung . no pneumonic consolidation or infiltration area was observed in the lung parenchyma . airways no relevant findings . mediastinum calibrations of mediastinal major vascular structures are natural . no lymph node in pathological size and appearance was observed in the supraclavicular fossa axilla and mediastinum . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no feature was observed in the upper abdomen sections . lung parenchyma consolidation and ground-glass appearance are observed in a small area in the medial segment of the right lung middle lobe . apart from this no mass or infiltrative lesion was detected in both lungs . the described appearance evaluated together with his clinical knowledge was considered to be pneumonic infiltration . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are calcific parenchymal nodules in the bilateral lungs . pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma patchy peripheral-subpleural consolidations were observed in both lungs upper lobes . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma ventilation of both lungs is natural . no active infiltration mass or nodular lesion was observed in both lungs . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . when examined in the lung parenchyma window in bilateral bronchial structures diffuse mild ectasia and peribronchial diffuse mild increase in thickness are evident in the center . mediastinum no lymph nodes in pathological size and appearance were observed in the mediastinum bilateral supraclavicular fossae both axillary regions retropectoral area and bilateral internal mammarian vascular structure neighborhoods . calibration of mediastinal main vascular structures heart contour size is natural . there is no pathological increase in wall thickness in the thoracic esophagus and there is a sliding type hiatal hernia at the lower end . heart and great vessels calibration of mediastinal main vascular structures heart contour size is natural . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in the right lung upper lobe posterior both lung lower lobes right lung middle lobe and left lung inferior segment . subsegmental atelectasis areas are remarkable in the lower lobes of both lungs . bilateral mild pleural effusion was observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be seen a catheter extending to the superior vena cava was observed . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels pericardial minimal effusion was observed . calcified atherosclerotic changes were observed in the coronary artery wall . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the study area liver size was mm spleen size was mm and increased . free fluid was observed in the perihepatic perisplenic area . lung parenchyma in the lateral and medial segments of the right lung middle lobe newly emerged linear atelectasis areas are observed in the examination . when examined in the lung parenchyma window there is a decrease in the size of the consolidations observed in the subpleural areas of the right lung upper lobe posterior segment middle lobe medial segment lower lobe posterobasal segment left lung lower lobe laterobasal segment . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . no pathologically enlarged lymph nodes were observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen thoracic aorta diameter is normal . no upper abdominal free fluid or collection was detected within the sections . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . linear subsegmental atelectatic changes were observed in the basal segments of the lower lobe of the left lung and the lingular segment of the upper lobe of the left lung . when examined in the lung parenchyma window pleuroparenchymal reticulonodular sequelae density increases were observed in both upper lobe and lower lobe superior segments of both lungs . a millimetric calcific nodule was observed in the lingular segment of the left lung upper lobe . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes were observed in the bone structures in the examination area . vertebral corpus heights are preserved . abdomen the gallbladder was not observed operated . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma emphysemato areas are observed in the apex of both lungs . no significant area of infiltration was detected . dependent density increases are observed in the lower lobes of both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . right upper-bilateral lower paratracheal aortopulmonary lymph nodes smaller than 1 cm are observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures there is no lytic-destructive lesion in bone structures . abdomen no significant pathology was observed in the sections passing through the upper part of the abdomen . lung parenchyma linear atelectasis is observed . in addition a slightly ground-glass density area persists in the apicoposterior segment of the upper lobe . in the previous examination significant regression was observed in diffuse ground glass density areas showing confluence in all lobes in both lung parenchyma . linear atelectasis was observed in the posterobasal segment of the left lung lower lobe . when examined in the lung parenchyma window the minimal pleural effusion observed in both hemithoraxes in the previous examination was completely resorbed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there was no finding in favor of acute fracture . when the bone is examined in the window the thoracic kyphosis is preserved and approximately 20 of the height losses of the old impressions are observed in the superior end plateaus of the t4 t5 t6 and t7 and t8 vertebral bodies which were also observed in the previous examination . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there are two stones with diameters of 2 and 5 mm in the right kidney . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma multiple millimetric nodules measuring 6 mm in diameter the largest of which is in the anterior segment of the upper lobe of the right lung are mostly calcific in both lungs . focal atelectasis areas are observed in the left lung upper lobe lingular segment inferior subsegment right lung middle lobe medial segment and both lung lower lobe laterobasal segments . more prominent paraseptal emphysema areas are observed in the upper lobes of both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum there are calcific atheroma plaques in the aortic arch and descending aorta . the diameter of the ascending aorta was 40 mm the aortic arch was 31 mm and the descending aorta was 38 mm and it was wider than normal . multiple millimetric lymph nodes were observed in the mediastinum and no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . no pathological wall thickness increase was observed in the esophagus within the sections . type 1 minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels the diameter of the ascending aorta was 40 mm the aortic arch was 31 mm and the descending aorta was 38 mm and it was wider than normal . a hyperdense appearance which may belong to a stent or calcification is observed in the anterior descending coronary artery . osseous structures in the corners of the corpus of the thoracic vertebrae osteophytes that from place to place anteriorly and focal schmorl nodules are observed in the end plates . no lytic-destructive lesions were detected in the bone structures within the sections . thoracic kyphosis is increased . air image secondary to degeneration is observed in intervertebral disc spaces . abdomen type 1 minimal hiatal hernia is observed at the esophagogastric junction . there are calcific atheroma plaques in the aortic arch and descending aorta . the diameter of the ascending aorta was 40 mm the aortic arch was 31 mm and the descending aorta was 38 mm and it was wider than normal . it is stable . as far as can be evaluated within the limits of non-contrast ct nodular thickness increase up to 10 mm is observed in the left adrenal gland corpus and medial crus . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma an oval-shaped nodule of approximately 5x4 mm in size is observed in the posterior segment of the right lung upper lobe . there are densities compatible with postoperative changes in the hilum and line . the nodular lesions in the left lung observed in the previous examination and the pleuroparenchymal density increases observed in the basal regressed significantly in the current examination . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . densities compatible with pleuroparenchymal sequelae are observed in the lower lobe basal part of the left lung . consolidative lesion observed in the right lung in the paramediastinal area adjacent to the right atrium is observed as cavitation in the current examination . no pathological size and configuration of lymph nodes were detected at both hilar levels . in the previous examination it was 15x11 mm in size and had not significantly regressed . however other nodular appearances and ground glass-like density increases observed in the previous examination were not detected in the current examination . in the lower lobe of the right lung pleuroparenchymal sequela changes extending towards the posterior segment of the upper lobe and irregular thickening of the pleura are observed . bilateral pleural effusion pneumothorax were not detected . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum pulmonary trunk calibration both pulmonary arteries are natural . the aortic arch calibration is 30 mm wider than normal . millimetric sized lymph nodes are observed in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto increased in favor of the heart . its walls are slightly irregular and occasionally nodular . left heart dimensions especially left atrium are prominent . osseous structures vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen the spleen is observed to be larger than normal . surrounding soft tissue plans are natural . the aortic arch calibration is 30 mm wider than normal . in the evaluation of upper abdominal organs including sections a drainage catheter extending from the skin to the common bile duct is observed in a liver . there is a vascular graft at the level of the line . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there are nodules of nonspecific millimetric size in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window segmental-subsegmental peribronchial thickening and prominent luminal narrowing were observed in both lungs . the mosaic attenuation pattern was thought to be secondary to small airway disease . a few millimetric pulmonary nodules were observed in both lungs . mosaic attenuation pattern was observed in both lungs . reticulonodular density increases and areas of paraseptal emphysema were observed in both lung apexes . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum calcific atheroma plaques were observed in the aortic arch and its supraaortic branches . in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . calcific atheroma plaques were observed in the aortic arch and its supraaortic branches . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal ground glass densities adjacent to the major fissure in the upper lobe posterior on the right . when examined in the lung parenchyma window multiple nodules some of which tend to merge and the larger ones reaching 24 mm in diameter anteriorly in the left lower lobe are observed in both lung parenchyma . minimal pleural effusion is observed on the right . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels nodular lesions with a size of mm are observed in the fatty tissue . pericardial effusion with the largest diameter of 20 mm is present . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen its contours are irregular . bilateral adrenal glands were normal and no space-occupying lesion was detected . perihepatic perisplenic free fluid is present . when the upper abdominal organs included in the sections were evaluated the liver is diffusely heterogeneous and larger than normal . lung parenchyma the irregular bordered nodule observed in the middle lobe of the right lung in previous examinations is completely regressed in the current examination . when examined in the lung parenchyma window linear density increases and minimal structural distortion were observed in favor of pleuroparenchymal sequela fibrotic changes in both lung mm in diameter in the superior segment of the right lung lower lobe . no infiltrative lesion or mass with distinguishable borders was observed in both lungs . occasionally linear atelectasis was observed in both lungs . there are minimal emphysematous changes in both lungs . airways trachea both main bronchi are in the middle and no obstructive pathology was observed in the lumen . mediastinum in the mediastinum and both axillae lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed . mediastinal structures cannot be evaluated optimally because no contrast material is given . atheroma plaques were observed in the thoracic aorta and coronary arteries . pulmonary artery diameters are normal . arch and descending aorta diameters are normal . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta measures 41 mm in diameter and is wider than normal . as far as can be observed the heart contour and size are normal . osseous structures diffuse degenerative changes were observed in the thoracolumbar vertebrae within the sections . abdomen arch and descending aorta diameters are normal . although optimal evaluation cannot be made in non-contrast sections as far as can be observed no mass with distinguishable borders was observed in the liver gall bladder spleen pancreas and both adrenal glands . no calculi were detected in both kidneys including the sections . atheroma plaques were observed in the thoracic aorta and coronary arteries . lung parenchyma both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma . in addition there are nonspecific pulmonary nodules under 3 mm in both lungs . in the presence of clinical correlation it can be evaluated secondary to the infective process . when examined in the lung parenchyma window there are ground-glass nodules with irregular borders in both upper lobes of the lungs . however follow-up is recommended after treatment . pleural effusion-thickening was not detected . airways there is deviation in the trachea . trachea both main bronchi are open . mediastinum there are calcific plaque formations in the aortic arch and coronary arteries . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . there is minimal hiatal hernia . heart and great vessels pericardial effusion-thickening was not observed . there are calcific plaque formations in the aortic arch and coronary arteries . cto increased in favor of the heart . osseous structures there are widespread osteodegenerative changes in the vertebrae and bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there are calcific plaque formations in the aortic arch and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the largest of the nodules was measured in the left lung lower lobe laterobasal segment with a diameter of 6 mm . bronchiectasis peribronchial thickening appearances bud tree appearances and reticulonodular consolidations are observed in the lower lobes of both lungs right lung middle lobe medial segment left lung lingula inferior segment . the appearance was primarily evaluated as infective bronchiectasis . there are also peripherally located bulla-bleb formations in both lungs and the largest bulla was measured as cm in the lower laterobasal segment of the left lung . when examined in the lung parenchyma window sequelae fibrotic and atelectatic changes are observed in the apex of both lungs . calcified parenchymal nodules are observed in both lungs . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum calcified atheroma plaques are observed in the mediastinal main vascular structures . in the mediastinal prevascular area in the aortopulmonary window in the paratracheal area lymph nodes with a short diameter reaching 8 mm some of which are calcified are observed . an appearance of 9 mm diameter soft tissue density is observed in the anterior mediastinum lymph node . there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the diameter of the ascending aorta was 37 mm . the heart is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen type 1 hiatal hernia is observed distal . in the evaluation of the upper abdominal organs that enter the imaging field first of all hypodense appearance compatible with cortical cyst is observed in the right kidney . lung parenchyma locally sequela parenchymal changes were observed . there are emphysematous changes in both lungs . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . a few non-specific nodules in millimetric dimensions were observed . no pericardial pleural effusion or thickening was detected . airways trachea and right main bronchus are open . no obstructive pathology was detected . tracheostomy was observed . mediastinum no lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . sliding type hiatal hernia was observed at the lower end . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . there are calcified atheroma plaques on the wall of coronary vascular structures . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no solid-cystic mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . no intraabdominal free fluid or loculated collection is observed . lung parenchyma at the hilar level no bilaterally pathologically sized and configured lymph nodes were detected . when examined in the lung parenchyma window in the anterior segment of the upper lobe of the right lung superposed nodules with a diameter of 5 mm are observed on a minor fissure with a diameter of 2 mm . there is a 5 mm diameter nodule in the left lung superior to the interlobar fissure . no significant pleural effusion pneumothorax was detected . airways no relevant findings . mediastinum millimetric sized lymph nodes are observed in the mediastinum . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen mild hiatal hernia is observed in the sections passing through the upper abdomen . there is a slight decrease in density consistent with hepatosteatosis in the liver . surrounding soft tissue plans are natural . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . right upper-lower paratracheal aorticopulmonary lymph node in millimetric size is observed . heart and great vessels no relevant findings . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . hypodense cysts with a diameter of 25 cm in the upper pole of the right kidney and 6 mm in diameter in the lower pole are observed . no additional pathology was distinguished in the abdominal sections . lung parenchyma at basal level minimal densities compatible with pleuroparenchymal sequelae are observed . when examined in the lung parenchyma window both lungs are mildly emphysematous . there is operative density at the hilus level . bilateral pneumonia pleural effusion or pneumothorax were not detected . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen the gallbladder was not observed within the sections . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . a slightly hyperdense formation with a diameter of 9 mm is observed in the posteromedial aspect of the left kidney entering the sections hemorrhagic cyst solid lesion . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma covid-19 pneumonia is bilateral and when unilateral it generally the lower lobes . it is recommended to evaluate the patient together with laboratory findings . however the peripheral location of the described icy area and the enlarged vascular structure in it are still typical for covid-19 pneumonia . no mass was detected in both lungs . there is enlargement in the vascular structure within the ground glass appearance . viral pneumonia which is indicated in the clinical preliminary diagnosis may cause this appearance . a ground-glass appearance is observed in the subpleural area in the medial segment of the right lung middle lobe . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because no contrast material is given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are a few millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma . no pleural effusion was observed . airways trachea both main bronchi lobar and segmental bronchi air passages are open . mediastinum no lymph node in pathological size and appearance was observed in the supraclavicular fossa in the axilla within the cross-section and in the mediastinum at the ct limits without contrast . calibration of mediastinal major vascular structures is of normal width . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma both lungs appear emphysematous . the area was measured mm at its widest point . millimetric nodules were observed in the lung parenchyma . a area was observed in the soft tissue density extending along the left middle and lower lobe bronchi in the central right lung and obliterating the lower lobe bronchus . no pneumonic infiltration was detected in both lungs . no significant difference was detected . it was measured mm in the previous examination . the described findings are also present in the previous examination of the patient . diffuse interlobular septal thickenings were observed in the peripheral subpleural areas of both lungs . sequelae thickening was observed in the posterior costal pleura in the right hemithorax . bilateral pleural effusion was not observed . airways no occlusive pathology was observed in the lumen of the trachea and main bronchus . the nodule in the thyroid has displaced the trachea to the right . mediastinum thoracic aorta is tortuous and elongated . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of mediastinal main vascular structures is natural as far as can be observed . calcific atheroma plaques were observed in the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures spur formations bridging each other were observed at the thoracic level . no lytic or destructive lesion in favor of metastasis was observed in the bone structures included in the examination area . abdomen thoracic aorta is tortuous and elongated . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen on non-contrast sections . calcific atheroma plaques were observed in the aortic arch . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma fluid appearances at the level of the fissure are observed on both sides more prominent on the right . branch with bud appearance is observed in the anterior segment of the right lung upper lobe . at basal level parenchymal bands are observed . there are pleuroparenchymal density increases evaluated in favor of sequela change in the middle lobe . again in the posterior segment caudal bud branch appearance and a ground-glass-like density increase with focal are observed . there are pleuroparenchymal density increases in the inferior lingular segment of the left lung . in the non-contrast examination no pathological size and visible lymph nodes were detected at both hilar levels . in both lungs pleural effusion extending from basal to mid-level is 32 mm on the right and 11 mm on the left and mildly compressive atelectatic lung segments are observed adjacent to it . airways there is thickening of the bronchovascular sheath . mediastinum in the descending and ascending aorta the main branches of the aortic arch calcific plaques are observed in the coronal arteries . it is wider than normal . multiple lymph nodes are observed in the subcarinal area in the aorticopulmonary window at the prevascular level in the upper-lower paratracheal area the largest of which is mm in size in the area . calcific atheroma plaques are observed in the abdominal aorta . in the mediastinum the aortic arch calibration was measured as 32 mm and was wider than normal . heart and great vessels in the descending and ascending aorta the main branches of the aortic arch calcific plaques are observed in the coronal arteries . cardiac pacemaker is observed at the left pectoral level and its catheters extend to the ventricular apex . density increases are observed at the level of the mitral valve . the ascending and descending calibration is natural . cto increased in favor of the heart . osseous structures degenerative changes are observed in the bone structure . abdomen liver spleen and pancreas appear natural on non-contrast images . a 10 mm diameter calculus is observed in the gallbladder . in the descending and ascending aorta the main branches of the aortic arch calcific plaques are observed in the coronal arteries . it is wider than normal . calcific atheroma plaques are observed in the abdominal aorta . a large cortical cyst is observed in the right kidney . there are cortical and parapelvic cysts in the left kidney . in the mediastinum the aortic arch calibration was measured as 32 mm and was wider than normal . the gallbladder appears distended . surrounding soft tissue planes are natural . lung parenchyma there are millimetric nodules in both ventilated lungs . as far as can be observed the left lung is atelectatic except for a small portion in the upper lobe . in the left pulmonary hilus a soft tissue mass surrounding the distal part of the left main bronchus and lower lobe bronchi and to the mediastinal structures is observed . however diffuse emphysematous changes in both lungs and a honeycomb appearance were observed in the lower lobe of the right lung and in the lateral parts of the middle lobe which was evaluated in favor of lung disease . no infiltrative lesion was detected in the right lung and the aerated left lung . although the described appearance cannot be clearly differentiated from atelectatic lung it was first thought to be the patients primary mass . there is no pleural effusion on the right . pleural effusion is observed on the left . airways no relevant findings . mediastinum the widths of the mediastinal main vascular structures are normal . the largest of these lymphadenopathies is observed in the paratracheal region and measures approximately mm . no pathologically enlarged lymph nodes were observed . in addition there are lymphadenopathies in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels heart contour and size are normal . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no active infiltration or nodular lesion was detected in both lungs . when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . smooth interlobular septal thickness increases and pleural parenchymal sequelae bands are observed more clearly in the upper lobes of both lungs . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum there are calcific atheromatous plaques in the wall of the aortic arch . in the mediastinum there are no lymph nodes in pathological size and appearance in both axillary regions and there are lymph nodes in the mediastinum with a fusiform configuration the largest of which is at the precarinal level and the diameter reaches 10 mm . calibration of other mediastinal major vascular structures is within normal limits . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed the transverse diameter of the pulmonary trunk is 35 mm wider than normal . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels heart contour size is natural . osseous structures no lytic or destructive lesions were detected in bone structures . there is an increase in thoracic kyphosis in the bone structures within the image osteophytic degenerative changes that tend to merge at the vertebral corpus corners and a decrease in lower thoracic intervertebral disc heights . abdomen no free fluid-loculated collection was observed . as far as can be seen within the limits of non-contrast ct in the upper abdominal sections within the image no solid mass was detected . there are calcific atheromatous plaques in the wall of the aortic arch . lung parenchyma in the evaluation of both lung parenchyma in the upper lobe of the right lung thickening along the bronchovascular trace and millimetric nodular densities are observed . although the examination is without contrast in the patient with a diagnosis of sarcoidosis significant hilar lap is not selected . in addition there are thick nodules pleuroparenchymal sequelae in the left lung apex . in the left lung upper lobe apicoposterior segment and lingular segment millimeter-sized budding tree appearances are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum in the non-contrast examination 1-2 lymph nodes with a right upper-bilateral lower paratracheal narrow diameter less than 1 cm are observed . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there are bilateral asymmetrical peripheral consolidation areas in both lungs that become prominent towards the bases . radiological findings are compatible with covid pneumonia . there is an uptake pattern in the upper lobes in the form of ground glass opacity . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures in the supraclavicular fossa no lymph node was observed in the axilla in pathological size and appearance . abdomen no features were detected in the upper abdomen sections . in this examination there is a hypodense lesion with a diameter of 9 mm in the right kidney which cannot be distinguished from solid-cystic . lung parenchyma it is followed by a 6x3 mm nodule superposed on the major fissure on the right . a 4 mm diameter nodule is observed in the posterobasal segment of the lower lobe . there is a 2 mm diameter nodule in the anterior segment of the left lung upper lobe . there was no finding in favor of pneumonia . no pleural effusion or pneumothorax was observed . airways when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum no pathological size and configuration lymph nodes were detected at the mediastinal and hilar level . in the anterior mediastinum thymic tissue with trigonal configuration without mass effect is observed . calibration of mediastinal major vascular structures is normal . heart and great vessels cto is normal . osseous structures there are mild degenerative changes in the bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no detectable prominent lymph nodes were detected in both hilar-level non-contrast examinations . bilaterally density increases compatible with pleuroparenchymal sequelae are observed at the apical level . there are consolidative parenchyma areas with air bronchograms in the basal segments on both sides adjacent to the fluid . fluid extends slightly towards the interlobar fissure on both sides . mild thickenings are observed in the interlobular septa in both lungs . scattered peripherally located ground-glass-like density increases are observed in both lungs . when examined in the lung parenchyma window there is pleural effusion in the middle-lower zones of both lungs reaching 32 mm in thickness on the right and 21 mm in the left . airways trachea both main bronchi are open . mediastinum lymph nodes are observed in the mediastinum in the upper-lower paratracheal area in the aorticopulmonary window in the prevascular level in the subcarinal area and multiple lymph nodes are observed in the subcarinal area the largest of which cannot be clearly distinguished from the esophagus but approximately mm in size . the pulmonary trunk caliber is 31 mm wider than normal . calibration of the right pulmonary artery left pulmonary artery and other mediastinal major vascular structures are normal . a catheter view extending from the right subclavian vein to the superior vena cava is observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto slightly increased in favor of the heart . osseous structures fusion view is observed in the anterolateral of the 4th rib on the right . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections there is a mild appearance in the liver . the spleen is larger than normal . there is lobulation in the contours of the left kidney and a slight prominence is observed in the parts that are visible in the collecting system . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . considering the clinical knowledge of the patient it was evaluated in favor of opportunistic infections in the first place . paraseptal emphysema is observed in the upper lobes of both lungs . in both lungs there are centriacinar nodular density increases accompanied by ground glass areas more prominently in the lower lobes and areas of patchy consolidation in the lower lobes accompanied by areas of linear atelectasis . airways minimal central bronchiectasis and accompanying minimal peribronchial thickness increase are observed . no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . the central venous catheter placed through the right internal jugular vein terminates at the superior-right atrium junction of the vena cava . no pathological increase in wall thickness was detected in the esophagus . heart and great vessels the left atrium is dilated . minimal pericardial effusion is observed . calcific atheroma plaques are observed in the coronary arteries . heart contour and size are normal . osseous structures there is a compression fracture in the l1 vertebral body that causes about 50 loss of height . there is less than 50 height loss in t12 and l2 vertebrae . diffuse lytic bone metastases are observed in the thoracolumbar vertebrae and right clavicle in the patient followed up for multiple myeloma . in vertebrae there is a hyperdense appearance of in their corpuscles . abdomen the thickness of both kidneys parenchyma is thinned in places . as far as it can be evaluated within the limits of non-contrast ct there is no mass with distinguishable borders in the upper abdominal organs . lung parenchyma mass lesion with distinguishable borders in both lungs no active infiltration was detected . when examined in the lung parenchyma window pleuroparenchymal fibroatelectatic sequelae changes were observed in the paracardiac areas of the right lung middle lobe medial segment and in the left lung upper lobe inferior lingular segment . mosaic attenuation was found to be secondary to small airway obstruction . segmentary-subsegmental peribronchial thickening and luminal narrowing were observed in both lungs . a few millimetric nonspecific pulmonary nodules were observed in both lungs . there is a mosaic attenuation pattern in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum calcific atheroma plaques were observed in the aortic arch and lad . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes were observed in the bone structures in the examination area . abdomen calcific atheroma plaques were observed in the aortic arch and lad . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook is consistent with covid-19 pneumonia . consolidations are accompanied by linear atelectasis . when examined in the lung parenchyma window multilobar multisegmental peripheral weighted crazy paving pattern and ground glass consolidations with signs of vascular enlargement were observed in both lungs . in the lung parenchyma no distinguishable mass lesion-active infiltration was detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the aortic valve is calcified . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition the area of stable focal consolidation in the posterior segment of the right lung upper lobe was evaluated as mostly sequela parenchymal changes . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . calcific plaques are observed in the coronary arteries and descending aorta . right upper-bilateral lower paratracheal aortopulmonary a few millimetric lymph nodes are observed . heart and great vessels calcific plaques are observed in the coronary arteries and descending aorta . osseous structures degenerative changes are observed in bone structures . abdomen calcific plaques are observed in the coronary arteries and descending aorta . lung parenchyma there is mild parenchyma involvement . an air cyst was observed in the posterior segment of the upper lobe of the right lung . radiological findings are compatible with covid pneumonia . it is more prominent in the apical segments . in the upper lobe of the right lung patchy ground-glass infiltration areas and accompanying mild septal thickness increases are observed . a slight increase in lung parenchyma density was observed in the lower lobe of the left lung and linear atelectasis was observed in both lung lower lobes . when the lung parenchyma window is examined there is an increase in emphysematous aeration in both lungs . clinical follow-up would be appropriate . no pleural effusion was detected . airways trachea both main bronchi lobar and segmental bronchi air passages are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . no space-occupying lesion was detected in the mediastinal fat pad . heart and great vessels a slight increase in fusiform diameter due to atherosclerotic plaques is observed in the proximal lad . heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . there is scoliosis at the upper thoracic level . abdomen no loculated or free fluid was observed in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window sequelae fibrotic changes in both lungs millimetric calcific sequela nodules in the right middle lobe are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . apart from that the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries . the ascending aorta is ectatic 40 mm . apart from that the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . anterior osteophytes are present in the vertebrae . abdomen slight thickening is observed in the left adrenal gland genus . right adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum millimeter sized calcific plaque is observed in the aortic arch . no pathological lap was detected in the mediastinum . right upper-bilateral lower paratracheal prevascular aortopulmonary lymph nodes with millimetric size are observed . heart and great vessels no relevant findings . osseous structures no lytic destructive lesion was observed in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . millimeter sized calcific plaque is observed in the aortic arch . the gallbladder is operated . density reduction compatible with hepatosteatosis is in the liver . lung parenchyma when examined in the lung parenchyma window a few millimetric non-specific nodules are observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no mass infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma there is linear atelectasis in the lingular segment of the left lung upper lobe . no mass or infiltrative lesion was detected in both lungs . millimetric nodules were observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum there are no pathologically sized and configured lymph nodes in the mediastinum and hilar level . calibration of major vascular structures in the mediastinum is natural . there was no mass effect in the anterior mediastinum . thymic tissue with trigonal configuration is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook is in favor of viral pneumonia . these findings are frequently observed in covid-19 pneumonia . when examined in the lung parenchyma window minimal bronchiectatic changes and areas of linear subsegmental atelectasis are observed in the lower lobes of both lungs . ground-glass densities are observed in the parenchyma of both lungs in a widespread patchy style and subpleural weight . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are observed in the aorta and coronary arteries . calibration of other mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . calcific plaques are observed in the aorta and coronary arteries . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calcific plaques are observed in the aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in sections multiple cysts are observed in both kidneys . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook is in favor of viral pneumonia . when examined in the lung parenchyma window widespread patchy ground glass densities are observed in both lungs . these findings are also frequently observed in covid-19 pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window diffuse diffuse ground glass densities are observed in both lungs in a patchy manner . slightly dilated vessels and mild bronchiectasis are present at the described ground glass densities . the described frosted glass densities are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the gallbladder entering the cross-sectional area 2 hyperdense findings of 7 mm in size are compatible with stones . clinical and laboratory correlation and follow-up are recommended . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is recommended to evaluate the case with clinical and laboratory findings in terms of covid pneumonia . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . in the evaluation of both lungs in the parenchyma window especially in the posterior and basal areas significant and ground-glass-like density increases that create confluence at these levels are observed . pleural effusion-thickening was not detected . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum thoracic aorta diameter is normal . calibration of major vascular structures in the mediastinum is natural . lymph nodes with pathological size and configuration are not observed in both hilar levels and mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen nodular formation which is considered compatible with the 5 mm diameter accessory spleen is observed in the anterior neighborhood of the spleen . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . a decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . the spleen is natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is also consolidation in a smaller area in the left lung upper lobe lingular segment . the described manifestations were evaluated primarily in favor of pneumonic infiltration . emphysematous changes in both lungs and pleuroparenchymal sequelae changes in both lung apex are observed . the fact that the lesions are located more posteriorly to mind aspiration . no mass was detected in both lungs . consolidation is observed in both lung lower lobes . consolidation is accompanied by areas of ground glass in the left lung . there is minimal pleural effusion on the left . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the main pulmonary artery diameter was 32 mm and wider than normal . atheroma plaques are observed in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . there is no pericardial effusion . coronary arteries also have atheroma plaques . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen atheroma plaques are observed in the aorta . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no mass or infiltrative lesion was observed in both lungs . there are emphysematous changes in both lungs . in addition linear atelectasis are observed in the lower lobes of the right lung . pleural effusion is observed on the left . there is lower lobe atelectasis of the lung adjacent to the pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum there is a central venous catheter on the right and the catheter terminates at the superior vena cava-right atrium junction . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . the main pulmonary artery diameter was 33 mm and was wider than normal . mediastinal cannot be evaluated optimally because no contrast agent is given . anteroposterior diameters of the aortic arch are normal . there is no pathology wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . the ascending aorta measures 46 mm in anterior-posterior diameter and is wider than normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . intervertebral disc distances are narrowed . abdomen no upper abdominal free fluid-collection was detected in the sections . anteroposterior diameters of the aortic arch are normal . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window peripherally located nodular crazy paving pattern formed in both lungs ground glass densities that can be seen with are observed and the appearance is suspicious for early covid-19 pneumonia . density increases of reticular fibrotic sequelae were observed in both lung apexes . mass lesion with distinguishable borders - active infiltration was not detected in both lungs . subsegmental atelectatic changes were observed in the left lung inferior lingular segment and right lung middle lobe medial . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum calibration of other mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . as far as can be seen the anterior-posterior diameter of the ascending aorta was 42 mm and it was observed wider than normal . osseous structures mild with left opening was observed at the upper thoracic level . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric calculi images were observed in the lower pole of both kidneys . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window atelectasis in the form of linear thick bands are observed at the basal levels of the lower lobes of both lungs . clinical laboratory correlation is recommended . in the lower lobe of the right lung there is a consolidation area in the form of a thick band in the form of atelectasis superiorly including an air bronchogram sign . the findings were evaluated in favor of pneumonia . a millimetric non-specific nodule is observed in the upper lobe of the right lung in series 2 image . spleen size increased . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . thoracic aorta diameter is normal . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma there are fibrotic recessions at both apical levels . when examined in the lung parenchyma window there are paraseptal emphysema at the apical levels of both lungs . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a nonspecific parenchymal nodule with a diameter of 5 mm was observed at the fissure level in the middle lobe of the right lung . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in addition there are millimetric nonspecific nodules in both lungs . apart from this no pneumonic infiltration was detected in the lungs . newly developed nodules are observed in the posterobasal segment of the left lung lower lobe mm in size subpleural 3 mm in the anterior left lower lobe and 9 mm in the medial side of the right lung middle lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there are aortic and coronary artery atherosclerosis sternotomy degenerative changes in the vertebrae . heart and great vessels there are aortic and coronary artery atherosclerosis sternotomy degenerative changes in the vertebrae . osseous structures there are metastatic lesions in all bone structures entering the section area . no significant difference was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . there are aortic and coronary artery atherosclerosis sternotomy degenerative changes in the vertebrae . lung parenchyma there is no mass or infiltrative lesion in both lungs . minimal peribronchial thickening was observed in both lungs especially in the central parts . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . periosteal reaction was not observed . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma it is stable . no mass lesion-active infiltration with distinguishable borders was detected in this background . when examined in the lung parenchyma window emphysematous changes are observed in both lungs and are stable . millimetric sized calcific nodules were observed in the right lung middle lobe and upper lobe anterior segment . 1 in the previous ct scan infiltration areas accompanied by linear subpleural lines and atelectasis in the subpleural areas of both lungs and the accompanying ground glass densities decreased in the current examination . pericardial-pleural effusion-thickening was not observed . airways trachea both main bronchi are open . mediastinum lymph nodes with short axes not exceeding 1 cm in the mediastinum are stable . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels mediastinal main vascular structures heart contour size are normal . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma emphysematous changes are present in both lungs . no mass or infiltrative lesion was detected in both lungs . there is bilateral minimal effusion . there are local interlobular septal thickenings in the upper lobes of both lungs . this view is nonspecific . there are occasional atelectasis in both lungs . however when evaluated together with pleural effusion and cardiac findings it was thought that this appearance might belong to a cardiac pathology . airways no occlusive pathology was detected in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . no enlarged lymph nodes in pathological dimensions were detected . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels cardiac pacemaker is observed in the left hemithorax and the pacemaker materials end in the right heart . pericardial effusion and thickening were not detected . as far as can be observed the heart is larger than normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen liver contours are irregular . there is free fluid in the perihepatic and perisplenic regions . it is recommended that the patient be evaluated for liver parenchymal disease . atheroma plaques are observed in the aorta and coronary arteries . no upper abdominal pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum as far as can be observed there is a variation of aberrant right subclavian artery with retroesophageal course . thoracic aorta calibration is natural . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta calibration is natural . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window linear subsegmental atelectasis areas and fibrotic linear densities are observed in the right lung middle lobe medial segment and left lung lateral lingular segment . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a few nodular opacities were observed in the transverse colon lumen included in the examination and no could be made . upper abdominal organs included in the sections are normal . it is appropriate to evaluate the patient together with the clinic . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . density increases consistent with pleuroparenchymal sequelae were observed in both lungs at the apical level . a heterogeneous nodule with irregular borders approximately mm in size is observed in the anterior segment caudal of the upper lobe of the right lung . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . sequelae changes are observed in the inferior lingular segment of the left lung . no significant pleural effusion or pneumothorax was detected in both lungs . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . in the anterior mediastinum there is thymic tissue which does not show a mass effect in which areas of fat density are observed in a faint border . hiatal hernia is observed . heart and great vessels cto is within the normal range . osseous structures no relevant findings . abdomen surrounding soft tissue plans are natural . in the sections passing through the upper abdomen the gallbladder was not observed in the lodge . both adrenals are natural . hiatal hernia is observed . lung parenchyma there is no mass or infiltrative lesion in the left lung and in the right aerated lung . no mass or infiltrative lesion was detected in both lungs . the right lung is almost completely atelectatic except for a small area . a mosaic attenuation pattern was observed in both ventilated lungs small airway disease small vessel disease . there are several millimetric nodules in the left lung . massive pleural effusion is observed on the right . no pleural effusion was detected on the left . pleural effusion is locally loculated . airways no relevant findings . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . the diameters of the pulmonary arteries have increased . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels pericardial effusion was not detected . as far as can be observed the heart is larger than normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma radiological findings were evaluated as compatible with lung parenchymal involvement of covid infection . in lung parenchyma evaluation in the upper and lower lobes of both lungs there are atypical pneumonic infiltration areas in the form of bilateral diffuse predomitly subpleural ground-glass density and increased septal thickness . airways no relevant findings . mediastinum in the mediastinum bilateral lower paratracheal and millimetric lymph nodes are observed . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen there is mild hepatosteatosis in upper abdominal sections . lung parenchyma several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions the largest in the right lower paratracheal area and no significant difference was found between their number and size . several nodules with a diameter of 3 mm are observed in both lungs the largest of which is in the lateral segment of the left lung lower lobe . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the width of the mediastinal main vascular structures is normal . several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions the largest in the right lower paratracheal area and no significant difference was found between their number and size . an appearance compatible with thymic remt is observed in the anterior mediastinum . sliding type hiatal hernia is observed at the esophagogastric junction . no pathological increase in wall thickness was detected in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma when examined in the lung parenchyma window sequelae linear fibrotic densities are present in the apical segments of both lungs . in the left lung no subpleural nonspecific nodule with a diameter of 15 mm was detected located laterally in the lower lobe superior segment . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a millimetric calcified lymph node was observed in the right hilar region . pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe . when both lungs are evaluated in the parenchyma window emphysematous changes are observed in the upper lobe of the right lung . one or two calcified nonspecific parenchymal nodules of millimetric size were observed in the right lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and left hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . hypodense lesions with a hu value of mm in the left adrenal gland and mm in the medial crus of the right adrenal gland with an average hu of 6 on the right and 8 on the left were observed adenoma . lung parenchyma no newly developed lesion was observed . in the patient followed up due to all it is seen that the size of the irregularly circumscribed infiltrates some of which are cavitary nodular located in the parenchyma of both lungs are reduced . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma the ct uptake index was evaluated as 44 . in the evaluation of both lung parenchyma diffuse patches peripheral-subpleural ground glass density crazy paving appearances and consolidations were observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures vertebral corpus corners have degenerative osteophyte . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific atheroma plaques were observed in the main vascular structures . there are appearances of calyx stones in the left kidney . cysts are observed in bilateral kidneys . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window millimetric nonspecific parenchymal nodules were observed in both lungs . thin-walled parenchymal air cysts were observed on the diaphragmatic face in the basal segment of the left lung lower lobe . atelectatic changes were observed in the mediobasal subsegment of the left lung upper lobe inferior lingular and lower lobe anteromediobasal segment . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen in the sections the upper abdominal organs are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . a 35 mm diameter calculus was observed in the lower pole of the left kidney . the spleen was not observed operated . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequelae changes are observed in the left lung inferior lingular segment and right lung middle lobe medial segment . there is a 95 millimeter nodule in the apical segment of the left lung upper lobe in which sequelae structures are also observed . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no relevant findings . abdomen thoracic aorta diameter is normal . in the upper abdomen sections within the image a 15 millimeter stone is observed in the gallbladder lumen . cortical exophytic lesions with hypodense fluid density are observed cyst with a size of 50 millimeters in the lower pole of the left kidney and 25 millimeters in the lower pole of the right kidney . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal organs included in the sections hypodense nonspecific nodules of approximately 13 mm in diameter and the largest in both lobes of the liver are observed at the level of the liver dome . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen a nonspecific hypodense lesion with a diameter of 75 mm at the level of liver segment 6 which cannot be characterized in this examination was observed cyst . upper abdominal sections entering the examination area are natural . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . a hypodense lesion with a hu value of 6 with a diameter of 29 mm was observed in the left adrenal gland adenoma . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma a appearance compatible with mucoid impaction is observed in the apical segment of the upper lobe of the right lung . in both lungs 45 mm in diameter some of them calcific nodules are observed in the superior segment of the right lung lower lobe the largest one and no significant difference was found between the examinations in their number and size . the described findings were not observed in the previous examination of the patient infectious . there are emphysematous changes and parenchymal air cysts in both lungs . the increase in pleural thickness observed in the apicoposterior segment of the left lung upper lobe decreased and it was measured as 4 mm in the thickest part of the current examination . there is an appearance in the medial segment of the lower lobe of the right lung at the level of t11-t12 vertebrae in the subpleural area in dimensions of mm in the density of soft tissue adjacent to the bronchi with areas of ground glass in the periphery . there are areas of atelectasis accompanied by pleural retraction in the posterior segments of the lower lobes of both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions . no enlarged lymph nodes in pathological size and appearance were detected adjacent to bilateral axillary retropectoral and internal mammarian vascular structures . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels no pericardial effusion or thickening was detected . heart contour and size are normal . osseous structures diffuse bone metastases are observed in the thoracolumbar vertebrae sternum ribs and scapula within the sections . no compression fracture was detected in the vertebrae . abdomen the gallbladder was not observed operated . sliding type hiatal hernia is observed at the esophagogastric junction . within the limits of non-contrast bt there is no discernible mass in the upper abdominal organs . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . a mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . there is a focal consolidation appearance in the middle lobe of the right lung . when examined in the lung parenchyma window both hemithorax are symmetrical . there was no finding compatible with bilateral pneumothorax pleural effusion . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mild thickening of the peribronchial sheath is observed . mediastinum it is larger than normal . no lymph node with pathological size and configuration was detected in the mediastinum . calibration of the pulmonary trunk and other mediastinal major vascular structures is natural . the aortic arch calibration was measured as 32 mm . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto increased in favor of the heart . it is at the maximal physiological limit . the ascending aorta calibration is 40 mm . osseous structures degenerative changes are observed in the bone structure . there is left-facing scoliosis in the dorsal region . abdomen there is a hypodense appearance in the middle part of the right kidney in the middle part of the fat density . it may be compatible with wide angiomyolipoma or postoperative changes . the aortic arch calibration was measured as 32 mm . it is larger than normal . in the superior pole of the right kidney a density that may be compatible with a calculi with a diameter of approximately 2 mm is observed . there is a faint hypodense lesion in the superior pole medial of the left kidney and may be compatible with a cortical cyst . however it cannot be evaluated clearly because it is partially included in the image . other upper abdominal organs are normal . lung parenchyma at the hilar level no lymph node that has reached a significant pathological size and configuration is observed bilaterally . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid pneumonia . there are diffuse ground-glass-like density increments with peripheral distribution in both lungs . in places densities compatible with pleuroparenchymal sequelae accompany the appearance . airways lumens are clear . when examined in the lung parenchyma window a wide right posterolateral tracheal diverticulum is observed at the level of the thoracic inlet . calibration of the trachea and main bronchi is normal . mediastinum lymph nodes at the prevascular level are observed in the mediastinum in the upper-lower paratracheal area in the aorticopulmonary window and the largest measured mm in the right lower paratracheal area . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen in the upper abdominal organs included in the sections there is a hypodense lesion with an average density of hu measuring approximately mm in the left adrenal medial crus . it was evaluated as compatible with adenoma . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . a sequela calcified nodule of 35 mm in diameter was observed in the superior segment of the lower lobe of the right lung . when examined in the lung parenchyma window a bleb formation with a diameter of 23 mm was observed in the superior segment of the lower lobe of the right lung . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . the descending aorta is wider than normal with an anterior-posterior diameter of 30 mm . diffuse calcified atheroma plaques were observed in the aortic arch branches and coronary arteries . calibration of other mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels as far as can be seen the ascending aorta is aneurysmatic with an anterior-posterior diameter of 42 mm . diffuse calcified atheroma plaques were observed in the aortic arch branches and coronary arteries . osseous structures syndesmophytes bridging each other were observed in the right anterolateral corner of the distal thoracic vertebra . vertebral corpus heights are preserved . abdomen it could not be characterized on this examination cyst . diffuse calcified atheroma plaques were observed in the aortic arch branches and coronary arteries . as far as can be seen in the sections well-circumscribed hypodense lesion areas the largest of which is 9 mm in diameter were observed in liver segments 2 and 4b . the descending aorta is wider than normal with an anterior-posterior diameter of 30 mm . lung parenchyma when examined in the lung parenchyma window there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . no active infiltration or mass lesion was detected . calcified nodules are observed in the right lung parenchyma . follow-up is recommended . sequela parenchymal changes are observed in both lungs . pericardial pleural effusion was not detected . in the right lung calcified nodules measuring mm in size with a pleural base are observed the largest in the right lower lobe posterobasal segment and a well-defined mm nodule in the lower lobe posterobasal segment is observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are calcified atheromatous plaques on the walls of mediastinal vascular structures and coronary vascular structures . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally . the ascending aorta ap diameter is 43 mm the descending aorta ap diameter is 32 mm the main pulmonary artery is 40 mm the right pulmonary artery is 33 mm and the left pulmonary artery is 29 mm . in the mediastinum at the level of the bilateral hilum some calcified short lymph nodes with a diameter of less than 1 cm are observed which do not have a pathological size and appearance . no pathological increase in wall thickness was detected in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels there are calcified atheromatous plaques on the walls of mediastinal vascular structures and coronary vascular structures . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally . an increase in heart size is observed . osseous structures in addition pathological size and appearance of lymph nodes in both axillary regions and supraclavicular fossae are not observed . no lytic or destructive lesions are observed in the bone structures within the image and there is an increase in thoracic kyphosis left-facing scoliosis in the thoracic vertebral column and osteophytic degenerative changes in the vertebral corpus corners that tend to merge in the right anterolateral . abdomen the ascending aorta ap diameter is 43 mm the descending aorta ap diameter is 32 mm the main pulmonary artery is 40 mm the right pulmonary artery is 33 mm and the left pulmonary artery is 29 mm . free fluid was not detected . the upper abdominal solid organs in the image could not be evaluated optimally due to the lack of contrast in the examination and no solid mass was detected as far as can be observed . reticular density increases are observed in bilateral perirenal fatty tissues and an increase in thickness in the left pararenal fascia is noted . there is diffuse hypodense appearance of hepatosteatosis in liver parenchyma density . no lymph node is observed in intraabdominal pathological size and appearance . in the upper abdominal sections within lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . when the lung parenchyma window is examined linear atelectesis is present in the posterior basal segment of the lower lobe of the right lung . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum soft tissue density which may belong to the thymic remt was observed in the anterior mediastinum . the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window emphysematous changes were observed in the upper lobes of both lungs . the outlook is highly suspicious for covid-19 pneumonia . no mass lesion with distinguishable borders was detected in both lungs . multilobar peripherally located nodular ground glass consolidations were observed in both lungs . it is recommended to be evaluated together with the clinical laboratory . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . calibration of other mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels as far as can be seen the ascending aorta is wider than normal with an anterior-posterior diameter of 42 mm . heart contour size is normal . pericardial effusion-thickening was not observed . osseous structures vertebral corpus heights are preserved . mild degenerative changes were observed in the bone structures in the examination area . abdomen upper abdominal organs included in non-contrast sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . a millimetric calculi image was observed in the middle lobe of the right kidney as far as can be seen in the non-contrast sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are nonspecific depandant density increases in both lung parenchyma lower lobe posterobasal areas . linear fibrotic changes are observed in the lingula on the left . there is minimal nonspecific ground glass density adjacent to the major fissure on the right . millimetric nonspecific nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . there are mild changes in the vertebrae . abdomen right renal cortical hypodense lesions are present . cholecystectomy is available . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lungs mostly subpleural localized peripheral crazy paving pattern patchy ground glass densities are observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum there are several lymph nodes measuring up to 5 mm in the mediastinum . calcific atheroma plaques are present in the aortic arch and coronary arteries . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcific atheroma plaques are present in the aortic arch and coronary arteries . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures diffuse density reduction and osteopenic appearance are observed in bone structures . abdomen calcific atheroma plaques are present in the aortic arch and coronary arteries . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma there is no mass or infiltrative lesion in both lungs . there are linear atelectasis in left lung upper lobe lingular segment inferior subsegment posterobasal-laterobasal segment junction in lower lobe and right lung middle lobe medial segment . there are millimetric nonspecific nodules in both lungs . there are diffuse emphysematous changes in both lungs . approximately 7 cm long bulla formation is observed in the anteromediobasal segment of the lower lobe of the left lung . in the previous examination of the patient the nodular appearance observed in the peripheral subpleural area at the junction of the posterobasal-laterobasal segment in the left lung lower lobe disappeared in this examination and linear atelectasis is observed in this localization . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there are calcific atheromatous plaques in the aorta and coronary arteries . there is no pathological increase in wall thickness in the esophagus within the sections . sliding hiatal hernia is observed at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights and alignments are normal . the bone structures within the sections have low density compatible with osteopenia . thoracic kyphosis is increased . intervertebral disc distances are narrowed . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . there are calcific atheromatous plaques in the aorta and coronary arteries . lung parenchyma minimal focal nonspecific ground glass density increase was observed in the right lung lower lobe posterobasal segment and middle lobe . appearance is nonspecific . when both lung parenchyma windows are evaluated a subpleural 6 mm diameter nodule was observed in the left lung lower lobe laterobasal segment . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . clinical and laboratory correlation is recommended . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window there are sequelae fibrotic densities in both lower lobes . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma nonspecific millimetric nodules are observed on the left with a size of 7 mm in the inferior lingular segment on the left and 55 mm on the right in the lower lobe laterobasal segment . ventilation of both lungs is natural . in the examination made in the lung parenchyma window no active infiltration or mass lesion was observed in both lung parenchyma . no pericardial pleural effusion or increased thickness was detected . airways there is diffuse mild ectasia which is more prominent in the central part of the bronchial structures . trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph node is observed in pathological size and appearance in the mediastinum . due to the lack of contrast in the examination the mediastinal main vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures and the heart contour and size are natural . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels due to the lack of contrast in the examination the mediastinal main vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures and the heart contour and size are natural . osseous structures in addition no lymph node in pathological size and appearance was detected in the supraclavicular area in the bilateral axillary region . no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the abdominal sections within the image no solid mass is observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window variational azygos lobe and fissure were observed in the upper lobe of the right lung . bilateral mild peribronchial thickenings were observed . no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window the most prominent paraseptal-centriacinar emphysema areas were observed in the upper lobes of both lungs . linear pleuroparenchymal atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe and in the basal segments of the lower lobes of both lungs . significant sequelae of atelectasis changes were observed on the left in both lower lobe posterobasal segments of both lungs . in the peripheral subpleural areas pleural irregularity and interlobular septa were noted . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the mediastinum a large number of lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . type i hiatal hernia was observed at the lower end of the esophagus . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen multiple diffuse cysts some of them hemorrhagic were observed in the left kidney parenchyma . the left kidney dimensions were markedly increased . cysts of 8x5 cm in size with exophytic appearance were observed in segment 2 of the liver in both lobes . the right kidney was not observed as far as it could be observed in non-contrast examinations operated . the outlook is compatible with domit polycystic kidney disease . lung parenchyma as far as it can be observed secondary to motion artifacts both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the thoracic aorta mediastinal main vascular structures heart contour and size are normal . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the coronary arteries . as far as can be seen the thoracic aorta mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thickening was observed in both adrenal glands . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs are normal as far as can be seen in the sections . as far as can be seen the thoracic aorta mediastinal main vascular structures heart contour and size are normal . lung parenchyma the described appearance is nonspecific . the appearance was evaluated in favor of infection in the first place . emphysematous changes were observed in both lungs especially in the upper lobes . there are interlobular septal thickenings in the lower lobe of the right lung . correlation with clinical and laboratory is recommended . when examined in the lung parenchyma window although it could not be evaluated optimally in the non-contrast examination an infiltrative soft tissue mass surrounding the upper and lower lobe bronchi in the left pulmonary hilus and extending towards the medial of the lower lobe of the lung around the lower lobe bronchus was observed . however when evaluated together with the mass it was primarily thought to belong to lymphangitic carcinomatosis . there are thickening of the peribronchovascular interstitium in both lungs focal consolidation in the basal segments of the lower lobes of both lungs and ground glass areas in both lungs that were not observed in the previous examination . pericardial-pleural effusion-thickening was not detected . airways as far as can be observed in the non-contrast examination no occlusive pathology was observed in the trachea both main bronchi . mediastinum lymph nodes that did not reach pathological dimensions were observed in the prevascular paratracheal and subcarinal regions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart contour size is normal . osseous structures lytic bone lesions are observed in almost all bone structures within the sections . the soft tissue component accompanies the metastatic lesion observed in the 5th rib in the right hemithorax . it was evaluated in favor of metastases . abdomen a cystic mass lesion measuring approximately in the widest part of the right adrenal gland with fine nodular calcifications inside and around the periphery was observed in the right adrenal gland as far as can be seen in the non-contrast sections . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was not contracted . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma traction bronchiectasis parenchymal fibrosis findings and occasionally honeycomb lung appearance are observed in the lower lobe basal segments . radiological findings are consistent with interstitial lung disease . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . in lung parenchyma evaluation pleural irregular thickness increases and pleuroparenchymal septal thickenings are observed in both lungs . airways no relevant findings . mediastinum in the mediastinum milimetric nonspecific mediastinal lymph nodes located bilaterally in the lower paratracheal and subcarinal regions are observed . the diameter of the pulmonary artery was measured 24 mm on the right and 22 mm on the left . a slight increase in the diameter of both pulmonary arteries is observed . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . in the upper abdominal sections there are calcified atheroma plaques in the thoracic aorta . apart from this no feature was detected in the section . heart and great vessels heart sizes slightly increased . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen apart from this no feature was detected in the section . in the upper abdominal sections there are calcified atheroma plaques in the thoracic aorta . lung parenchyma in the evaluation of both lung parenchyma an appearance of a parenchymal nodule with a diameter of 3 mm was observed in the left lung lingular segment . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . the esophagus was evaluated within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window in the right lung serial 201 image small bulla 3 mm in size is observed . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition interseptal thickness increases are observed in the lower lobes of both lungs . it was first evaluated in favor of viral pneumonia . these findings are frequently observed in covid-19 pneumonia . when examined in the lung parenchyma window widely patchy subpleural ground glass opacities and consolidation areas are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . sliding type hiatal hernia is observed . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no fractures lytic or sclerotic lesions were detected in the bones . the neural foramina are open . vertebral column alignment is normal . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen is observed in the spleen hilum . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it primarily suggests lymphangitic spread . at this level the bronchi are at the same level and diffuse reticulonodular consolidations and interlobular septal prominence are noted in the other aerated parts of the right lung . it is stable . however infection can also be considered in the differential diagnosis . the adjacent lung has collapsed appearance and there is a mass lesion in the lower lobe of the right lung that cannot be clearly differentiated from consolidation . when examined in the lung parenchyma window there is pleural fluid containing thick-walled air densities reaching 78 mm in thickness at its thickest part filling the right hemithorax empyema . minimal pleural fluid is observed on the left . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum lymph nodes with a short diameter up to 1 cm are observed in the bilateral axillary and supraclavicular areas . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . stable lymph nodes in multiple numbers and diameters are observed in the mediastinal prevascular area in the aortopulmonary window in the upper and lower paratracheal areas the paracardiac largest being mm in size . the thoracic esophagus is dilated and air is present in its lumen . heart and great vessels minimal pericardial effusion is observed . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . osseous structures thoracic kyphosis has increased . there are degenerative changes and osteophyte formations in bone structures . abdomen no significant pathology was detected in the evaluation of the upper abdominal organs included in the sections . the left adrenal gland is . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass or infiltration was detected in both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma a fissure-based nodule with a nonspecific appearance of 4 mm in diameter is observed in the superior segment of the lower lobe of the right lung . in the evaluation of both lung parenchyma consolidation areas in ground glass density are observed in the right lung lower lobe left lung upper lobe apicoposterior segment and lower lobe . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window observed with emphysematous changes in both lungs . pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . in addition similar natural calcified pleural plaques were observed in the right diaphragmatic pleura . calcified pleural plaques were observed in the lower lobe of the left lung . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen in the upper pole of the left kidney a hypodense lesion with a diameter of 30 mm was observed which could not be clearly characterized partially entering the examination area . diffuse thickening was observed in the left adrenal gland body part . liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area consistent with adiposity . no dilatation was detected in the thoracic aorta . us control is recommended . lung parenchyma pleural effusion-thickening was not detected . when examined in the lung parenchyma window a subpleural millimetric nodule was observed in the medial side of the right lung middle lobe . airways trachea both main bronchi are open . mediastinum there are lymph nodes with a short axis not exceeding 1 cm in the mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels atherosclerotic plaques were observed in the coronary artery . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there is diffuse density loss in the liver in the upper abdomen . lung parenchyma its size is 65 mm in the previous examination and 33 mm in the current examination and a decrease in its size is observed . in the evaluation of both lung parenchyma a ground glass density nodule is observed in the apicoposterior segment of the upper lobe of the right lung . apart from this nodule formation was not detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and both main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . mediastinal vascular structures and heart appear natural . heart and great vessels mediastinal vascular structures and heart appear natural . osseous structures no obvious pathology was detected in bone structures . abdomen bilateral adrenal glands are normal in the sections passing through the upper part of the abdomen . no obvious pathology was distinguished . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma if the patient has an infection clinic these appearances may be compatible with pneumonia viral pneumonia . the lower lobe of the left lung is almost completely atelectatic . there are local interlobular septal thickenings in both lungs within the sections . focal ground glass areas are observed in the right lung . there are millimetric nodules in both lungs . no mass was detected in both lungs . atelectasis is present in both lungs adjacent to the pleural effusion . bilateral pleural effusion is observed . the pleural effusion continues to the apex of the lung when the patient is in the supine position and is measured approximately 46 mm at its thickest point on the left adjacent to the lower lobe of the lung . airways no relevant findings . mediastinum there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . the diameters of the aortic arch and descending aorta are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were observed . the main pulmonary artery diameter was 33 mm and was wider than normal . atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels when evaluated together with the pathologies in the heart these appearances were thought to belong to cardiac pathology . the ascending aorta measures 44 mm in anterior-posterior diameter and is wider than normal . the views described are not specific . pericardial effusion was not detected . as far as can be observed the left atrium is observed to be wider than normal . heart contours are normal . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . the diameters of the aortic arch and descending aorta are normal . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window sequelae changes are observed in the right lung upper lobe posterior . the finding described in the right lung upper lobe posterior the sequelae changes described in the previous thorax ct are observed in the previous ct . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is a stent in the common bile duct . pneumobilia is observed in the left lobe of the liver . there is significant pneumobilia in the left intrahepatic biliary tract . there are multiple lesions up to mm in size which are observed in the left lobe in the peripancreatic region in the stomach corpus spleen hilus in the right lobe of the liver . upper abdominal organs are partially included in the examination . thoracic aorta diameter is normal . filling defects are observed in the stent observed in the common bile duct . lung parenchyma when both lung parenchyma windows are evaluated no mass-infiltration was detected in both lung parenchyma . in the lower lobe of the left lung two millimetric subpleural localized nonspecific pulmonary nodules the largest of which was 25 mm in diameter were observed . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum millimetric sized lymph nodes were observed in the upper-lower paratracheal aorticopulmonary and subcarinal localizations . no enlarged lymph nodes in pathological dimensions were detected . minimal sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels pericardial effusion-thickening was not observed . heart contour and size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen nodular lesions with a diameter of 5 mm hemorrhagic cyst were observed in the upper abdominal sections of the examination area in the upper pole of the right kidney . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is one calcified nodule in the lower lobe of the left lung . there are several nodules smaller than 5 mm in the left lung . there are subsegmental atelectasis in the left lung upper lobe lingula . in the right lung upper lobe posterior linear sequelae densities accompanying subsegmental atelectasis and tubular bronchiectasis are present . when examined in the lung parenchyma window there are pleuroparenchymal sequelae in bilateral upper lobe apicoposterior segments of the lung . pleural effusion-thickening was not detected . there are nodular consolidations located in the posterobasal sections of the right lung superior to the lower lobe the largest of which is 10 mm in diameter located subpleural . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are several lymph nodes in the upper lower paratracheal aortopulmonary subcarinal the largest mm in size . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are many pathologies in the differential diagnosis of cavitary lesions . however in the differential diagnosis it is recommended to evaluate infective processes together with clinical and laboratory findings . when examined in the lung parenchyma window both hemithorax are symmetrical . the findings described in the case with in the anamnesis may be compatible with hemorrhage . in places densities that may be compatible with pleuroparenchymal sequelae are observed . the largest was measured in the right lower paratracheal area and measuring 14x10 mm . however disease which is considered in the preliminary diagnosis is one of them . in both lungs centriacinar nodular appearances are observed in almost all zones more prominent in the right lung with ground-glass-like density increases that into consolidation from place to place . a smear-like pleural effusion is observed in both lungs . in the left lung lower lobe superior segment there is a 10 mm diameter cavitation with a slightly thick wall adjacent to sequelae changes in the dorsal subpleural area . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum it is wider than normal . pulmonary conus calibration is 33 mm . a catheter is observed at the level of the brachiocephalic vein on the left . contamination is observed mainly in the milimetric lymph nodes and fatty planes in the mediastinum . calibration of the aortic arch is at the maximal physiological limit . millimetric lymph nodes in the upper mediastinum and contamination in the fatty planes are observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion is observed . it is observed to be wider than normal in four chambers . cto increased in favor of the heart . it extends from the neighborhood of the ventricle to the level of the aorticopulmonary window and reaches approximately 34 mm in thickness at the base . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs including sections no space-occupying lesion was detected in the liver that entered the cross-sectional area . it is wider than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . nodular density which may be compatible with the accessory spleen is observed in the neighborhood of the spleen . calibration of the aortic arch is at the maximal physiological limit . lung parenchyma in the evaluation of both lungs in the parenchyma window calibrations of the trachea and main bronchi are natural . at the basal level slight increases in pleuroparenchymal density are observed on both sides . the identified changes were not detected in his previous review . it is recommended to be evaluated together with clinical findings in terms of infiltrative processes infection . there are frosted glass-like density increments in both lungs which are widespread and occasionally confluent accompanied by faint bud branch views in places . no significant pleural effusion or pneumothorax was detected . airways lumens are clear . in the evaluation of both lungs in the parenchyma window calibrations of the trachea and main bronchi are natural . mediastinum calibration of major vascular structures in the mediastinum is natural . there is thymic tissue in the anterior mediastinum which does not show mass configuration and is located in hypodense areas compatible with fatty involution . there was no pathological size and configuration of lymph nodes at both mediastinal levels . however the size of the lymph nodes cannot be clearly evaluated in contrast-enhanced examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there is a catheter extending from the left jugular level to the right atrium appendix . cto is within normal limits . mild pericardial effusion is observed adjacent to the right ventricle . osseous structures mild degenerative changes are observed in the bone structure . abdomen the gallbladder cannot be evaluated within the lumen . liver spleen and kidney are normal as far as they enter the sections in non-contrast examinations in the sections passing through the upper abdomen . no significant pericholecystic effusion was detected . the pancreas is normal in non-contrast examination . both kidneys are natural . but its dimensions wall thickness are natural . lung parenchyma however the appearance described in the lower lobe of the right lung is in a manner that can be observed in covid-19 pneumonia . consolidation and ground glass area are observed in the right lung lower lobe superior segment . when evaluated together with the patients clinical knowledge it was thought that the appearance might be covid-19 pneumonia . in addition ground glass appearances are observed in very small areas in the upper and lower lobes of the left lung . the described appearances are not to a differential diagnosis . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window minimal emphysematous appearance thickening of the bronchial wall millimetric nonspecific nodules in both lung parenchyma and subpleural depandant ground-glass densities in the lower lobe posterobasal are observed . airways in the sections passing through the trachea minimal dilatation or minimal mucosal thickening is observed in the esophagus . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are calcific atheroma plaques in the aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . there is minimal hiatal hernia . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral degenerative changes are present . bone structures in the study area are natural . abdomen there are calcific atheroma plaques in the aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in upper abdominal sections gallbladder is operated . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook may be compatible with small airway disease bronchiolitis . it creates suspicion in terms of covid-19 pneumonia . when examined in the lung parenchyma window there are diffuse and patchy centriacinar nodular appearances with faint borders in both lungs . a faintly circumscribed ground-glass opacity is observed in the left lung lower lobe superior segment posterior subpleural area . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma domit focal ground glass densities are observed in the peripheral lung parenchyma in both lungs . consolidations and subsegmental atelectasis are observed the first of which is accompanied by mild ectasia in the bronchi in the posterobasal segment of the lower lobe of the lung . apart from this no nodules were detected in both lung parenchyma . in the presence of a pandemic the outlook was evaluated in favor of covid-19 pneumonia . no pleural effusion was detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . right upper-bilateral lower paratracheal aortopulmonary lymph nodes smaller than 1 cm are observed . heart and great vessels no relevant findings . osseous structures no lytic destructive lesion was observed in the bones . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma although the described appearances are not specific these appearances were evaluated in favor of covid-19 pneumonia during the pandemic process . in the peripheral regions of both lungs a clear ground-glass appearance some of which is round in shape is observed . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window a 3 mm nonspecific nodule was observed in the superior lower lobe of the left lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no nodular lesions were detected in both lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window there are ground-glass densities in both lung parenchyma showing a tendency to merge with posterior subpleural weight . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures an increase in dorsal kyphosis anterior angulation in vertebral corpuscles partial fusion appearance and 25 loss of height in the middle part of the t3 corpus are observed at this level . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and coronary arteries . the diameters of the pulmonary arteries are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta is wider than normal measuring 42 mm in anterior-posterior diameter . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is an increase in density consistent with subsegmental linear atelectasis in the medial segment of the right lung middle lobe . when examined in the lung parenchyma window active infiltration or mass lesion is not observed in both lungs . there are minimal emphysematous changes in both lungs . subpleural and intrapulmonary localized nonspecific nodules measuring approximately 5 mm in size are observed in the right lung parenchyma the largest in the upper lobe anterior segment . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum thoracic aorta diameter is normal . in the mediastinum no pathologically enlarged lymph nodes were detected in the bilateral axillary region . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size were normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size were normal . osseous structures no lytic-destructive lesion was observed in the bone structures in the study area . vertebral corpus heights are preserved . abdomen no free fluid or loculated collection is observed . in the upper abdomen sections within the image there is an increase in nodular thickness adenoma of approximately mm in the medial crus of the left adrenal gland in which fat densities are observed . thoracic aorta diameter is normal . lung parenchyma in the examination made in the lung parenchyma window active infiltration or mass lesion is not detected in both lungs and intrapulmonary and subpleural milimetric nodules are observed in both lungs the largest of which is 3mm in diameter in the lower lobe basal segment of the left lung . calcified thickness increases are observed in the anterior and posterior pleura in the vicinity of the lower lobes of both lungs . pleural effusion is not observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are natural . no lymph node is observed in pathological size and appearance in mediastinal lymph node stations . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels no pericardial effusion or increased thickness was detected . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are natural . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the abdominal sections within the image diffuse hypodense appearance secondary to hepatosteatosis is observed in the liver parenchyma and there are suture materials secondary to the operation in the gallbladder lodge . lung parenchyma when examined in the lung parenchyma window no mass or infiltrative lesion was detected in both lung parenchyma . there are interlobular thickness increases which are more prominent in the lower lobes and were evaluated as secondary to interstitial lung disease . nonspecific nodules are observed in millimeter sizes . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination and the heart contour and size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination and the heart contour and size are normal . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen in the upper abdominal sections included in the sections a 10 mm nodular lesion compatible with an adenoma is observed in the right adrenal gland . thoracic aorta diameter is normal . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no mass-infiltration was detected in both lung parenchyma . there are bronchiectatic changes in the middle lobe of the right lung . a few millimetric nonspecific parenchymal nodules were observed in both lungs . sequelae were evaluated in favor of change . when both lung parenchyma windows are evaluated mild emphysematous changes are present in both lung parenchyma . parenchymal calcifications were observed in both lungs . pleuroparenchymal sequelae increase in density and calcifications were observed in the lower lobe of the right lung . calcifications were observed along the mediastinal pleura in the upper lobe of the right lung . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . there is a marked increase in density in endobronchial structures respiratory bronchiolitis . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition linear atelectasis was observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there are minimal pleuroparenchymal sequelae changes in both lung apexes . millimetric nonspecific nodules were observed in both lungs . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen loss of is observed in the left half of the transverse colon and splenic flexure within the sections . if there is an indication further examination is recommended . no upper abdominal free fluid-collection was detected in the sections . differential diagnosis could not be made because only some of the colon segments could be included in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lungs and there are patches of ground glass densities that are more prominent in the lower lobes of both lungs . findings can be evaluated as infective secondary in the presence of clinical correlation . there are linear density increases accompanied by peribronchial thickening in the lower lobe of the left lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the case with a pre-diagnosis of covid no finding compatible with the diagnosis was found . when examined in the lung parenchyma window in the current examination there are 2 newly developed nodules of 115 mm and 75 mm in size in the anterior segment of the left lung upper lobe . it was evaluated in favor of metastatic nodule in the case with a diagnosis of pulmonary ca . there is no finding in favor of pneumonic infiltration . in both lung parenchyma there are parenchymal changes with emphysematous changes and sequelae in places . airways trachea both main bronchi are open . mediastinum there are calcific atheromatous plaques on the walls of the aorta and coronary vascular structures . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal vascular structures were not evaluated optimally because the heart examination was performed with contrast material . mediastinal main vascular structures heart contour size are normal . there is a sliding type hernia at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal vascular structures were not evaluated optimally because the heart examination was performed with contrast material . mediastinal main vascular structures heart contour size are normal . osseous structures in addition a lytic bone lesion is observed in the t1 vertebral body and it was evaluated in favor of metastasis . no newly developed bone lesion was detected . there is a lytic bone lesion in the soft tissue component extending towards the posterior elements of the vertebrae on the left in the t9 vertebral body . it extends into the left neural foramen and spinal canal . abdomen there are calcific atheromatous plaques on the walls of the aorta and coronary vascular structures . there is a lesion measuring 20x12 mm in the left adrenal gland . it is not clearly characterized because the previous examination was without contrast . lung parenchyma no relevant findings . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is natural . normal calibration of the esophagus is observed . heart and great vessels pericardial effusion-thickening was not observed . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesion was detected in the bone structures in the study area . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window minimal linear atelectasis changes are observed at the basal level of the left lung lower lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected in the current examination in both lung parenchyma . there are minimal emphysematous changes in both lungs . pericardial pleural effusion was not observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were detected in the supraclavicular fossa axilla and mediastinum . calibration of mediastinal vascular structures is natural . sliding type hiatal is observed at the lower end of the esophagus . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calcified atheroma plaques were observed on the wall of the coronary vascular structures . heart dimensions and compartments are of normal width . in addition aortic valve calcifications were observed . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image in the upper pole of the left kidney a 53 mm diameter hypodense lesion which was evaluated primarily in favor of cortical cyst was observed . lung parenchyma emphysematous changes are present in both lungs . no significant difference was found in soft tissue densities that cause narrowing in bronchial calibrations around middle lobe and lower lobe bronchi . in both lung lower lobe basal segments there are light budding tree images which were also observed in previous examinations . in the previous examination centrilobular ground-glass nodules were not detected in both lungs especially in the middle lobe of the right lung in the current examination . when examined in the lung parenchyma window right lung upper lobectomy was performed . in the site of the right lung irregular pleural thickenings observed in the previous examination are observed . airways no occlusive pathology was detected in and both main bronchial lumens . no significant difference was found in soft tissue densities that cause narrowing in bronchial calibrations around middle lobe and lower lobe bronchi . mediastinum diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . in the examination performed without contrast post-op changes are observed in the sternum and anterior mediastinum . pulmonary conus right and left pulmonary artery calibrations are increased . the diameter of the ascending aorta was 45 mm and the descending aorta was 31 mm . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart contour size is normal . pericardial effusion-thickening was not detected . osseous structures in the examination performed without contrast post-op changes are observed in the sternum and anterior mediastinum . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the diameter of the ascending aorta was 45 mm and the descending aorta was 31 mm . diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . there is a small stone in the gallbladder . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ventilation of both lungs is natural . when examined in the lung parenchyma window active infiltration and mass lesion were not detected in both lung parenchyma . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are calcified atheromatous plaques in the walls of the arch aorta descending aorta and coronary vascular structures . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance . there is a slight sliding type hiatal hernia at the lower end of the esophagus . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . an increase in heart size is observed . calibration of vascular structures is natural . osseous structures no lytic or destructive lesions are observed in the bone structures within the image and there are degenerative changes . abdomen there are calcified atheromatous plaques in the walls of the arch aorta descending aorta and coronary vascular structures . in the upper abdominal sections within the image no intra-abdominal solid mass was detected as far as it can be observed within the borders of non-contrast ct . free fluid no loculated collection was detected . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window there are bronchiectatic changes in both lungs . an azygos lobe fissure was observed in the upper lobe of the right lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . there is a hernia on the left . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lungs nodules reaching 45 mm in diameter were observed in the posterobasal region of the left lower lobe . parenchymal aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several nonspecific nodules in both lungs the largest of which is 3 mm in size in the lateral segment of the right lung middle lobe . ventilation of both lungs is natural . in the evaluation made in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . no pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum since the examination is performed without iv contrast agent mediastinal vascular structures and heart cannot be evaluated optimally and as far as can be observed the heart contour of the vascular structures its size is natural . no lymph node is observed in the mediastinum and both axillary regions in the supraclavicular fossa in pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels minimal smear-like pericardial effusion is observed . since the examination is performed without iv contrast agent mediastinal vascular structures and heart cannot be evaluated optimally and as far as can be observed the heart contour of the vascular structures its size is natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen intraabdominal free or loculated fluid is not observed . the upper abdominal solid organs in the image cannot be evaluated optimally due to the lack of contrast in the examination and as far as can be observed no solid mass was detected . no lymph node was detected in intraabdominal pathological size and appearance . lung parenchyma when examined in the lung parenchyma window faintly circumscribed nodular centriacinar ground glass opacities were observed in the peribronchial area in the basal segments of the left lung lower lobe . appearance is nonspecific . outlook is with covid . airways no occlusive pathology was observed in the lumen . the described finding may be compatible with early . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . it is recommended to be evaluated together with the clinic and laboratory . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is no mass or infiltrative lesion in both lungs . millimetric nonspecific nodules were observed in both lungs . there are linear atelectasis in the middle lobe of the right lung the lingular segment of the upper lobe of the left lung and the lower lobe . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when evaluated in both lung parenchyma windows millimetric sized nonspecific parenchymal nodules were observed in both lung parenchyma . no mass-infiltration was detected in both lungs . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the abdominal aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcified atherosclerotic changes were observed in the wall of the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be observed the diameter of the ascending aorta is 41 mm and shows slight fusiform dilatation . cto increased in favor of the heart . pericardial thickening-effusion was not detected . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . multiple levels of lytic lesions were observed in the bone structures within the study area . further is recommended . abdomen other upper abdominal sections within the examination area are normal . calcified atherosclerotic changes were observed in the wall of the thoracic aorta . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . in the lateral crus of the left adrenal gland there is a lesion with a diameter of 9 mm with an average hu value of adenoma . the gallbladder was not observed . right adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma when examined in the lung parenchyma window emphysematous changes are observed in both lungs . no mass lesion-pneumonic infiltration with distinguishable borders was detected in both lungs . parenchymal nodules were observed in both lungs . emphysematous changes are in the form of centriacinar-paraseptal emphysema areas in the apex of both lungs and ground glass areas are observed around them . in addition there are ground glass densities in the posterior subpleural areas of both lung lower lobe basal segments . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures trabecular appearance secondary to osteopenia was observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis was observed in the medial segment of the right lung middle lobe . no mass or infiltrative lesion is detected in both lungs . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are narrowed . abdomen no upper abdominal free fluid-collection was detected in the sections . there is a stone measuring 5 mm in diameter in the upper pole of the left kidney . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a nonspecific parenchymal nodule with a diameter of 4 mm was observed in the middle lobe of the right lung . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening and effusion were not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in both kidneys calcules measuring 6 mm in diameter were observed in the middle zone of the left kidney . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window there are atelectasis findings in the lower lobe of the right lung . aeration of the left lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum a few millimetric calcific foci are observed in the aortic arch . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures hypertrophic osteophytic taperings are observed in the vertebral endplates . bone structures in the study area are natural . diffuse density reduction is observed in bone structures and it is evaluated as degenerative . abdomen a few millimetric calcific foci are observed in the aortic arch . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the left adrenal gland 24 mm in size oval-shaped hypodense finding in fluid attenuation is observed . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . it was evaluated in favor of adenoma . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window a few nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs . apart from this no active infiltration was detected in a mass lesion with distinguishable borders in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the non-contrast examination the upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are bronchovascular thickness increases in the posterobasal section of the left lung lower lobe and there are areas of linear subsegmental atelectasis in the lung parenchyma . in addition there are ground-glass densities in the subpleural areas of the lower lobe posterobasal sections of both lungs and minimal consolidation areas that were not observed in the previous examination in the vicinity of the left lung lower lobe bronchus . airways trachea both main bronchi were open . mediastinum since the examination was without contrast the evaluation of solid organs and vascular structures could be evaluated suboptimally . an image of a port catheter extending from the right anterior chest wall to the superior-right atrium junction of the vena cava is observed . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . there was no significant difference in the size of lymphadenopathy located within the mesenteric fatty planes in the anterior of the aorta and its size was measured as mm . in the mediastinal area no lymph nodes in pathological size and appearance were detected in the bilateral axillary hilum of both lungs . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . among the left paracardiac fatty planes the size of the conglomerated lymphadenopathies described in the previous examination has decreased significantly and is observed as mm . mediastinal main vascular structures heart contour size are normal . osseous structures in the previous examination of the patient the size of the mass in soft tissue density which was described at the level of the left ribs has significantly decreased and can be difficult to distinguish . the soft tissue density at the level of the 6th rib junction on the left decreased in size and was measured as mm in the current examination . vertebral corpus heights are preserved . in the previous examination the patients lesion dimensions which were measured as mm at the level of the ribs on the left were reduced and could not be clearly distinguished . bone structures in the study area are natural . its dimensions are mm in the previous review its dimensions were mm . abdomen there was no significant difference in the dimensions of the conglomerated lymphadenopathy observed at the spleen hilus level in the upper abdominal organs included in the sections . since the examination was without contrast the evaluation of solid organs and vascular structures could be evaluated suboptimally . the lymphadenopathy observed in the left paraaortic area has significantly decreased in size and is measured as mm . thoracic aorta diameter is normal . apart from this a few more lymphadenopathies are observed within the mesenteric fatty planes . there was no significant difference in the size of lymphadenopathy located within the mesenteric fatty planes in the anterior of the aorta and its size was lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a mid-level fusion appearance between the clavicle and the process on the left side . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window fibrotic reticular density increases were observed in both lung apexes . no mass lesion-active infiltration with distinguishable borders was detected in both lungs . airways trachea and both main bronchi were midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen in the sections the upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is a nonspecific increase in density in the left lung lower lobe superior segment . there are millimetric nodules in the right lung . this appearance is also present in the patients previous examination and no difference was found . there are atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . this appearance was thought to be primarily a sequelae change . there are emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen there are stones in the gallbladder . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma radiological findings were evaluated as compatible with covid pneumonia . when examined in the lung parenchyma window nodular infiltration areas are observed in the middle lobe and lower lobe of the right lung and bilaterally asymmetrical asymmetrical peripherally located ground glass opacity in the lower lobe of the left lung . no nodular lesions were detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . heart and great vessels pericardial effusion was not observed . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no features of other structures including the cross-section were detected . no gall bladder was observed in the upper abdominal sections operated . lung parenchyma the involvement pattern is similar to the lung parenchyma involvement of covid infection . no mass space-occupying lesion was observed in the lung parenchyma . it is recommended to be evaluated from this point of view . parenchymal infiltration areas are observed mainly in the form of ground glass density and consolidation areas around the upper lobe segment bronchi . in lung parenchyma evaluation there are patchy areas of consolidation in the right lung lower lobe superior segment and subpleural areas in the upper lobe . airways air bronchograms are monitored . it is accompanied by mild bronchial dilatation . mediastinum radiological findings were evaluated in favor of atypical pneumonic infiltration of the infectious process with mediastinal lymph nodes . calibrations of mediastinal major vascular structures are natural . there are mediastinal lymph nodes less than 1 cm in diameter located in the right upper paratracheal and lower paratracheal and right peribronchial mediastinum . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there are atelectatic changes in the middle lobe of the right lung and the inferior lingular segment of the left lung . a nonspecific ground-glass nodule with a diameter of 5 mm is observed in the apical part of the right lung . in both lung parenchyma a few millimetrically sized nonspecific stable pulmonary nodules some of which are calcified are observed . focal ground glass areas observed in the previous examination in the lower lobes of both lungs are not observed in the current examination . when examined in the lung parenchyma window bilateral peribronchial thickenings are observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . the pulmonary trunk caliber measured 30 mm and is wider than normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels heart size increased . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . as far as can be seen the diameter of the ascending aorta is 40 mm and shows fusiform dilatation . pericardial thickening-effusion was not detected . osseous structures degenerative changes are observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . upper abdominal sections entering the examination area are natural . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no discernible mass was detected in both lungs . it is recommended that the patient be evaluated for viral pneumonias covid-19 pneumonia . no pleural-pericardial effusion or thickening was detected . there are areas of peripherally weighted patchy ground glass in the upper zones of both lungs and areas of tubular bronchiectasis consolidation and subsegmental atelectasis accompanied by pleural retraction in the lateral and posterior segments of both lower lobes of the lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . an appearance compatible with a diverticulum is observed in the anterior part of the trachea . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . sliding type hiatal hernia is observed at the esophagogastric junction . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the contrast ct limits there is no discernible mass in the upper abdominal organs . lung parenchyma there are sequelae fibroatelectatic changes in the posterobasal segments of the bilateral lower lobe . ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . airways as far as can be seen trachea both main bronchi are open and no obstructive pathology is observed . mediastinum as far as it can be seen in the mediastinum no lymph nodes in pathological size and appearance are observed in the bilateral hilus in both axillary regions and at the bilateral supraclavicular level . calibration of the main mediastinal vascular structures heart contour size are normal . due to the lack of contrast in the examination mediastinal vascular structures heart and upper abdominal organs within the image could not be evaluated optimally . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of the main mediastinal vascular structures heart contour size are normal . due to the lack of contrast in the examination mediastinal vascular structures heart and upper abdominal organs within the image could not be evaluated optimally . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no pathology is observed in the upper abdomen sections within the image . due to the lack of contrast in the examination mediastinal vascular structures heart and upper abdominal organs within the image could not be evaluated optimally . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . no pleural effusion was detected . airways in lung parenchyma evaluation trachea both main bronchi lobar and segmental bronchi and air passages are open . mediastinum no space-occupying lesion was observed in the mediastinal fat pad . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . calcified atherosclerotic plaques are observed in lad . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections there is a 37 mm diameter cyst in the left kidney . lung parenchyma there are several millimeter-sized nonspecific nodules in both lungs . in the evaluation made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . there are calcified atheroma plaques in the wall of the thoracic aorta . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour size are natural . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections within the image . there are calcified atheroma plaques in the wall of the thoracic aorta . lung parenchyma when examined in the lung parenchyma window both hemithorax are symmetrical . there are occasional focal reticulonodular density increases . there are nonspecific nodules with a diameter of 2 mm in the middle lobe and 4 mm in diameter in the middle lobe . peripherally distributed ground-glass-like density increases in the mid-lower zones of both lungs and thickening of the interlobular septa are observed on this background . a millimetric nonspecific nodule with a diameter of 3 mm is observed in the anterior-posterior segment transition of the upper lobe of the right lung . it is recommended to evaluate the case in terms of viral pneumonias including covid together with clinical and laboratory findings . sequelae changes are observed on both sides at the apical level . a 4x2 mm nonspecific nodule is observed in the left lung lower lobe laterobasal segment . no bilateral pleural effusion or pneumothorax was detected . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum thoracic aorta diameter is normal . calibration of mediastinal major vascular structures is normal . no pathologically sized and configured lymph nodes were detected at mediastinal and both hilar levels . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . nodular formation compatible with accessory spleen is observed in the spleen hilum . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the liver entering the cross-sectional area . lung parenchyma no relevant findings . airways no relevant findings . mediastinum in the upper mediastinum some calcified mediastinal lymph nodes are observed in the right lower paratracheal peribronchial and subcarinal localization . wall calcifications are observed in the aortic arch thoracic aorta and abdominal aorta . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the axilla and supraclavicular fossa in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . wall calcifications are observed in the aortic arch thoracic aorta and abdominal aorta . lung parenchyma when examined in the lung parenchyma window in the lower lobe of the left lung there is a consolidated lung parenchyma with an air bronchogram sign . clinical laboratory correlation and close follow-up are recommended . fungal infection may be . mild emphysematous changes are present in both lungs . linear atelectasis is also observed in both lungs . lesions are also in the differential diagnosis . no significant difference was found in millimetric nodules in both lungs . a new halo sign is observed in the current examination around the thick-walled cavitary lesion measuring up to mm which was known to have appeared recently in the previous examination in the left upper lobe apicoposterior segment of the left lung . in addition to this described finding new small nodular ground glass densities are also present in the current examination . passive atelectasis may also be present when the described finding is with infiltration or pleural effusion . a minimal increase is observed in the moderate amount of pleural effusion volume observed in the right hemithorax . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . calcific atheroma plaques are observed in the aortic arch and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the aortic arch and coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings and bridging tendencies in the vertebral corpus end plates . abdomen upper abdominal organs are included in the study partially and there are calcifications and sequela changes measuring up to 9 mm in the cortical structures of the left kidney and thinning of the cortical structure in places . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aortic arch and coronary arteries . there is a finding consistent with a cortical cyst measuring 12 mm in size in the right kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pneumonic consolidation or infiltration area was not observed in the lung parenchyma . no mass or nodular space-occupying lesion was detected . airways no relevant findings . mediastinum calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . in the supraclavicular fossa no lymph node was observed in the axilla in pathological size and appearance . abdomen no feature was observed in the upper abdomen sections . lung parenchyma pneumonic infiltration is considered in its etiology . in addition there is a thin-walled air cyst measuring 18x13 mm in the superior segment of the lower lobe of the right lung with smooth borders . when examined in the lung parenchyma window in the current examination in the right lung lower lobe superior segment and lower lobe mediobasal segment there is a newly developed area of bud tree appearance in the peribronchial area and an area of increased density consistent with consolidation . there are atelectatic changes in the left lung lower lobe basal segment which were also observed in the previous ct examination of the patient . no mass lesions were detected in both lungs . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . calcified atheroma plaques in millimetric sizes were observed in the wall of the aortic arch and descending aorta . no lymph node in pathological size and appearance was observed in the mediastinum bilateral supraclavicular fossa and both axillary regions . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels pericardial effusion and thickness increase were not observed . as far as can be observed the calibration of the vascular structures and the heart contour size are normal . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . a central venous catheter inserted from the left is observed . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . abdomen there is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis in the upper abdominal sections within the image . calcified atheroma plaques in millimetric sizes were observed in the wall of the aortic arch and descending aorta . lung parenchyma there is a slight increase in parenchymal density in a focal area 10 mm around the segmental bronchus in the posterobasal segment of the left lung lower lobe . repeat imaging would be appropriate in case of clinical follow-up and of the clinic . it is nonspecific . however it is quite . findings in favor of a sequelae of chronic radiation pneumonia in the radiotherapy lodge in the left upper lobe lingular segment are stable . therefore it cannot be characterized . no newly developed suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . it is observed as a ground glass density . the size of the 5 mm diameter nodule located subpleural in the posterobasal segment of the left lung lower lobe of the patient was stable and no difference was detected . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion in the bone structures and no sclerotic space-occupying lesion distinguishable by ct . abdomen there is mild hepatosteatosis in upper abdominal sections . cyst sizes in segment 5 localization are stable . lung parenchyma there was no finding compatible with pneumonia . when examined in the lung parenchyma window sequelae changes are observed in the lingular segment of the left lung . a subpleural 4 mm diameter nodule is observed in the lower lobe laterobasal segment of the left lung . bilateral pleural effusion pneumothorax is not observed . airways no relevant findings . mediastinum no lymph nodes were detected in the mediastinum or at the hilar level . calibration of mediastinal major vascular structures is natural . heart and great vessels cto is at the maximal physiological limit . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the sections passing through the upper abdomen there is a decrease in density consistent with hepatosteatosis in the liver . hiatal hernia is observed . lung parenchyma when examined in the lung parenchyma window linear sequela fibrotic density increase is observed in the middle lobe of the right lung . the nodule observed in the left lung lower lobe laterobasal segment was not detected in the current examination . the ground glass nodule in the lower lobe superior segment which was observed in the previous examination is not detected in the current examination . bilateral pleural thickening-effusion was not detected . subpleural density increases observed in the previous examination in the lower lobe of the right lung are not detected in the current examination . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea both main bronchi are open . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . no lymph node was detected in mediastinal and hilar pathological size and appearance . no lymph node was detected in mediastinal pathological size and appearance . soft tissue density is observed in the anterior mediastinum which is compatible with the thymus tissue which does not show a mass effect . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in bone structures . no lytic-destructive lesion was detected . abdomen there was no significant change in the size and appearance of the lesion in the stable fat density in the previous examination with a diameter of 5 mm at the level of the liver dome in the upper abdominal sections within the study area . spleen accessory spleen with a diameter of 7 mm is observed . lung parenchyma focal increase in fissure thickness is observed in the major fissure on the left . there is an increase in nodular density that causes fissure retraction in the posterior segment of the right lung upper lobe . in lung parenchyma evaluation no pneumonic infiltration or consolidation area was observed . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . increases in pleuroparenchymal density in the upper lobe apical segments are consistent with sequelae change . airways it is accompanied by focal ectatic bronchus sequela change . mediastinum a central venous catheter is available . no lymph node was observed in the mediastinum in pathological size and appearance . esophageal calibration was followed naturally . heart and great vessels pericardial effusion is present in the form of mild smearing . it is observed in the neighborhood of the right atrium and right ventricle . heart dimensions and compartments appear natural . osseous structures there is osteoporosis in bone structures . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesion was detected . abdomen suture materials are observed in the stomach adjacent to the small crus . there is contamination in oily planes in the omentum and mesentery . there is an incision line on the anterior abdominal wall . no space-occupying lesions were detected in the adrenal glands in the upper abdominal sections . lung parenchyma in the left lung upper lobe lingular segment right lung lower lobe medial and posterior segments there are ground glass areas and sometimes accompanying linear atelectasis areas . there are several lymphadenopathies with a diameter of 15 mm in the mediastinum and bilateral hilar regions the largest in the right lower paratracheal area . no mass was detected in both lungs . it is recommended to evaluate the patient for infectious pathologies together with clinical and physical examination findings . there is short segment luminal narrowing and increased peribronchial thickness in the lower lobe bronchi of the right lung . airways no occlusive pathology was detected in the trachea and both main bronchi . mucoid secretion is observed in the distal part of the trachea and the right main bronchus . trachea and both main bronchi are open . mediastinum diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . the diameter of both pulmonary arteries was 29 mm and increased pulmonary hypertension . there are several lymphadenopathies with a diameter of 15 mm in the mediastinum and bilateral hilar regions the largest in the right lower paratracheal area . there is a sliding type hiatal hernia at the esophagogastric junction . heart and great vessels the cardiothoracic ratio increased in favor of the heart . pericardial effusion with a thickness of 7 mm and effusion with a thickness of 1 cm in the left hemithorax are observed . the diameter of the ascending aorta was 41 mm and increased . osseous structures diffuse degenerative changes are observed in the bone structures within the sections and no lytic-destructive lesion is detected . abdomen there are calcific atheroma plaques in the splenic artery . there is a sliding type hiatal hernia at the esophagogastric junction . there is no discernible mass in the upper abdominal organs within the sections . focal defective appearance is observed in the left kidney parenchyma . diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma in the evaluation of both lung parenchyma mass nodule-infiltration was not detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were observed . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the catheter terminates in the superior distal part of the vena cava . mediastinal structures cannot be evaluated optimally because contrast material is not given . as far as can be seen central venous catheter is seen on the right . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were observed in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma emphysematous changes are present in both lungs . when examined in the lung parenchyma window fibrotic sequela changes are observed at the apical level of the left lung upper lobe . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the thoracic aorta . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed in the thoracic aorta . lung parenchyma nodules described in previous ct examinations are not observed . in the current examination no active infiltration or mass lesion was detected in both lung parenchyma . in addition there are two ground-glass nodules the largest of which is 6 mm in size in the anterior segment of the upper lobe of the right lung . solid nodules measuring mm in size in the middle lobe lateral segment in the right lung and 6 mm in the largest in the upper lobe anterior segment in the left lung are observed . follow-up is recommended . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination could not be optimally evaluated due to the lack of iv contrast and the calibration of the vascular structures the heart contour and the size are natural . in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels mediastinal vascular structures and cardiac examination could not be optimally evaluated due to the lack of iv contrast and the calibration of the vascular structures the heart contour and the size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no solid-cystic mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window active infiltration or mass lesion is not observed in both lung parenchyma . both lung ventilation is natural . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in both axillary regions no lymph nodes in pathological size and appearance were detected in mediastinal lymph node stations . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are natural . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no free fluid loculated collection or solid mass were detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window central-peripheral nodular and patchy ground glass consolidations are observed in the right lung lower lobe basal right lung upper lobe anterior segment and left lung upper lobe and lower lobe superior segments and the appearance is highly suspicious for covid-19 pneumonia or other viral pneumonias . there was no detectable mass in both lungs . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen when the upper abdominal organs included in the sections were evaluated a nodular lesion area of 25 cm diameter fluid density was observed in the upper pole of the left kidney parapelvic . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . air cysts are observed in both lungs . there is a decrease in density consistent with emphysema in both lungs . the outlook is atypical for covid pneumonia . there are faint parenchymal ground-glass-like density increments that do not give clear contours in both lungs . mild sequelae changes are observed in the middle lobe on the right . it is more pronounced in the upper zones . a subpleural 3 mm diameter nodule is observed at the posterobasal level of the lower lobe of the left lung . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there is mild steatosis appearance in the liver . in the spleen hilum nodular density is observed in millimetric dimensions which is considered compatible with the accessory spleen . the spleen is larger than normal ap length 150 mm . lung parenchyma does not differ significantly . when examined in the lung parenchyma window there are bronchiectatic changes in the upper and middle lobes of the right lung and cystic bronchiectatic changes in the lower lobe basal segment bronchi of both lungs more prominent on the left . pleural effusion-thickening was not detected . no significant difference was found in the faintly circumscribed ground glass densities which can hardly be distinguished from the subpleural parenchyma in the upper lobe of the left lung . airways the findings were evaluated in favor of bronchiolitis mucus plugs . at the described levels on the ground of bronchiectasis parenchymal small irregular nodular densities are observed adjacent to the bronchus . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections were partially observed in the examination and were evaluated as suboptimal . as far as can be seen the upper abdominal organs included in the examination are normal . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis areas are observed in the left lung upper lobe lingular segment inferior subsegment and right lung middle lobe medial segment . no mass or infiltrative lesion was detected in both lungs . a few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 5 mm . bleb formation is observed in the posterior segment of the lower lobe of the right lung . there are several nonspecific nodules in both lungs with a diameter of 35 mm the largest of which is in the lateral segment of the left lung middle lobe . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . a few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 5 mm . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels the cardiothoracic ratio increased in favor of the heart . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . there is a decrease in osteopenic density in bone structures . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as can be evaluated within the limits of non-contrast ct no mass with distinguishable borders was detected in the liver spleen pancreas and both adrenal glands . there is a low-density hypodense lesion with a diameter of 25 mm in the middle zone of the right kidney cyst . lung parenchyma pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment . a nonspecific parenchymal nodule with a diameter of 5 mm was observed in the right lung . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways bilateral mild peribronchial thickening was observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal and subcarinal areas . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . calcifications were also observed in the aortic root . hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . density increases which may be related to calcification were observed in the mitral valve . as far as can be seen the ascending aorta measures 40 mm in diameter and shows slight dilatation . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen in the upper abdominal sections in the study area 1 cm diameter hypodense lesion was observed in the middle zone of the right kidney cyst . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . calcifications were also observed in the aortic root . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma when examined in the lung parenchyma window there are minimal bronchiectasis in the center of both lungs . there are several nonspecific nodules in both lungs the largest of which reaches 43 mm in diameter . subpleural sequela fibrotic changes are seen in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are present in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . minimal hiatal hernia is observed in the distal esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels views of coronary stents are observed . the ascending aorta is 38 mm and slightly ectatic . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures minimal scoliosis with left opening is observed in the thoracic vertebrae . abdomen millimetric stones were observed in the gallbladder . there are hypodense lesions in the liver the largest of which reaches 28 mm in diameter in segment 6 . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific plaques are present in the aorta and coronary arteries . lung parenchyma no infiltrative lesion was detected in both lungs . when examined in the lung parenchyma window millimetric nonspecific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in almost all zones of both lungs mostly in the middle-lower zones peripherally located ground glass-like density increases with confluence in places thickening in the interlobular septa and pleuroparenchymal fibroatelectatic densities are observed on this background . no pathological size and configuration lymph nodes were detected at both hilar levels . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid pneumonia . bilateral pleural effusion pneumothorax were not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum the aortic arch calibration is 32 mm . millimetric lymph nodes are observed in the mediastinum . it is wider than normal . cto is within the normal range . calibration of other mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures small osteophytic taperings are observed at the bone structure corners . abdomen the aortic arch calibration is 32 mm . it is wider than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . cto is within the normal range . when the upper abdominal organs included in the sections were evaluated a decrease in density consistent with steatosis is observed in the liver . lung parenchyma when examined in the lung parenchyma window there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . a 3x2 mm nodule and mild sequelae changes are observed in the middle lobe on the right . there are sequelae changes in the lower lobe superior segments . there are slight ground-glass-style density increments in the dorsal of both lungs which may be consistent with the dependent vascular density . sequelae changes are observed in the left lung lingular segment . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum thoracic aorta diameter is normal . there is millimetric calcification in the aortic arch . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . there is millimetric calcification in the aortic arch . in the sections passing through the upper abdomen there is a mild hepatosteatosis appearance in the liver . thoracic aorta diameter is normal . appearance is nonspecific . lung parenchyma in the apicoposterior segment of the upper lobe of the right lung linear pleuroparenchymal sequelae density is observed . in addition mild peribronchial ectasia is observed in the middle lobe of the right lung . in the evaluation of both lung parenchyma mosaic attenuation is observed in both lung parenchyma small airway disease small vessel disease . in the right lung upper lobe apicoposterior segment several nodules with a diameter of 35 mm the largest of which are 35 mm in diameter are observed in the subpleural distance and mm in diameter in the middle lobe of the right lung . thin pleural thickenings are observed in both hemithorax . airways wall calcifications are observed in the walls of the trachea and both main bronchi . trachea and main bronchi are open . mediastinum left lower paratracheal aortopulmonary millimetric lymph nodes are observed . the diameter of the main pulmonary artery is 37 cm the diameter of the right pulmonary artery is 25 cm the diameter of the left pulmonary artery is 35 cm and it is wider than normal . calcific plaques are observed in the aortic arch . heart and great vessels calcific plaques are observed on the walls of the coronary artery . the cardiothoracic index increased in favor of the heart . stent suture materials are available secondary to cardiac bypass surgery . osseous structures no lytic-destructive lesion is observed in bone structures . abdomen no significant pathology was detected in the abdominal sections . the gallbladder is large in volume . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific plaques are observed in the aortic arch . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma its dimensions are measured mm . there is a newly developed spiculated contoured nodular lesion in the parenchymal scar tissue localization in the posterior segment of the right lung upper lobe . clinical correlation is recommended . it was evaluated suspiciously in favor of maligcy . endobronchial prominence and acinar nodules are observed in both lungs more prominent in the lower lobe . in the lower lobe segment bronchi of the right lung the bronchial lumens appear partially due to secretions . these findings were also present in the previous examination of the patient it was understood that they became mildly prominent . cystic bronchiectasis foci are observed in the upper lobes and middle lobes of both lungs . histopathological diagnosis would be appropriate . consolidation area has not been . there is a stable nodular lesion measuring mm which is observed from the of the vascular structures in the right lung hilum . air cysts bullae and emphysema subpleural linear septal thickness increases are observed in the lung parenchyma . no pleural effusion was detected . airways bronchial wall thickness increases are observed in segmental bronchi in both lungs . in the background of bronchiectasis it may belong to bronchiolitis . mediastinum some have a calcified appearance . in the mediastinum nonspecific lymph nodes with a short diameter of less than 1 cm located in the right upper bilateral lower paratracheal and peribronchial and subcarinal areas were observed . evaluation of the mediastinum is suboptimal because no contrast material is given . heart and great vessels tbc history is available . pericardial effusion was not detected . osseous structures there is osteoporosis in bone structures . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . loss of height due to insufficiency fracture is observed in the upper end plate of l1 vertebra . abdomen it is understood that liver right lobe transplantation was performed . in the upper abdomen sections no intra-abdominal or free fluid was detected within the section . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal fibroatelectasis sequelae changes were observed in both lung apex . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . accessory spleen with a diameter of 9 mm was observed adjacent to the lower pole of the spleen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ct involvement score was evaluated as mild . in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances and consolidations were observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window no mass nodule infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways as far as can be seen trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . clinical laboratory correlation follow-up is recommended for better differential diagnosis . when examined in the lung parenchyma window mild nodular patchy ground glass densities are observed at posterobasal levels more prominently in the lower lobes of both lungs and slightly enlarged veins at these levels . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen a small cortical cyst is observed in the left kidney . changes in favor of hepatosteatosis are observed in the liver parenchyma . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . the volume of the left lung upper lobe decreased secondary to sequelae atelectasis . subsegmental atelectatic changes were observed in the right lung middle lobe left lung upper lobe inferior lingular and both lung lower lobe basal segments . the described findings may be compatible with . no mass lesion with distinguishable borders-active infiltration was detected in both lungs . interlobular-intralobar septal thickenings accompanying ground glass densities and subpleural striations were observed in both lungs . calcified pleural plaques were observed in the costal mediastinal and diaphragmatic pleura most commonly in the right diaphragmatic pleura in both hemithoraxes . airways the trachea was elongated and tortuous and no obstructive pathology was observed in the trachea and both main bronchus lumens . mediastinum as far as can be seen the anterior-posterior diameter of the ascending aorta was mm and the anterior-posterior diameter of the descending aorta was mm . diffuse atherosclerotic wall calcifications were observed at the level of the abdominal aorta celiac trunk sma and both renal artery . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of pulmonary arteries is natural . there is extensive atherosclerosis in the thoracic aorta its supraaortic branches and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart sizes are at the upper limit . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen the anterior-posterior diameter of the ascending aorta was mm and the anterior-posterior diameter of the descending aorta was mm . diffuse atherosclerotic wall calcifications were observed at the level of the abdominal aorta celiac trunk sma and both renal artery . there is extensive atherosclerosis in the thoracic aorta its supraaortic branches and coronary arteries . as far as can be seen in non-contrast sections liver spleen both kidneys both adrenal glands are normal . moderate was observed in the abdomen . lung parenchyma there is a subsegmental atelectasis area accompanied by minimal bronchiectasis and parenchymal distortion in the left lung upper lobe apicoposterior . there are millimetric nonspecific nodules in the bilateral lungs . when examined in the lung parenchyma window in both lung parenchyma band-shaped ground-glass densities are observed in the peribronchial and subpleural areas more prominently in the upper lobes without clear boundaries . airways trachea both main bronchi are open . mediastinum lymph nodes with short axes reaching 7 mm in diameter especially located in the right upper and lower paratracheal region are observed in the mediastinum . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are calcific atheroma plaques in the coronary arteries . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there was no finding in favor of active infiltration in both lungs . emphysematous changes were observed in both lungs . in addition there are appearances of soft tissue density compatible with the plug inside the bronchiectatic structures in the basal segments of the lower lobes of both lungs . when examined in the lung parenchyma window tubular bronchiectasis diffuse peribronchial thickening structural distortion and mild atelectatic changes causing volume loss were observed in the right lung upper lobe anterior middle lobe medial and both lung lower lobe basal segments . minimal atelectatic changes were observed in the basal segments of the lower lobes of both lungs . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . the appearance is compatible with osteochondroplastica . millimetric nodular calcifications were observed on the walls of the trachea and segmental and subsegmentary branches of both main bronchi . mediastinum calcific atheroma plaques were observed in the aorta and coronary arteries . the anterior-posterior diameter of the ascending aorta is 40 mm and the descending aorta is 30 mm in diameter which is larger than normal . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of pulmonary arteries is natural . the largest of the described lymph nodes is observed in the subcarinal region and its short diameter is 11 mm . there are lymph nodes in the mediastinum and hilar regions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels as far as can be observed heart sizes have increased . effusion reaching a thickness of 5 mm was observed in the pericardial space . osseous structures minimal degenerative changes are observed in the bone structures in the study area . vertebral corpus heights are preserved . abdomen calcific atheroma plaques were observed in the aorta and coronary arteries . spleen pancreas both adrenal glands are normal . the anterior-posterior diameter of the ascending aorta is 40 mm and the descending aorta is 30 mm in diameter which is larger than normal . there is an anastomosis line at the level of the hepatic flexure . hypodense nodular lesions were observed in the renal pelvis of both kidneys parapelvic cyst . the anastomosis line could not be evaluated in the non-contrast examination . as far as can be seen in the sections 2 hypodense nodular lesions of and size and 6 mm in diameter were observed in the right lobe inferior subsegment of the liver cyst . a calculi image of 2 mm in diameter was observed in the middle pole of the right kidney . lung parenchyma no pericardial pleural effusion or thickness increase was detected . when examined in the lung parenchyma window multilobar peripheral subpleural consolidation areas are observed in both lungs and the described appearances are frequently encountered findings of covid-19 pneumonia . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in the bilateral supraclavicular fossa and in the bilateral axillary region no lymph nodes are observed in pathological size and appearance . mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels calibration of vascular structures heart contour and size are natural . mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures no lytic-destructive lesion is observed in the bone structures within the image and vertebral corpus heights are preserved . abdomen no solid mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . no free fluid or loculated collection is observed . lung parenchyma in the lower lobe of the right lung the posterobasal segment and the laterobasal segment have ground-glass appearances in small areas . the distributions and appearances of the described appearances are not specific . it is recommended that the patient be evaluated together with the laboratory findings . there is minimal bronchiectasis in the central parts of both lungs . however there are appearances of enlarged vessels within the ground glass areas observed in the posterobasal segment in the lower lobe of the right lung . this finding has doubt on covid-19 pneumonia . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma subsegmentary atelectasis and pleuroparenchymal sequelae density are observed in the anterior segment of the right lung upper lobe . in addition subsegmental atelectasis and pleuroparenchymal sequelae densities are observed in the inferior lingular segment of the left lung . in the evaluation of both lung parenchyma mosaic attenuation is observed in both lung parenchyma small airway disease small vessel disease . numerous nodules smaller than 5 mm in diameter are observed in the middle lobe of the right lung upper lobe anterior segment middle lobe in the right lung upper lobe anterior segment upper lobe apicoposterior segment of the left lung and lower lobe anterobasal segment . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper paratracheal aortic pulmonary lymph nodes in millimetric size are observed . no pathological lap was detected in the mediastinum . heart and great vessels minimal pericardial effusion in the form of thin smears is observed anteriorly . osseous structures irregularity in lower and upper end plate and sclerosis in corpus are observed . a small schmorl nodule is observed in the lower end plate of the . no lytic-destructive lesions were detected in bone structures . abdomen the gallbladder was not observed operated . bilateral adrenal glands appear natural . in the sections passing through the upper part of the west the size of the liver partially entering the examination area appears to be increased . liver parenchyma density appears to be decreased consistent with hepatosteatosis . lung parenchyma the outlook is consistent with the frequently reported imaging features of covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . bilateral pleural thickening-effusion was not detected . when evaluated in the parenchyma window of both lungs nodular ground-glass density increases were observed in the peripheral subpleural area and peribronchovascular localization especially in the lower lobes of both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . several calcified lymph nodes were observed in the subcarinal area in the right hilar and right peribronchial localization the short axis of the largest one measuring 9 mm . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . no other mediastinal and bilateral hilar lymph nodes in the study area were found in pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen no dilatation was detected in the thoracic aorta . in the upper abdominal sections in the examination area the liver density has decreased diffusely in accordance with the adiposity . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . other upper abdominal sections in the examination area are normal . lung parenchyma these findings are in favor of viral pneumonia . it is one of the frequently observed findings in covid-19 pneumonia . in both lungs slightly thick-walled air cysts are observed in the right lung middle lobe lateral segment and right lung lower lobe lateral segment . when examined in the lung parenchyma window widespread and patchy subpleural and central parts of both lungs are observed with patchy ground glass opacities . airways the trachea is in the midline and both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aorta and coronary arteries . no lymph nodes were detected in the paraaortic area aortocaval space and retrocrural areas included in the examination with pathological size and appearance . heart and great vessels no pericardial effusion or thickness increase was observed . heart contour and size are normal . osseous structures in the bone structures included in the examination osteophytic taperings that form fusion in places are observed in the anterior corners of the vertebral corpus . abdomen the gallbladder included in the examination has a natural appearance . the visible parts of both kidneys spleen and pancreas included in the examination have a natural appearance . when the upper abdominal organs included in the sections were evaluated the density of the liver is minimally decreased which may be compatible with hepatosteatosis . both adrenal glands appear natural . calcific atheroma plaques are observed in the aorta and coronary arteries . no lymph nodes were detected in the paraaortic area aortocaval space and retrocrural areas included in the examination with pathological size and appearance . lung parenchyma when examined in the lung parenchyma window several nodules the largest of which reach 3 mm in diameter are observed in both lungs . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . sequelae fibrotic band is observed in the right lung lower lobe anterobasal . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal emphysematous changes in both lungs and there is a mosaic attenuation pattern small airway disease small vessel disease . a few millimeter-sized nonspecific nodules are observed in both lungs . apart from this there are occasional sequelae pleuroparenchymal fibrotic bands in both lungs . structural distortion in the apical segment of the upper lobe of the right lung an area of increase in density consistent with subsegmental atelectasis accompanied by volume loss was observed . in the examination made in the lung parenchyma window no active infiltration or mass lesion was observed in both lungs . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum widespread calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures . mediastinal vascular structures and heart examination iv . in the mediastinum lymph nodes with a fusiform configuration with a short diameter of 10 mm at the precarinal level which were not pathological in size and appearance were observed . there is no pathological increase in wall thickness in the thoracic esophagus and there is a sliding type hiatal hernia at the lower end . heart and great vessels it could not be evaluated optimally due to lack of contrast . mediastinal vascular structures and heart examination iv . heart contour and size are natural . osseous structures no lymph nodes in pathological size and appearance were detected in both supraclavicular fossa and axillary regions . no lytic-destructive lesion is observed in the bone structures within the image and there are degenerative changes . abdomen widespread calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures . in the upper abdominal sections within the image there is diffuse thickness increase in both adrenal glands more prominent on the right as far as can be seen within the borders of unenhanced ct in the image and nodular thickness increase in the right adrenal gland corpus which is evaluated in favor of adenoma with millimeter-sized fat densities is observed in the low density measured approximately mm in the right adrenal gland corpus . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen . mediastinum in the mediastinum lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed . as far as can be seen calibration of mediastinal major vascular structures is natural . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures vertebral corpus heights are preserved . at the thoracic level mild scoliosis with right-facing scoliosis was observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis more prominent in the lower lobes of the lung is stable . in the upper lobes of both lung parenchyma the centriacinar peribronchial minimal ground glass density increases with faint borders are stable . no newly developed parenchymal infiltration was detected . apart from this no difference was found between the examinations . in the lower lobes of the lung posterobasal subpleural striations are stable . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma two non-specific parenchymal nodules the largest of which is 35 mm in diameter were observed at the fissure level in the anterobasal segment of the left lung lower lobe . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mild emphysematous changes were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . abdomen in the upper abdominal sections in the study area the liver parenchyma density was slightly decreased in line with the adiposity . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . hypodense lesions were observed in the left renal pelvicalyceal structures parapelvic cyst . lung parenchyma it is recommended to evaluate it together with clinical and laboratory findings in terms of covid-19 pneumonia . viral pneumonias are considered in the etiology of the findings . when the lung parenchyma is examined in the window multilobar peripheral subpleural and dorsal ground-glass lesions are observed in both lungs . pleural effusion-thickening was not detected . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . in the mediastinum no lymph nodes were observed in pathological size and appearance in both axillary regions . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures vertebral corpus heights are preserved . no lytic or destructive lesion was observed in the bone structures within the image . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window both lung parenchymal aeration is normal . no infiltrative lesion was observed in both lungs . coarse sequela calcification is observed in the fatty tissue adjacent to the pericardium left lung . sequelae bronchiectatic changes in the lower lobe anterior and lateral segment bronchi in the right lung fibrotic band formation extending from this area to the pleural surface and areas of atelectasis are observed . sequelae of calcific pleural plaques are observed on the pleural surfaces . no pleural effusion was observed . airways the trachea is in the midline and both main bronchi are open . mediastinum millimetric calcific atheroma plaque is observed in the aortic wall . no lymph nodes in pathological size and appearance were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary regions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures in the vertebral column included in the examination osteophytic tapering is observed at the vertebral corpus corners . abdomen millimetric calcific atheroma plaque is observed in the aortic wall . when the upper abdominal organs included in the examination are evaluated several hypodense well-defined nodular appearances are observed the largest of which is 20 mm in diameter at the level of the liver right lobe segment 8 . it was interpreted in favor of the cyst . lung parenchyma the findings are in favor of viral pneumonia . these findings are also frequently observed in covid-19 pneumonia . when examined in the lung parenchyma window in both lungs scattered ground glass densities are observed which are more prominent in the subpleural areas and are more prominent in the subpleural areas . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are densities consistent with focal mild pleuroparenchymal sequelae in the upper lobe of the left lung and caudal to the anterior segment of the middle lobe . pneumonia is not observed . sequelae changes are observed in the inferior lingular segment of the left lung . no pathological size and configuration of lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window both hemithorax are symmetrical . bilateral pleural effusion pneumothorax were not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . in the sections passing through the upper abdomen a decrease in density consistent with steatosis is observed in the liver . lung parenchyma at both posterobasal levels faint ground-glass-like density increases are observed depending vascular density . pathological size and configuration of lymph nodes are not observed at both hilar levels . mild sequelae changes are observed at the apical level . airways lumens are clear . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is natural . in the mediastinum there are several millimetric lymph nodes with a short axis of 5 mm the largest of which is the hilar fat in the aorticopulmonary window . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures on the left incomplete lesion appearances are observed at the 67 and 8th levels . there is right-facing scoliosis in the region . mild arcus defects are observed in the posterior elements of the vertebrae at and levels . degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no obvious lesion that can be distinguished from motion artifacts was detected in the left lung . consolidation area interlobular septal thickenings approximately cm in size extending towards the parenchyma on the lateral aspect of the anterior lobe are selected . interlobular septal thickenings are observed in the observed lung parenchyma areas . except for a small lung tissue in the anterior segment of the upper lobe of the right lung the right lung has a near-total atelectasis appearance . lobulated contoured pleural effusions measuring 53 cm in the thickest part are observed around the atelectatic lung tissue in the right hemithorax . there is a pleural effusion measuring 2 cm in the thickest part of the left hemithorax . airways right main bronchus and segmental bronchi are open . mediastinum no relevant findings . heart and great vessels pericardial effusion is observed in the form of smearing . osseous structures no relevant findings . abdomen no significant pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma there are several millimetric nonspecific nodules in both lungs . atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment . there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum there are calcific atheroma plaques in the aorta and coronary arteries . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes at the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection was observed in the sections . no pathologically enlarged lymph nodes were detected . there are calcific atheroma plaques in the aorta and coronary arteries . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the current examination hypodense appearance which is thought to belong primarily to the mucus plug is observed in the left main and left upper lobe bronchus and it is thought that the consolidation area in the left upper lobe of the left lung primarily secondary to this . in the current examination the most developed consolidation area is present in the upper lobe of the left lung . the appearance of hypodense mucus plug is observed in the left main bronchus and upper lobe bronchus . in the evaluation made in the lung parenchyma window there are areas of increased density in the lower lobe of the right lung lower lobe of the left lung upper lobe apicoposterior superior and inferior lingular segments in which air bronchograms are observed consistent with consolidation . there is minimal pericardial and left pleural effusion . airways calcification is observed in the trachea and both main bronchial walls . mediastinum in the mediastinum there are lymph nodes with a fusiform configuration the largest of which reaches 11 mm in diameter at the prevascular level . no lymph node is detected in pathological size and appearance . as far as can be observed there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . it shows aneurysmatic dilatation with the diameter of the descending aorta 30 mm the diameter of the pulmonary trunk 37 mm the diameter of the right pulmonary artery 34 mm and the diameter of the left pulmonary artery 31 mm . lymph nodes are not observed in both axillary regions and in pathological size and appearance . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . no pathological increase in wall thickness is observed in the thoracic esophagus . and there is a sliding type hiatal hernia at the lower end . heart and great vessels an increase in heart size is observed . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions are detected in the bone structures within the image and there are degenerative changes . abdomen it shows aneurysmatic dilatation with the diameter of the descending aorta 30 mm the diameter of the pulmonary trunk 37 mm the diameter of the right pulmonary artery 34 mm and the diameter of the left pulmonary artery 31 mm . no free fluid-loculated collection was detected within the unenhanced ct margins in the upper abdominal sections within the image . as far as can be observed there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . lung parenchyma clinical laboratory correlation and follow-up after treatment are recommended . when examined in the lung parenchyma window nodular patchy ground-glass densities are observed in the upper lobe of the left lung posteriorly around which a halo sign is observed . findings may be compatible with early covid-19 viral pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures at the level there are prominent hypertrophic-osteophytic tapering in the posterior endplates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . thoracic aorta diameter is normal . lung parenchyma there are centrilobular and paraseptal emphysematous changes in the upper lobes more prominent on the right . there is a millimetric nodule of 8 mm in the middle lobe of the right lung which is seen in serial 2 image . upper abdominal organs included in the sections are normal . when examined in the lung parenchyma window peripherally located patchy ground glass densities are observed in both lungs . vascular enlargement and air bronchogram signs are present at the patchy ground glass densities described . airways trachea both main bronchi are open . mediastinum a few short axis lymph nodes measuring up to 5 mm are observed in the mediastinum . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are calcific atheroma plaques in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . a change in favor of steatosis is observed in the liver parenchyma entering the section area . lung parenchyma mosaic attenuation is observed in the lower zone of the right lung and it was not detected in the previous examination . pathological size and configuration of lymph nodes are not observed at both hilar levels . an air cyst of approximately 12 mm in diameter is observed in the lower lobe of the left lung . airways there are thickenings of the peribronchovascular sheath . when examined in the lung parenchyma window tracheal calibration is natural . it was evaluated as compatible with mild bronchiectasis . calibration of bronchial structures increased on both sides . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . it is slightly larger than normal . calibration of mediastinal major vascular structures at other levels is normal . the aortic arch calibration is 29 mm . cto is normal . mild calcific atheroma plaques are observed in the abdominal aorta . heart and great vessels no relevant findings . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen it is slightly larger than normal . the aortic arch calibration is 29 mm . no significant difference is observed in other findings . both adrenals are natural . cto is normal . it was not detected in the previous review . mild calcific atheroma plaques are observed in the abdominal aorta . there is a hypodense appearance of approximately 10x6 mm in the subcapsular area at the periphery of the right lobe anterior segment of the liver in the upper abdominal sections in the examination area diaphragmatic . lung parenchyma when evaluated together with the patients previous examinations the number and size of the nodules no difference was found . there is a nodule measuring in diameter in the anterior segment of the upper lobe of the right lung . no mass or infiltrative lesion was observed in both lungs . there is linear atelectasis in the medial segment of the right lung middle lobe . a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . apart from this there are millimetric nodules in both lungs . no pleural or pericardial effusion is detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum width of the mediastinal main vascular structures it is normal . no enlarged lymph nodes in pathological dimensions were detected . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . millimetric atheroma plaques are observed in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen millimetric atheroma plaques are observed in the aorta and coronary arteries . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . upper abdominal free no lesion was detected . lung parenchyma no lymph node with pathological size and configuration was detected at the hilar level . when examined in the lung parenchyma window in both lungs there are ground-glass-like density increments that tend to coalesce more clearly in the mid-lower zones and are consolidated in places . bilateral pleural effusion pneumothorax were not detected . airways no relevant findings . mediastinum millimetric sized calcific atheroma plaques are observed . calibration of mediastinal major vascular structures is natural . millimetric lymph nodes are observed in the mediastinum the largest in the right paratracheal area and measuring 15x9 mm . hiatal hernia is observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto slightly increased in favor of the heart . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen millimetric sized calcific atheroma plaques are observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . intestinal superposition to the area is observed . gallbladder was not observed in the lodge . in the upper abdominal organs included in the sections a decrease in density consistent with hepatosteatosis is observed in the liver . cortical cysts are observed in both kidneys . lung parenchyma no relevant findings . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures anterior vertebral osteophytes are present . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical evaluation is recommended . when both lung parenchyma windows are evaluated minimal centriacinar opacities and bud branches were observed in the upper lobes of both lungs secondary to chronic bronchiolitis . no mass nodule-infiltration was detected in both lung parenchyma . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mediastinal structures were considered suboptimal when the examination was unenhanced . no lymph node was detected in pathological size and appearance . as far as can be seen a few millimetric lymph nodes were observed in mediastinal upper-lower paratracheal localization . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels calcified atherosclerotic changes were observed in the coronary artery wall . osseous structures no lytic-destructive lesions were detected in bone structures . vertebral corpus heights are preserved . abdomen sliding type hiatal hernia was observed in the upper abdominal sections in the examination area . lung parenchyma there are several nonspecific nodular lesions less than 5 mm in diameter in both lungs . focal increases in fissure thickness are observed in the major fissure in the right lung . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma a band atelectatic change was observed in the inferior lingular segment of the left lung . when examined in the lung parenchyma window a mosaic attenuation pattern was observed in the lower lobes of both lungs small airway diseasesmall vessel disease . due to the current pandemic it is recommended to evaluate and follow up with clinical and laboratory in terms of covid-19 pneumonia . a ground-glass nodular lesion with a diameter of 66 mm was observed adjacent to the fissure in the superior segment of the lower lobe of the right lung . no mass lesion with distinguishable borders of both lungs was detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with 11 mm diameter was observed in the inferior of the splenic hilus . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma viral pneumonias are considered in the etiology of the findings . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . minimal pericardial and minimal effusion was observed in both pleural spaces . when examined in the lung parenchyma window in both lungs mostly peripheral subpleural localized indistinct nodular consolidation and areas of increased density in ground glass density were observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma the findings described include typical-probable findings of covid 19 pneumonia . another viral pneumonia can be considered in the differential diagnosis . bilateral pleural effusion-thickening was not detected . when both lung parenchyma windows are evaluated ground-glass density increases accompanied by interlobular septal thickening were observed in the peripheral subpleural area and peribronchovascular localization in both lungs . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . no lymph node was detected in mediastinal and hilar pathological size and appearance . calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . mediastinal main vascular structures heart contour size are normal . lymph nodes measuring on the short axis of the largest were observed in the upper-lower paratracheal area prevascular and subcarinal areas . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels minimal effusion was observed . calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . pericardial thickening was not detected . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structure . no lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no gallbladder was observed in the upper abdominal organs included in the sections cholecystectomized . no space-occupying lesion was detected in the liver that entered the cross-sectional area . calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . lung parenchyma a few millimetric nonspecific parenchymal nodules were observed in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window tubular bronchiectasis which became prominent in the center was observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . two accessory spleens the largest of which is 17 mm in diameter were observed inferior to the splenic hilum . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window several nonspecific parenchymal nodules with a diameter of 45 mm were observed in both lungs the largest of which was in the middle lobe of the right lung . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . it is recommended to be evaluated together with usg . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . mild degenerative changes were observed in the bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric nonspecific nodules were observed in both lungs . peripheral and centrally located consolidation and ground glass areas are observed in the lower lobe of the left lung . the views described are not specific . no mass was detected in both lungs . bacterial or viral pneumonias can cause a similar appearance . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum atheroma plaques are observed in the aorta and coronary artery . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were observed . heart and great vessels as far as can be observed the heart is larger than normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen atheroma plaques are observed in the aorta and coronary artery . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma the largest of these nodular consolidation areas are approximately 37 mm in diameter in the apicoposterior segment of the left lung upper lobe and approximately 38 mm in diameter in the upper lobe anterior segment of the right lung . nodular consolidation areas are observed in both lungs . specific infections fungal infections in differential diagnosis . when evaluated together with the previous examination it was understood that ground glass opacities developed around the described nodular consolidation areas . apart from this there are also newly developed ground glass densities scattered in both lungs . the outlook was evaluated in favor of the infective process . in other lung segments air images are seen from place to place within the nodular consolidation areas with a round appearance . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma ventilation of both lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window in the upper lobe of the left lung small patchy ground-glass densities are observed at the level of series 2 images which can be distinguished from the subpleural parenchyma by a clear cut . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar pathological dimensions were detected . thoracic aorta diameter is normal . small lymph nodes are observed in both axillary regions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma the described findings are more prominent in the posterior segment of the upper lobe of the right lung . no mass or infiltrative lesion was detected in both lungs . there is minimal bronchiectasis and minimal peribronchial thickening in both lungs . apart from these millimetric nodules and occasionally linear atelectasis are observed in both lungs . the appearances described are also considered to be sequelae changes . in the right upper lobe posterior segment of the right lung bronchiectasis and peribronchial thickening are accompanied by structural distortion and volume loss and calcific nodules . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen in the liver parenchyma there is a decrease in density compatible with fatty deposits . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window mild emphysematous findings are present in both lungs . sequelae changes are observed at the apical level . there was no finding compatible with pleural effusion pneumothorax pneumonia . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen density compatible with 2 mm diameter calculi is observed in the middle part of the left kidney . nodular formation is observed in the spleen hilum which is considered compatible with the millimetric accessory spleen . lung parenchyma however there are frosted glass-style density increments which tend to coalesce widely in places in the old examination . in the evaluation of both lungs in the parenchyma window in the left lung there is a thick-walled and irregular lobulation which may be compatible with empyema measuring approximately mm with the largest axial plane dimension at the level extending from the upper lobe anterior segment to the lingular segment and caudally along the other fragment . again pleuroparenchymal density increases consistent with sequelae changes are observed . there are densities compatible with emphysema in both lungs . it is recommended that the case be evaluated for covid pneumonia . the findings are also followed in his previous review . there is progression . there was no pathological size and configuration of lymph nodes at the bilateral hilar level . it was not detected in his previous examination . the identified changes were not detected in his previous review . starting from the upper lobe of the right lung the lower lobe segments and the area extending towards the middle lobe have ground-glass-like intense density increases suggesting that it is from place to place . identified changes are not observed in pet-ct dated . there is a 3 mm diameter nodule in the anterior segment of the right lung upper lobe . in this background there is thickening of the interlobular septa and thickening of the peribronchovascular sheath . again the defined changes are present in the anteromediobasal segment of the lower lobe of the left lung . in the left lung thickening of the subpleural interlobular septa in the anterior segment of the upper lobe and thickening and irregularity in the pleura are observed . airways no relevant findings . mediastinum there are lymph nodes in the mediastinum the largest in the subcarinal area and measuring mm . calcific atheroma plaques are observed in the ascending aortic arch descending aorta and left coronary artery . calibration of major vascular structures in the mediastinum is natural . in the old review its short axis is . mild hiatal hernia is observed . heart and great vessels cto is within normal limits . calcific atheroma plaques are observed in the ascending aortic arch descending aorta and left coronary artery . osseous structures degenerative changes are observed in the bone structure . there is widespread heterogeneity which is considered consistent with metastasis . there is also widespread heterogeneity in bone structure . abdomen cortical cyst is observed in the left kidney . surrounding soft tissue plans are natural . in the old review its short axis is . both adrenals are natural . calcific atheroma plaques are observed in the ascending aortic arch descending aorta and left coronary artery . upper abdominal organs included in the sections are normal . there is a decrease in density consistent with hepatosteatosis in the liver entering the cross-sectional area . lung parenchyma the manifestations described are not specific but are primarily evaluated in favor of infective pathology . there are emphysematous changes and atelectasis in both lungs . there are millimetric nonspecific nodules in both lungs . density increases and structural distortion described in this localization were thought to be sequelae changes . no mass was detected in both lungs . it is understood that this metastasis has almost completely disappeared . in the previous examination of the patient the localization of the nodular lesion observed in the medial of the apical segment of the right lung upper lobe nonspecific density increase was observed in this examination the borders of which can hardly be distinguished . there is bilateral minimal pleural effusion . airways peribronchial thickening is accompanied by ground glass appearance . there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the main pulmonary artery measured 34 mm at its widest point . the diameters of the descending aorta and ascending aorta are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . the diameters of the pulmonary arteries have increased . the aortic arch is elongated . heart and great vessels pericardial effusion was not detected . as far as can be observed the heart is larger than normal . especially the left atrium is observed to be larger than normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . there are atheromatous plaques in the aorta and coronary arteries . the diameters of the descending aorta and ascending aorta are normal . the aortic arch is elongated . lung parenchyma in the examination made in the lung parenchyma window no active infiltration or nodular lesion was detected in both lungs . ventilation of both lungs is natural . no pericardial and pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calibration of mediastinal vascular structures and heart contour and size are natural . no lymph node was observed in the mediastinum in pathological size and appearance . there is a heterogeneous hypodense appearance in the anterior mediastinum that does not space and it was evaluated in favor of residual thymus tissue . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of mediastinal vascular structures and heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma at the posterobasal level there are nonspecific slight ground-glass-like density increments . there is a 5x3 mm nodule in the superior segment of the lower lobe . when examined in the lung parenchyma window the increase in faint ground glass density observed at the mediobasal level of the lower lobe of the right lung was evaluated as secondary to the degeneration in the bone structure . a 3 mm diameter nodule is observed at the posterobasal level of the lower lobe of the left lung . no significant pleural effusion or pneumothorax was detected in both lungs . airways trachea both main bronchi are open . mediastinum ascending aorta calibration is 42 mm and wider than normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the aortic arch calibration is 36 mm and wider than normal . other mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen the aortic arch calibration is 36 mm and wider than normal . the left adrenal glands were normal and no space-occupying lesion was detected . a decrease in density consistent with hepatosteatosis is observed in the liver entering the cross-sectional area . upper abdominal organs included in the sections are normal . there is hypodense appearance compatible with cortical cyst in the left kidney . ascending aorta calibration is 42 mm and wider than normal . mild fullness is observed in the right adrenal . lung parenchyma clinical evaluation is recommended . in the evaluation of both lung parenchyma interlobular septal thickenings that are more prominent in the lower lobes of both lungs and ground glass densities and interlobular septal thickenings that are more prominent in the lower lobes of both lungs and interlobular septal thickenings are considered as ground glass densities secondary to edema rather than infection . apart from these nodules with a size of 66 mm in the anterior segment of the right lung upper lobe 5 mm in size in the middle lobe 45 mm in diameter in the anterior segment of the left lung upper lobe one 4 mm in diameter in the lingular segment and one subpleural 4 mm in diameter are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . millimetric calcific plaques are observed in the walls of the coronary artery and in the aortic arch . right upper-lower paratracheal aortopulmonary lymph nodes in millimetric size are observed . heart and great vessels millimetric calcific plaques are observed in the walls of the coronary artery and in the aortic arch . osseous structures no lytic-destructive lesion was detected in the bones . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . millimetric calcific plaques are observed in the walls of the coronary artery and in the aortic arch . lung parenchyma passive atelectatic changes and ground glass densities are observed in the posterior segments of the left lung lower lobe adjacent to the effusion . subcentimetric nonspecific pulmonary nodules were observed in both lungs . the outlook was evaluated in favor of pneumonic infiltration . mild emphysematous changes are present in both lungs . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window large consolidation area and ground glass densities are observed in the left lung upper lobe apicoposterior segment and superior lingular segment . there are millimetric emphysema areas in the right lung apical segment . there is a pleural effusion reaching a thickness of 19 mm in the left pleural space . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum calcified atheroma plaques are observed in the wall of the thoracic aorta coronary arteries and abdominal aorta . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of mediastinal major vascular structures is natural . no lymph node was detected in the mediastinum in pathological appearance . lymph nodes with a size of mm were observed at the prevascular aortopulmonary right upper bilateral lower paratracheal and precarinal levels . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures mild scoliosis with left opening was observed at the upper thoracic level . vertebral corpus heights are normal . spur formations bridging each other were observed in the right anterolateral of the vertebral corpus . abdomen gallbladder spleen and pancreas are natural . as far as it can be seen on non-contrast sections a hypodense lesion with a size of mm with peripheral subcapsular location was observed in segment 5 of the liver cyst . no lymph node was detected in intraabdominal and bilateral inguinal pathological size and appearance . calcified atheroma plaques are observed in the wall of the thoracic aorta coronary arteries and abdominal aorta . no stones were observed in both kidneys within the sections . no intraabdominal free-loculated fluid was detected . slight thickening was observed in the right adrenal gland corpus and left adrenal gland medial crus . lung parenchyma mass lesion with distinguishable borders in both lungs - no active infiltration was detected . it is recommended to evaluate previous examinations together if any . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . pleuroparenchymal sequela fibrotic density increases were observed in the left lung upper lobe inferior lingular segment . subpleural nodules with a diameter of 52 mm in the upper lobe anterior segment on the right and 51 mm in diameter in the laterobasal segment of the lower lobe on the left were observed in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum numerous lymph nodes with short axes less than 1 cm were observed in the mediastinum . no pathological lymph node was detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances and consolidations were observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels pericardial minimal effusion was observed . the heart and mediastinal vascular structures have a natural appearance . osseous structures degenerative osteophytes were observed in the vertebral corpus corners . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there is a small bleb appearance at the apical level . pathological size and configuration of lymph nodes are not observed at both hilar levels . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . sequelae changes are observed in the lingular segment . mild emphysematous changes are observed in both lung parenchyma . there is a 3 mm diameter nonspecific nodule in the paramediastinal area in the anterior segment of the left lung upper lobe . a 9x7 mm nodule is observed in the superior segment of the left lung lower lobe adjacent to the peribronchial sheath . pleural effusion-thickening was not detected . a subpleural 2 mm diameter nonspecific nodule is observed in the posterior segment of the right lung upper lobe . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of major vascular structures in the mediastinum is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . millimetric-sized calcified atheroma plaques are observed in the coronary arteries . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . a decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area . lung parenchyma emphysema in both lungs is more prominent in the lower lobes . in his previous examination chronic changes in the form of septal thickenings of diffuse pneumonic infiltration in the form of septal thickening and ground glass density which are more common in the upper lobes of both lungs are observed . areas of ground glass opacity were completely resorbed . sequelae changes in the form of septal thickening and linear density increase are observed . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma subsegmental infiltration is present . covid pneumonia cannot be excluded and bacterial agents can be considered as a . there are also multiple parenchymal metastases in both lungs the largest of which is 25 cm in diameter in the left lung lingular segment in the ventilated parenchyma . pneumonic infiltration areas are observed in the upper lobes of both lungs . a pleural effusion is observed between the bilateral pleural leaves reaching a diameter of 6 cm on the right and 5 cm on the left . in lung parenchyma evaluation both lung lower lobes are not ventilated due to pleural effusion . airways air bronchograms are monitored . mediastinum density distinction cannot be made between and mediastinal adipose tissue . heart and great vessels heart size increased . density distinction cannot be made between and mediastinal adipose tissue . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen diffuse skin subcutaneous and soft tissue edema is observed . liver parenchymal metastases are observed in the upper abdominal sections entering the image area . diffuse edema is present . therefore examination for soft tissues is highly suboptimal . density distinction cannot be made between subcutaneous muscle planes and tissues such as adipose tissue . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is a nodule measuring approximately mm in the widest part of the left lung upper lobe apicoposterior segment series 2 section 185 . immediately medial to the described nodule there is another nodule measuring approximately mm at its widest point series 2 section . there are minimal pleuroparenchymal sequelae changes in both lung apexes . minimal emphysematous changes are observed in both lungs . the described appearances can also be observed in the patients previous examinations . minimal bronchiectasis is observed in the central parts of both lungs . no pleural or pericardial effusion was detected . airways the examination of the patient was evaluated together with the thorax ct examinations dated and . trachea and both main bronchi are normal . no occlusive pathology was detected in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . there was no difference in size and appearance . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma millimetric nonspecific nodules were observed in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . minimal emphysematous changes locally linear atelectasis and minimal pleuroparenchymal sequelae were observed in both lungs . no pleural effusion was detected on the left . there is minimal pleural effusion on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures could not be evaluated optimally because no contrast agent was given . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . diffuse atheroma plaques are observed in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels it is understood that the patient underwent coronary bypass surgery . pericardial effusion was not detected . as far as can be observed the heart is larger than normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . diffuse atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma the outlook is highly suspicious for covid-19 pneumonia . a 45 mm diameter parenchymal nodule was observed adjacent to the fissure in the superior segment of the left lung lower lobe . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window patchy ground-glass consolidations forming a peripherally located crazy paving pattern were observed in both lungs . it is recommended to be evaluated together with previous examinations if any . linear atelectatic changes and subpleural striations are present in both lung lower lobe basal segments . airways trachea and both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . minimal pleuroparenchymal fibrotic changes are observed in the middle lobe of the right lung the upper lobe lingular segment of the left lung and the basal segments of the lower lobes of both lungs . mosaic attenuation pattern was observed in both lungs . interlobular septal thickening was observed in the lingular segment of both lungs in the lower lobe right lung middle lobe and left lung upper lobe cardiac stasis . when examined in the lung parenchyma window minimal sequelae thickening was observed in the posterior costal pleura in both hemithoraces . airways wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea both main bronchi and lobar bronchi . the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . upper abdominal organs are normal as far as can be seen in the sections . a nodular lesion area with a density of 33 mm in diameter was observed in the upper pole of the left kidney cyst . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal nodular thickening was observed in the upper lobes of both lungs and in the superior segment of the left lower lobe of the left lung . it is recommended to evaluate and follow-up together with previous examinations if any . multilobar multisegmental central-peripheral crazy paving patterned nodular ground glass consolidations were observed in both lungs and the appearance is highly suspicious for covid-19 pneumonia . evaluation with clinical and laboratory is recommended . no mass lesion with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with previous examinations if any . lingular nodules in the left lung upper lobe and subpleural nodules the largest of which is 62 mm in diameter were observed in the lateral segment of the right lung middle lobe . airways trachea both main bronchi are open . mediastinum as far as can be seen the anterior-posterior diameter of the ascending aorta is 41 mm and the anterior-posterior diameter of the descending aorta is 30 mm which is above normal . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal structures cannot be evaluated optimally because contrast material is not given . pulmonary artery diameters are normal . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels mild minimal calcification was observed in the aortic valve . pericardial effusion-thickening was not observed . heart contour and size are normal . osseous structures mild scoliosis was observed at the upper thoracic level with its opening to the right . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen the anterior-posterior diameter of the ascending aorta is 41 mm and the anterior-posterior diameter of the descending aorta is 30 mm which is above normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or appearance compatible with pneumonic infiltration was detected in both lungs . density increases and minimal structural distortion which are evaluated in favor of pleuroparenchymal sequelae changes are observed in both lung apexes . minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs . there are minimal emphysematous changes in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there is a sliding type minimal hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . especially the coronary arteries are observed with diffuse plaque . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window reticulonodular fibrotic recessions were observed in the apex of both lungs . no mass lesion-active infiltration was detected in both lungs . a bleb formation with a diameter of 11 mm was observed in the apicoposterior segment of the upper lobe of the left lung . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . an accessory spleen with a diameter of 16 mm was observed inferior to the splenic hilum . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a nodule of 4 mm in size is observed in series 2 image in the upper lobe of the left lung . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . a venous catheter is observed in the superior vena cava . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . other upper abdominal organs included in the sections are normal . there are findings consistent with hepatosteatosis in the liver parenchyma . lung parenchyma no mass space-occupying lesion was observed in the lung parenchyma . the findings were evaluated as compatible with atypical pneumonic infiltration covid pneumonia . in parenchymal evaluation bilateral asymmetric patchy consolidation areas are observed in both lungs . no pleural effusion was detected . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . thickening of the adjacent lobar bronchial walls and bronchiectatic changes were observed in the left lung upper lobe inferior lingular segment . millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window in the anterobasal subsegment of the left lung lower lobe anteromediobasal segment thin-walled parenchymal air cysts 44 mm in diameter adjacent to each other were observed in the area adjacent to the fissure . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . thickening of segmental bronchial walls was observed in both lungs . mediastinum a calcified atheroma plaque was observed on the wall of the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the diameters of the pulmonary conus right and left pulmonary arteries were measured as 36 mm 26 mm and 25 mm respectively . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . as far as can be seen the ascending aorta is ectatic with an anterior-posterior diameter of 38 mm . heart contour size is normal . osseous structures osteodegenerative changes were observed in the bone structures in the study area . abdomen a calcified atheroma plaque was observed on the wall of the aortic arch . upper abdominal organs included in the sections are normal . accessory spleen with a diameter of 13 mm was observed adjacent to the lower pole of the spleen . lung parenchyma in both lung parenchyma there are areas of ground glass selected in the previous examination . more prominent interlobular septa in the upper lobes are observed which may be secondary to fluid overload . centracinar emphysematous areas are observed in the upper lobes of both lungs . bilateral pleural effusion measuring 35 cm in the thickest part in the right hemithorax and 3 cm in the left hemithorax and passive atelectasis in the lung parenchyma adjacent to the effusion are observed . airways trachea and main bronchi are open . mediastinum right upper-bilateral lower paratracheal aortopulmonary subcarinal subcarinal localizations as well as calcified lymph nodes with narrow diameters less than 1 cm are observed . no pathological lap was detected in the mediastinum as far as it could be distinguished from the non-contrast examination . calcific atherosclerotic plaques are observed in the arch and descending aorta . heart and great vessels the cardiothoracic index increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in bone structures . a heterogeneous appearance is observed secondary to possible osteopenia and increased trabeculation . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific atherosclerotic plaques are observed in the arch and descending aorta . lung parenchyma a large part of the middle lobe of the right lung is also observed as atelectatic . the lower lobe of the right lung adjacent to the effusion is total atelectatic . there are millimetric nonspecific nodules in both lungs . the largest of these lesions is observed at the level of the posterobasal segment of the lower lobe of the right lung and its longest diameter is 45 mm . on the right the effusion continues to the apex of the lung while the patient is in the supine position . there was no appearance that could be evaluated in favor of pneumonic infiltration in both aerated lungs . apart from these solid lesions in the pleura were observed in both hemithorax and were also evaluated in favor of metastases . the amount of pleural effusion also increased . there is bilateral pleural effusion more prominent on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . the largest of these lymphadenopathies is observed in the upper mediastinum adjacent to the right brachiocephalic artery and adjacent to the superior vena cava and measures approximately 16x11 mm and 16x10 mm in their widest parts . lymphadenopathies were observed in the mediastinum . mediastinal structures cannot be evaluated optimally because contrast material is not given . atheroma plaques are observed in the aorta . heart and great vessels as far as can be observed heart contour and size are normal . the larger masses described are seen on the right in the paracardiac fat pad and measure approximately mm . there are also solid lesions within the pericardial fat pad which may be metastatic mass or lymphadenopathy . pericardial effusion was not detected . osseous structures a metastatic mass is observed around the 7th rib on the left . it is understood that the mass caused destruction in the 7th rib . vertebral corpus heights alignments and densities within the sections are normal . bone metastasis is also present in the previous examination of the patient but it is understood that their size has increased . abdomen there are masses in both lobes of the liver . atheroma plaques are observed in the aorta . lung parenchyma when examined in the lung parenchyma window it was understood that the patient underwent left lung upper lobectomy . emphysematous changes were observed in both lungs . there are significant fibroatelectasis changes in the lower lobe of the left lung and the middle lobe of the right lung in both lungs . it was also observed in the previous examination and no significant change was detected . there are bilateral peribronchial thickenings . no nodule-infiltration was detected in both lung parenchyma . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal and hilar pathological size and appearance . calibration of mediastinal major vascular structures is natural . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial minimal effusion was observed . heart size increased . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . as far as can be seen there are stent materials in the coronary arteries . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area consistent with mild adiposity . lung parenchyma ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no obstructive pathology is detected . mediastinum no lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma when both lung parenchyma windows are evaluated in the upper and lower lobes of both lungs diffuse septal thickenings with a tendency to merge in the lower lobes were observed and ground-glass density increases were observed and consolidative changes were observed in the lower lobes . the outlook was evaluated as consistent with the frequently reported imaging features of covid-19 pneumonia . clinical and laboratory correlation is recommended . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no relevant findings . abdomen there was no significant change in other findings in the current examination . minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta . liver parenchyma density in the cross-sectional area has decreased diffusely in line with fatty deposits . lung parenchyma no active infiltration-consolidation or space-occupying lesion was detected . emphysematous changes and mosaic attenuation pattern are observed in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window scattered faintly circumscribed ground-glass opacities are observed in both lungs . the outlook is in favor of viral pneumonia . these appearances are also frequently encountered findings in covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no mass or infiltrative lesion is detected in both lungs . a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . linear atelectasis areas are observed in the right lung middle lobe lateral segment and left lung upper lobe lingular segment . parenchymal air cyst is observed in the upper lobe of the right lung . a 15 mm diameter nonspecific nodule is observed in the anterior segment of the left lung upper lobe . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . the widths of the mediastinal main vascular structures are normal . sliding type hiatal hernia is observed at the esophagogastric junction . no pathological increase in wall thickness was detected in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the limits of non-contrast ct no mass with distinguishable borders was detected in the upper abdominal organs . a hyperdense stone with a diameter of 65 mm is observed in the lower pole calyx of the right kidney . lung parenchyma a few millimetric nonspecific nodules were observed in both lungs . linear atelectasis was observed in the middle lobe of the right lung . there are minimal emphysematous changes in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . in the liver parenchyma density a decrease in density consistent with moderate adiposity was observed . lung parenchyma it is nonspecific because it is in a focal area but early parenchymal involvement of covid infection could not be excluded . no consolidation area is detected in the lung parenchyma . clinical follow-up is recommended . no mass or nodular space-occupying lesion was detected in the lung parenchyma . mosaic attenuation is present in both lung parenchyma . however there are 2 nodular ground glass densities in the subpleural area in the anterior segment of the right lung upper lobe . pleural effusion reaching 35 mm in diameter between the left pleural leaves and compression atelectasis adjacent to the effusion are observed . airways slight bronchial wall thickness increases are observed in segment bronchi . mediastinum there are millimetric nonspecific lymph nodes located in the upper and lower paratracheal mediastinum . is monitored . heart and great vessels an increase in diameter is observed more prominently on the left . heart size increased . cardiac pacemaker catheter was monitored . there are findings of previous bypass operation . osseous structures no lytic-destructive lesions were detected in bone structures . no lymph node in pathological size and appearance was observed in the axilla and in the supraclavicular fossa within the section . abdomen is monitored . no features were detected in the upper abdomen sections . lung parenchyma there are several millimetric nonspecific nodules in both lungs . there is minimal bronchiectasis in the central part of both lungs . there are minimal emphysematous changes in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta . mediastinal structures could not be evaluated optimally because no contrast agent was given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma there are several millimeter-sized nonspecific nodules in both lungs . no active infiltration or mass lesion was observed in both lungs . there are emphysematous changes . airways diffuse mild ectasia and diffuse mild peribronchial thickness increase are observed in bronchial structures in both lungs . trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum in the mediastinum no lymph node was observed in pathological size and appearance in both axillary regions . calibration of mediastinal vascular structures heart contour and size are natural . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels pericardial effusion was not detected . calibration of mediastinal vascular structures heart contour and size are natural . osseous structures there are degenerative changes . no lytic or destructive lesions were observed in the bone structures within the image . abdomen no relevant findings . lung parenchyma there is no mass or infiltrative lesion in both lungs . there are sometimes linear atelectasis in both lungs . a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . there are millimetric nonspecific nodules in both lungs . there is minimal pleural effusion on the right . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . atheroma plaques are observed in the aorta and coronary arteries . a central venous catheter inserted from the left is observed . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is no pericardial effusion . atheroma plaques are observed in the aorta and coronary arteries . the catheter terminates in the right atrium . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma in the evaluation of both lung parenchyma no active infiltration was detected . there are parenchymal nodules with a size of 35 mm on the pleural base in the posterior lower lobe of the right lung and 5 mm in the lateral part of the lower lobe of the left lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen a mm fluid density lesion in the medial of the upper pole of the spleen which cannot be differentiated from the spleen in the posterolateral aspect is observed and the examination was not characterized due to the lack of contrast . lung parenchyma when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no suspicious mass or nodular space-occupying lesion was observed . in upper abdominal sections sequelae change in the form of focal parenchymal loss is observed in the upper pole of the right kidney . lung parenchyma there are predomitly calcific nodules reaching mm in both lungs . no infiltrative lesion was detected in both lung parenchyma . when examined in the lung parenchyma window subsegmental linear atelectasis is observed adjacent to the left lung inferior lingular segment and lower lobe and adjacent to the major fissure . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition there are areas of increase in density consistent with atelectasis in the form of linear bands in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment . no mass lesions were detected in both lungs . the largest measured 35 mm in diameter in the anterior segment of the upper lobe of the right lung . the findings were evaluated as viral pneumonias and it is recommended to evaluate together with clinical and laboratory findings in terms of covid-19 pneumonia . there are a few millimetric non-specific nodules in both lungs . no pericardial pleural effusion or thickening was detected . when examined in the lung parenchyma window in the lower lobes of both lungs peripheral subpleural localized indistinctly limited ground glass density increases are observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance . an increase was observed in the pulmonary trunk and both pulmonary artery calibrations and the diameter of the pulmonary trunk was 40 mm the diameter of the right pulmonary artery was measured as 32 mm and the diameter of the left pulmonary artery was 29 mm respectively . mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . sliding type hiatal hernia was observed at the lower end of the esophagus . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . an increase in heart size is observed . osseous structures diffuse hyperdense sclerotic appearance which is more clearly observed in the vertebral corpuscles was noted in the bone structures within the image . no lytic-destructive lesion was observed in the bone structures within the image . in the lower thoracic vertebral corpuscles schmorl nodules in millimetric sizes are observed in the end plateaus adjacent to the disc distance . abdomen as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image there are chronic atrophic changes in both kidneys and lesions of hypodense fluid density are observed in both kidneys cyst . the appearance was primarily evaluated as belonging to renal . no intraabdominal free fluid or loculated collection is observed . lung parenchyma no pneumonic infiltration was detected in the lung parenchyma . the larger nodules were observed in the right lung lower lobe superior segment and left lung upper lobe lingular segment . their diameters were measured as 185 mm and 16 mm respectively 11 mm and 12 mm respectively in the previous examination . segmentary-subsegmentary minimal peribronchial thickenings were observed in the left lung . atelectasis and interlobular septal thickening were observed in the middle and lower lobes of the right lung and the volume of the middle and lower lobes of the right lung was decreased . in the left lung upper lobe lingular segment right lung lower lobe superior and lower lobe mediobasal segments and right lung upper posterior segment lateral part irregularly circumscribed nodules known to be metastases were observed adjacent to the fissure . the effusion entered the major fissure and formed a localization there . no pleural effusion was observed on the left . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi . mediastinum aortopulmonary right lower paratracheal and right hilar calcified lymph nodes were observed . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of pulmonary arteries is natural . as far as can be seen the anterior-posterior diameter of the ascending aorta was 40 mm and the anterior-posterior diameter of the descending aorta was 31 mm larger than normal . atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries . no enlarged lymph nodes were detected in prevascular pretracheal subcarinal or bilateral axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries . stent was observed in lad . left heart enlarged . osseous structures no lytic-destructive lesion in favor of metastasis was observed . diffuse degenerative changes were observed in the bone structures in the study area . abdomen in the upper abdominal organs including sections liver gall bladder spleen pancreas both kidneys are natural . atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries . cyst of 24 mm diameter was observed in the lower pole of the right kidney . as far as can be seen the anterior-posterior diameter of the ascending aorta was 40 mm and the anterior-posterior diameter of the descending aorta was 31 mm larger than normal . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window peripherally located patchy ground glass densities are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta measures 42 mm and is slightly wider than normal . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma these nodules were first evaluated in favor of metastases . the largest of these nodules is observed in the right lung and measured 10 mm in diameter . there are sometimes linear atelectasis in both lungs . there are nodules in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal and abdominal solid structures and vascular structures cannot be evaluated optimally because contrast material is not given . atheroma plaques are observed in the aorta and coronary arteries . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels there is minimal pericardial effusion . atheroma plaques are observed in the aorta and coronary arteries . heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . intervertebral disc distances were minimally narrowed . the neural foramina are open . abdomen a mass measuring mm is observed in the widest part of the left kidney in the upper pole . mediastinal and abdominal solid structures and vascular structures cannot be evaluated optimally because contrast material is not given . there are nodular lesions the largest measuring 17 mm in diameter in the perirenal area and were evaluated in favor of metastases . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window a nonspecific focal ground glass density increase was observed in the middle lobe of the right lung . in the left lung lower lobe segment band-like sequela fibrotic density increases were observed . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma aeration of both parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . sequela fibrotic changes are present in the apical segments of the right lung and the apicoposterior segments of the left lung . when examined in the lung parenchyma window mild emphysematous changes are present in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no rib fracture or mass was detected in the area described in the left area . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when both lungs are evaluated in the parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . no infiltration was detected in both lung parenchyma . there are pleuroparenchymal sequelae density increases in the middle lobe of the right lung and the inferior lingular segment of the left lung . bilateral pleural thickening-effusion was not detected . airways mediastinal structures were evaluated as suboptimal since the examination was uncontrasted and as far as can be observed trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum mediastinal and hilar pathological size and appearance of the lymph node were not detected within the limits of non-contrast examination . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . calcified atherosclerotic changes are observed in the wall of the abdominal aorta . no dilatation was detected in the thoracic aorta . lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal subcarinal area . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen upper abdominal sections entering the examination area are natural . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . calcified atherosclerotic changes are observed in the wall of the abdominal aorta . no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma there is a mild emphysematous appearance in the lung . sequelae changes are observed bilaterally at the apical level . there are ground-glass-like density increases in the mid-lower zones of both lungs which are located peripherally largely contoured and accompanied by thickenings in the interlobular septal at the floor . when examined in the lung parenchyma window both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma . there is a 5 mm diameter nodule on the interlobar fissure . a nodular density of 4x3 mm is observed in the lingular segment . no pleural effusion or pneumothorax was detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is a nonspecific hypodense appearance adjacent to the falciform ligament in the left lobe of the liver entering the cross-sectional area area of focal fat . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . lung parenchyma bilateral lung basals have appearances of fibroatelectasis . ground glass densities and centrilobular emphysema areas were observed around the cavitary lesions defined in the apicoposterior segment of the upper lobe of the left lung . in the evaluation of both lung parenchyma a cavitary lesion with a diameter of 55 cm 15 cm and 32 cm in the apicoposterior segment of the left lung upper lobe and 1 cm in the right lung upper lobe anterior segment is observed . there are consolidations including air bronchograms in the right lung upper lobe posterior and left lung lingula inferior segment . bilateral appearances of centrilobular and paraseptal emphysema were observed in places . bilateral 15 cm thick pleural effusion is observed . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . calcific atheroma plaques are observed in the main vascular structures . the esophagus is natural . heart and great vessels the heart is in natural appearance . osseous structures no decrease in height and vertebra appearance were observed in the upper plateau of l1 vertebra . appearances of degenerative osteophytes are observed in vertebral plateaus . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific atheroma plaques are observed in the main vascular structures . lung parenchyma the outlook is primarily suggestive of viral pneumonia . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . clinical and laboratory correlation is recommended . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window in both lungs multilobar location in the middle lobes and lower lobes and ground-glass-like density increases in the peripheral subpleural area were observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma post-treatment follow-up is recommended . no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . when examined in the lung parenchyma window focal nodular lesions with multiple contours in both lungs spicular nodular size pleural located in the left lung lower lobe posterior segment measured up to 18 mm in serial image with a halo sign in places around it fungal infection in a patient with space-occupying lesion . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum several short axis lymph nodes measuring 5 mm are observed in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it was evaluated in favor of suspected early-stage covid-19 viral pneumonia . clinical lab . a few millimetric nonspecific nodules are observed in both lung parenchyma . when examined in the lung parenchyma window millimetric nodular centriacinar ground glass density which can hardly be distinguished from 1-2 parenchyma is observed in the lower lobe of the left lung . blind . recommended . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window in the left lung nodular ground glass densities with a tendency to peribronchial being more prominent in the posterobasal lower lobe are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the vertebrae . there is an increase in thoracic kyphosis . abdomen thoracic aorta diameter is normal . other upper abdominal organs included in the sections are normal . in the upper abdominal sections an increase in density in the mesenteric fatty tissue and lymph nodes with a short axis reaching 65 mm are observed in the mesentery . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart sizes are slightly increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen it was evaluated in favor of stone . clinical correlation monitoring is recommended . the gallbladder is operated . upper abdominal organs are partially included in the image and there is calcification up to 17 mm in the right kidney mid-level pelvicalyceal structures . thoracic aorta diameter is normal . there is a finding in favor of cortical cyst in the middle zone of the left kidney measured up to mm with exophytic localization in the fluid attenuation in the hilum . an oval-shaped hypodense finding was evaluated in favor of a cyst in the attenuation of fluid with a size of 26 mm partially entering the image posteriorly in the lower zone of the right kidney . lung parenchyma ct involvement score was evaluated as moderate . pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances consolidation in the left lower lobe superior segment were observed in both lungs . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen it should also be evaluated clinically . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . no significant pathology was detected in the abdominal sections . lung parenchyma when examined in the lung parenchyma window peripherally located stable parenchymal nodules were observed in both lungs the largest of which was approximately 48 mm in diameter in the superior segment of the left lung lower lobe . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . stable lymph nodes with a short diameter of 6 mm were observed in the mediastinal prevascular area in the aortopulmonary window in the paratracheal area and in the bilateral hilar region . the widths of the mediastinal main vascular structures are normal aberrant right subclavian artery is observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the heart is normal . osseous structures bone structures in the study area are natural . there was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . a decrease in liver density consistent with significant hepatosteatosis was observed . lung parenchyma pleuroparenchymal sequelae changes are observed in the left lung upper lobe anterior segment caudal . a 3x2 mm nodule is observed in the anterior segment of the left lung upper lobe . when examined in the lung parenchyma window there is a nodule with a diameter of 2 mm in the middle lobe of the right lung . a 2 mm diameter subpleural nodule is observed in the right lung lower lobe laterobasal segment . there were no findings consistent with bilateral pleural effusion pneumothorax or significant pneumonia . airways no relevant findings . mediastinum the aortic arch calibration is 30 mm slightly above normal . calibration of other major mediastinal vascular structures is natural . cto is normal . no pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calibration of the ascending aorta is at the maximal physiological limit with 40 mm . millimetric-sized calcific atheroma plaques are observed in the arcus and coronary arteries . osseous structures the cortical integrity of the bone structures in the study area was preserved . fracture appearance of the lower was not detected . abdomen nodular formation which is considered compatible with the accessory spleen was observed in the anterior neighborhood of the spleen . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch calibration is 30 mm slightly above normal . again at this level there is a heterogeneous hypodense lesion with a diameter of approximately 9 mm cortical cyst . cto is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . slight irregularity in the contour of the left kidney in the posterior may be compatible with a change in sequelae . lung parenchyma there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . when examined in the lung parenchyma window central-peripheral weighted crazy paving pattern and large patchy consolidation areas with signs of vascular enlargement were observed in both lungs . a calcific nodule with a diameter of 58 mm was observed at the junction of the anterior lobe of the right lung upper lobe . the outlook is highly suspicious for covid-19 pneumonia . no mass lesion with distinguishable borders was detected in the lung parenchyma . it is recommended to be evaluated together with clinical and laboratory . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . the main pulmonary artery is wider than normal with a diameter of 36 mm . the anterior-posterior diameter of the ascending aorta is 45 mm and the anterior-posterior diameter of the descending aorta is 31 mm larger than normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques were observed in the descending aorta . as far as can be seen the thoracic aorta is tortoised and elongated . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size slightly increased . the aortic valve is calcified . osseous structures disc distances at the mid-thoracic level have decreased . irregularity and sclerosis were observed in the end plateaus facing the disc . anteroposterior diameters of the vertebral corpus have decreased and mild height loss has been observed at multiple levels . abdomen no gall bladder was observed in the upper abdominal organs included in the sections operated . the anterior-posterior diameter of the ascending aorta is 45 mm and the anterior-posterior diameter of the descending aorta is 31 mm larger than normal . calcific atheroma plaques were observed in the descending aorta . as far as can be seen the thoracic aorta is tortoised and elongated . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures t3 and t4 vertebral corpus and posterior elements appear to be fused congenital block vertebra . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few nonspecific nodules of millimetric size some of which are pure calcified were observed in both lungs . there are minimal emphysematous changes in both lungs . when examined in the lung parenchyma window active infiltration no mass lesion is detected in both lung parenchyma there are parenchymal changes in places with sequelae . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum in the mediastinum there are lymph nodes in the precarinal paratracheal aorticopulmonary window prevascular area and in the subcarinal area the largest of which is prevascular at the prevascular level with a fusiform configuration measuring 12 mm in size with millimetric calcified foci in the central part . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no significant changes were detected in their number and size . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels heart size increased . calibration of vascular structures heart contour is natural . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures there are degenerative changes . no lytic or destructive lesions are observed in the bone structures within the image . abdomen no solid or cystic mass was detected in the intra-abdominal parenchymal organs as far as it can be observed within the borders of non-contrast ct . free fluid loculated collection is not observed . in the upper abdominal sections within the image no lymph node was detected in pathological size and appearance as far as can be observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peripheral and posterior weighted ground glass densities are present in both lung parenchyma . emphysematous appearance is observed in the upper lobes . there are millimetric nonspecific and some calcific nodules in both lungs . airways trachea both main bronchi are open . mediastinum there are calcific atheroma plaques in the aorta and its branches . calcific atheroma plaques are observed in the aorta and coronary arteries . lymph nodes that do not reach pathological size and appearance are observed in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the heart is larger than normal . osseous structures osteophytes extending anteriorly are observed in the vertebrae . there are changes related to sternotomy . abdomen there are calcific atheroma plaques in the aorta and its branches . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . when the upper abdominal organs included in the sections were evaluated a hyperdense stone is observed in the gallbladder . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass or consolidation was observed in both lungs . nonspecific millimetric pulmonary nodules are observed in both lungs . when examined in the lung parenchyma window ventilation of both lungs is normal . pleural effusion-thickening was not detected . airways in the trachea aorta line both main bronchi are open . mediastinum the diameters of the main mediastinal vascular structures are normal . no pathological lymphadenopathy was observed in the mediastinum and both axillae . thoracic esophageal wall thickness is normal . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures no fractures or lytic-sclerotic lesions were observed in the bone structures in the study area . abdomen the skin and subcutaneous structures have a natural appearance . in the upper abdominal organs included in the sections stones are observed in the upper poles of both kidneys . evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast . upper abdominal structures included in the other imaging have a natural appearance . lung parenchyma when examined in the lung parenchyma window a calcific nodule with a diameter of 4 mm was observed in the paravertebral area in the superior lower lobe of the right lung . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures in the bone structures within the study area millimetric schmorl nodules and anterior osteophytes are present in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . subsegmentary atelectatic changes were observed in the basal segments of both lung lower lobes adjacent to the effusion . when examined in the lung parenchyma window thickening of interlobular septa increase in peribronchial thickness and ground glass areas were observed in both lungs . airways mucus secretion extending distal to the trachea and proximal to both main bronchial lumens was observed . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the anterior-posterior diameter of the ascending aorta was 38 mm and the anterior-posterior diameter of the descending aorta was 32 mm . the transverse diameter of the pulmonary trunk was 32 mm larger than normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . diffuse calcific atheroma plaques were observed in the supraaortic branches of the thoracic aorta and in the coronary arteries . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the outlook was evaluated in favor of cardiac stasis . heart sizes were significantly increased . osseous structures degenerative changes were observed in the bone structure . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen the anterior-posterior diameter of the ascending aorta was 38 mm and the anterior-posterior diameter of the descending aorta was 32 mm . as far as can be seen within the sections upper abdominal organs are normal . diffuse calcific atheroma plaques were observed in the supraaortic branches of the thoracic aorta and in the coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma radiological findings are consistent with covid infection parenchymal involvement . when the lung parenchyma window is examined in both lungs atypical pneumonic infiltration areas are observed in bilaterally asymmetrical subpleural and peribronchial scattered ground glass density . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma a triangular shaped nodule with a diameter of 3 mm was observed in the lateral section of the minor fissure on the right . in the evaluation of both lung parenchyma no mass or infiltration was detected in both lungs . there are appearances of millimetric non-specific nodules in the bilateral lung . intrapulmonary lymph node a nodule with a diameter of 3 mm was observed in the lateral basal segment of the lower lobe of the left lung in the subpleural location . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there are sequela parenchymal changes in the right lung middle lobe medial segment left lung upper lobe inferior lingular segment and sequela parenchymal changes in both lung lower lobe posterobasal segments . no mass lesions were detected in both lungs . in the examination made in the lung parenchyma window multilobar peripheral subpleural localized areas are observed in both lungs and covid-19 pneumonia was considered in the etiology of the findings . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum it could not be evaluated optimally due to the lack of contrast and as far as can be observed calibration of mediastinal vascular structures heart contour and size are natural . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels it could not be evaluated optimally due to the lack of contrast and as far as can be observed calibration of mediastinal vascular structures heart contour and size are natural . mediastinal vascular structures and heart examination iv . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . abdomen no solid mass was detected . free fluid loculated collection is not observed . there is a diffuse density decrease secondary to hepatosteatosis in liver parenchyma density as far as can be seen within the borders of unenhanced ct in the upper abdominal sections within the image . no lymph node was detected in intraabdominal pathological size and appearance . lung parenchyma it was learned that the patient was followed up for lung cancer . when the previous examinations of the patient were examined it was understood that this nodule was metastasis . apart from this no mass was detected in both lungs . there are diffuse emphysematous changes more prominent in the upper lobes of both lungs and findings evaluated in favor of sequelae changes in the right upper lobe of the right lung . it is understood that this mass is the primary mass of the patient . linear atelectasis was observed in both lungs . a 6 mm diameter nodule was observed in the apical segment of the upper lobe of the right lung . a mass extending along the bronchi from the central part to the periphery is observed in the upper lobe of the right lung . there was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs . the longest diameter of the mass was 55 mm at its widest point . there is no pleural or pericardial effusion . airways no relevant findings . mediastinum atheroma plaques are observed in the aorta and coronary arteries . in addition lymph nodes some of which are calcific were observed in the mediastinum and hilar regions . there is lymphadenopathy thought to be metastatic in the paratracheal region . mediastinal structures cannot be evaluated optimally because contrast material is not given . the short diameter of this lymphadenopathy measured 14 mm . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures lytic bone lesion is observed in the t10 vertebral body . abdomen apart from this no lymph node with enlarged upper abdominal pathological dimensions was observed in the sections . no upper abdominal free fluid-collection or enlarged lymph nodes were detected . it was understood that the described lesion had metastasis when evaluated together with the previous examinations of the patient . there is a lymphadenopathy measuring 13 mm in short diameter between the inferior vena cava and the portal confluence . atheroma plaques are observed in the aorta and coronary arteries . there are millimetric stones in the gallbladder . lung parenchyma in both lungs nodules in millimetric dimensions were observed in the previous ct examination with stable numbers and sizes . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickness increase was observed . airways no relevant findings . mediastinum calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . no lymph node was observed in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image in the corpus of the right adrenal gland a low density nodular lesion measuring 15x13 mm in size which was also observed in the previous ct examination was observed in favor of adenoma . calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . lung parenchyma when examined in the lung parenchyma window no active infiltrative space-occupying lesion with consolidation was detected in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . evaluation of mediastinal main vascular structures and lymph nodes is suboptimal because the examination is unenhanced . as far as can be observed no lymphadenopathy was detected in pathological size and appearance and the calibrations of the mediastinal main vascular structures appear normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion reaching 12 mm in thickness at its widest point was observed in the pericardial space . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma other findings are stable . in addition a consolidation area was observed in the posterobasal segment of the left lung lower lobe and this appearance may be compatible with bacterial pneumonias superimposed on covid pneumonia . the view is compatible with ards . the prevalence and intensity of consolidations in both lung parenchyma increased in the case that was learned to have covid-19 pneumonia . in both hemithorax in the current examination newly emerged pleural effusion in the form of a smear was observed . particularly in the upper lobes extensive consolidations were observed in which the subpleural areas extending from the central to the periphery were preserved . airways no relevant findings . mediastinum a drainage catheter extending from the esophagus to the gastric corpus was observed . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma the outlook can be traced in covid-19 pneumonia . however it is not specific . when both lung parenchyma windows are evaluated ground-glass density increases in the upper and lower lobes of both lungs and focal nodular consolidations in the right upper lobe of the lung were observed . between the bilateral pleural leaves free pleural effusion and atelectatic changes were observed measuring 16 mm in thickness on the right and 22 mm on the left . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal major vascular structures are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . pericardial effusion - no thickening was detected . as can be seen heart size increased cardiomegaly . the ascending aorta measures 6 mm in diameter and shows fusiform dilatation . osseous structures degenerative changes were observed in the bone structure . no lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . lung parenchyma in the left lung lower lobe posterobasal a slight decrease is observed in the existing parenchymal density increases in the old thinning . millimetric calcific nodules in the left lung are stable . when examined in the lung parenchyma window diffuse emphysematous changes in both lungs pleuroparenchymal sequelae fibrotic density increases especially on the left and calcifications in the pleura especially in the left posterior are stable . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lungs the most common crazy paving pattern in the left lung lower lobe superior segment and patchy consolidation areas with vascular enlargement were observed . no mass lesion with distinguishable borders was detected in both lungs . the described findings are consistent with covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum calibration of pulmonary arteries is natural . as far as can be seen the anterior-posterior diameter of the ascending aorta was 39 mm and the anterior-posterior diameter of the descending aorta was 26 mm . atherosclerotic wall calcifications were observed in the aortic arch . in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures spur formations with each other are observed in the right anterolateral corners of the vertebrae at the mid-thoracic level . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen the anterior-posterior diameter of the ascending aorta was 39 mm and the anterior-posterior diameter of the descending aorta was 26 mm . atherosclerotic wall calcifications were observed in the aortic arch . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window in both lungs ground glass areas and consolidations were observed in the lower lobes more common multilobar and more prominent in the peripheral areas in a patchy pattern in a nodular configuration . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . a sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen pancreas both adrenal glands are natural . as far as can be observed in the non-contrast examination the liver parenchyma density has decreased diffusely consistent with fatty deposits . no stones were observed in the left kidney within the sections . the spleen was not observed operated . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph nodes with pathological size and configuration are observed at both hilar levels . airways when examined in the lung parenchyma window calibration of trachea and main bronchi is natural . mediastinum it is wider than normal . calibration of other major vascular structures in the mediastinum is natural . pulmonary trunk calibration is 29 mm . both pulmonary artery calibrations are natural . there are millimetric lymph nodes in the mediastinum . heart and great vessels cto is normal . osseous structures degenerative changes are observed in the bone structure . abdomen mild effusion is observed in the pericholecystic area . there is nodular formation in the spleen hilum which is considered compatible with the accessory spleen . spleen liver both adrenal glands and pancreas segments in the image without contrast are normal . also available in old review . sclerotic density increases are observed in the 10th 4th elevations on the right . contamination is observed in the perinephric fatty planes around both kidneys . lung parenchyma there are patchy ground glass densities in the right lung lower lobe superior segment posterior bullae measuring up to 15 mm in both lungs are present . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the coronary arteries aortic arch and descending aorta . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cardiac dimensions are increased . calcific atheroma plaques are observed in the coronary arteries aortic arch and descending aorta . osseous structures bridging tendencies are present and a decrease in density is observed in bone structures . hypertrophic osteophytic taperings are observed in the vertebral corpus end plates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . its contours show light . the right kidney enters the examination partially and there are sequelae in the posterior cortical structures . the liver parenchyma entering the section area is slightly heterogeneous . upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed in the coronary arteries aortic arch and descending aorta . lung parenchyma no mass nodule-infiltration was detected in both lungs . in the evaluation of both lung parenchyma subsegmental atelectasis is observed in the middle lobe of the right lung and the lingular segment of the left lung . right upper-bilateral lower paratracheal millimetric lymph node is observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window there are atelectatic changes at basal levels in the lower lobes of both lungs . clinical laboratory correlation is recommended for suspected infectious process . in the lower lobe of the right lung slightly ground glass densities are observed in the posterolateral aspect . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion with a thickness of 13 mm is observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric non-specific nodules are observed in both lungs . there are paraseptal centrilobular emphysematous changes more prominent in the upper lobes of both lungs . when examined in the lung parenchyma window slight patchy linear density increases in both lower lobe basal segments of both lungs were evaluated in favor of atelectasis . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are findings compatible with sleeve gastrectomy . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is a hiatal hernia . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma bilateral peribronchial thickenings were observed . a few millimetric nonspecific parenchymal nodules were observed in both lungs . widespread bronchiectatic changes and peribronchial thickening were observed in the upper-middle lobe of the right lung and in the lower lobes of both lungs . emphysematous changes were observed in both lungs . in the previous examination infiltration areas observed in both lungs were not detected in the current examination however no significant changes were detected in the peribronchial infiltration areas observed in the right lung lower lobe posterobasal segment . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . bilateral pleural effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . according to the previous examination stable size and number of lymph nodes were observed in the mediastinal upper-lower paratracheal precarinal and subcarinal areas the largest of which was 14x10 mm . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma a few millimetric non-specific nodules are observed in both lungs . when examined in the lung parenchyma window both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal organs including sections millimetric hyperdense foci are observed in the posterior of the right lobe of the liver . lung parenchyma findings primarily compatible with pulmonary fibrosis . these nodules were primarily interpreted in favor of sequelae . a few nodules showing ground glass densities are observed in the left lung the largest of which is approximately 4 mm in diameter with faint borders in the apicoposterior of the upper lobe . when the lung parenchyma window is examined paraseptal thickness increases are observed in both lungs especially in the posterobasal segments of the lower lobes extending from the hilus to the periphery which includes the upper lobe of the right lung being more domit in the right lung . in the anterior segment of the upper lobe of the right lung a nodule of 5mm in diameter with irregular borders is observed . airways both main bronchi are open . trachea is slightly deviated to the right . mediastinum sequela lymph nodes with coarse calcifications are observed in the mediastinal area with short axes not reaching 1 cm . since the examination is unenhanced the evaluation of mediastinal vascular structures is suboptimal and as far as can be observed calcific atheroma plaques are observed in the walls of the aorta and in the coronary arteries . no pathologically enlarged lymph nodes were observed in the mediastinal area and in both axillae . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels since the examination is unenhanced the evaluation of mediastinal vascular structures is suboptimal and as far as can be observed calcific atheroma plaques are observed in the walls of the aorta and in the coronary arteries . no effusion or increase in pericardial thickness was observed in the pericardial area . heart sizes slightly increased in favor of the heart . osseous structures osteophytic taperings are observed in the anterior vertebra corpus anteriors in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . since the examination is unenhanced the evaluation of mediastinal vascular structures is suboptimal and as far as can be observed calcific atheroma plaques are observed in the walls of the aorta and in the coronary arteries . upper abdominal organs included in the study area have a natural appearance . lung parenchyma in the evaluation of both lung parenchyma mass nodule-infiltration was not detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . no significant pathology was detected in the non-contrast ct examination . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis areas are observed in the lateral segment of the left lung lower lobe . several lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the pretracheal area . more diffuse peripherally located patchy ground glass areas and accompanying nodular consolidations are observed in the lower lobes of both lungs . no mass was detected in both lungs . findings are consistent with viral pneumonia covid-19 pneumonia . no pleural-pericardial thickening or effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum several lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the pretracheal area . the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta . no pathological increase in wall thickness was detected in the esophagus . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . there are bridging osteophytes in the corners of the corpus of the thoracic vertebrae and indentations of schmorls nodules on the end plateaus . thoracic kyphosis is increased . vacuum phenomenon secondary to degeneration is occasionally observed in intervertebral discs and there are sclerotic changes on the bone surfaces adjacent to the disc . abdomen calcific atheroma plaques are observed in the aorta . there is no detectable mass in the upper abdominal organs within the limits of unenhanced ct . sliding type minimal hiatal hernia is observed at the esophagogastric junction . lung parenchyma in both lung parenchyma predomitly centrally located areas of consolidation and ground glass densities which are bilaterally distributed are observed . radiological findings were evaluated in favor of pulmonary edema . a pleural effusion is observed between both pleural leaves reaching a diameter of 12 mm on the right and 16 mm on the left . airways no relevant findings . mediastinum calibration of mediastinal major vascular structures is within normal limits . there are wall calcifications in the aortic arch thoracic and abdominal aorta . heart and great vessels heart size increased . calcified atheroma plaques are observed in lad . no pericardial effusion was detected . and left atrial diameter increase is observed . osseous structures significant degenerative changes are observed . no lytic-destructive lesions were detected in bone structures . in both supraclavicular fossa and axilla no lymph node was observed in pathological size and appearance . a rib fracture is observed in the right 9th rib . abdomen a decrease in the thickness of the parenchyma of both kidneys and a large number of high-density hemorrhagic cysts in both kidneys are observed in the upper abdominal sections . there are wall calcifications in the aortic arch thoracic and abdominal aorta . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window minimal peribronchial thickening was observed in both lungs . a millimetric nonspecific parenchymal nodule was observed in the apical segment of the right lung . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen it could not be characterized in the non-contrast examination . in case of clinical necessity it is recommended to be evaluated together with upper abdomen mri . as far as can be seen within the sections hypodense lesion areas of mm were observed in both lobes of the liver the largest of which was located in segment 7 subcapsular . lung parenchyma when examined in the lung parenchyma window in both lungs ground-glass consolidation areas which are more common in the lower lobes localized interlobular septal thickenings in the peripheral areas and confluence from place to place are observed and the appearance is highly suspicious for covid 19 pneumonia . apart from this no mass lesion with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with clinical and laboratory . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be seen calcified atheroma plaques are observed in the thoracic aorta and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . the diameter of the pulmonary trunk was 37 mm and was wider than normal pulmonary hypertension . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen calcified atheroma plaques are observed in the thoracic aorta and coronary arteries . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen when the upper abdominal organs included in the sections were evaluated in liver segment 4b an mm hypodense lesion area with no obvious border was observed adjacent to the anterior portal vein focal adiposity . bilateral adrenal gland thickening was observed . as far as can be seen calcified atheroma plaques are observed in the thoracic aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window mild atelectatic changes are observed in the left lung upper lobe inferior lingula . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . lymph nodes with pathological size configurations are not observed at both hilar levels . mild sequelae changes are observed in the left inferior lingular segment . slightly more prominent on the right but mild nonspecific ground-glass-like subpleural density increases are observed on both sides . a calcific nodule with a diameter of 3 mm is observed in the diaphragmatic subpleural space at the posterobasal level on the right . bilateral pleural effusion pneumothorax were not detected . focal thickening of the pleura and the appearance of a 3 mm diameter calcific nodule are observed in the anterior segment of the right lung upper lobe . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . peribronchial sheath thickening is observed . mediastinum millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta . calibration of major vascular structures in the mediastinum is natural . no lymph node with pathological size configuration was detected in the mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures minimal degenerative changes are observed in the bone structure entering the examination area . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta . upper abdominal organs included in the sections are normal . gallbladder spleen pancreas both kidneys are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . a nodule with a diameter of 4 mm is observed in the anterior segment of the left lung upper lobe and was not detected in his previous examination . a little further caudally there is another nodule with a diameter of 4 mm which was not observed in the previous examination . a nodule with a diameter of 3 mm is observed in the hilar level caudal to the upper lobe apicoposterior segment in the left lung and it was not observed in the previous examination . more caudally there is a nodule with a diameter of 3 mm in the lateral segment of the apicoposterior segment which was not observed in the previous examination . apart from this no significant pleural effusion or pneumonic infiltration appearance was detected in both lungs . a nodule of approximately 4 mm in diameter is observed in the diaphragmatic subpleural area at the posterobasal level of the right lung lower lobe and was not detected in the previous examination . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum cto is within the normal range . no lymph node was detected in the mediastinum in pathological size and configuration . the aortic arch calibration was measured as 34 mm and was larger than normal . calibration of other mediastinal major vascular structures is natural . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen cto is within the normal range . bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch calibration was measured as 34 mm and was larger than normal . in the upper abdominal organs including sections a millimetric hypodense lesion in the left lobe of the liver cholelithiasis appearance in the gallbladder is observed . lung parenchyma bilateral peribronchial thickenings were observed . a few millimetric nonspecific parenchymal nodules were observed in both lungs . pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . there are subpleural bulla formations in both lungs apical . bilateral pleural thickening-effusion was not detected . airways trachea both main bronchi are open . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . siliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . as far as can be seen pericardial minimal effusion was observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structures in the study area . evaluation with physical examination findings in terms of dish disease is recommended . bridging spur formations are observed in the right anterolateral of the thoracic vertebra . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . in the upper abdominal sections including the sections both kidneys are atrophic . lung parenchyma apart from this no mass infiltration was detected in both lung parenchyma . in the evaluation of both lung parenchyma a nonspecific subpleural nodule with a diameter of 35 mm is observed in the laterobasal segment of the lower lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma lymph nodes are observed at the left hilar level and cannot be clearly evaluated in non-contrast examination . however infective processes cannot be excluded . sequelae changes are also observed at the apical level in the left lung . in the left lung there are ground-glass-like density increases in the medial of the lower lobe superior segment and prominence in the interstitial scars . wide necrotic air appearance is observed within the consolidation area defined in the lower lobe superior segment . it is also available in the old review . at the level of the lower lobe of the right lung in the area extending from the basal to the superior segment multiple nodules with a tendency to merge from place to place along the bronchovascular sheath and branch with buds are observed and they are evaluated as compatible in lesions . according to his previous examination it regressed slightly especially at the upper lobe level . sequelae calcific densities extending anteriorly and laterally are observed . sequelae changes are observed at the apical level of both lungs . ground-glass-like density increases and interlobular septal thickening are observed in the posterior segment of the upper lobe . in the right lung there is a dense consolidation area extending towards the upper lobe anterior segment and posterior segment and lower lobe superior segment at the central level . there are also sequelae changes in the left lung lower lobe laterobasal segment . there is a mild pleural effusion in the right lung that has regressed according to the previous examination . airways a stent appearance extending to the trachea and both main bronchi is observed . mediastinum no relevant findings . heart and great vessels kto is natural . osseous structures lesions compatible with metastasis are observed in the vertebral body and sternum . there is a height loss of approximately 25 . compression fracture is observed in the d11 vertebral body . degenerative changes are observed in the bone structure entering the examination area . abdomen in non-contrast upper abdominal sections liver and spleen pancreas both surrenal are natural . it was evaluated as compatible with accessory spleen . soft tissue density which is predomitly right at the level of the aortic arch extends slightly towards the subcarinal area with density increases compatible with calcification and which is evaluated as compatible with the mass lesion surrounding the right main bronchus and right pulmonary artery caudally . also available in old review . it is larger than normal . no significant difference was found in the appearance of branches with buds defined according to the previous examination . the aortic arch calibration is 31 mm larger than normal . nodules with a diameter of about 16 mm are observed in the spleen hilum . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . sequelae of linear atelectatic changes are present in the apical segments of both lungs . no mass or infiltrative lesion was observed in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the diameters of the main mediastinal vascular structures are normal . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . within the limits of non-contrast ct no mass with discernible borders was detected in the upper abdominal organs within the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the upper lobe posterior segment of the right lung there is a large consolidation area in the upper lobe posterior and lower superior segment in the current examination which is newly developed in the current examination and in the air bronchograms . the nodules were first evaluated in favor of metastasis in the case whose clinical pre-diagnosis was learned to be . in the etiology primarily infectious pathologies are considered . in the current ct examination there are multiple newly developed nodular lesions measuring 12 mm in size with a pleural base the largest in the left upper lobe apicoposterior segment in both lung parenchyma . an effusion measuring 27 mm is observed in the deepest part of the right pleural area . airways no relevant findings . mediastinum as far as can be observed in mediastinal lymph node stations no lymph node in pathological size and appearance was detected . in addition there are no lymph nodes in pathological size and appearance in both axillary regions . in addition there are lymphadenopathies at the level of the interaortacaval paracaval and portal hilum the largest of which is about 28 mm in diameter . due to the lack of contrast mediastinal vascular structures and heart could not be evaluated optimally . heart and great vessels calibration of vascular structures heart contour and size are natural . due to the lack of contrast mediastinal vascular structures and heart could not be evaluated optimally . there is an effusion measuring 12 mm in the deepest part of the pericardial area . in the current examination of the paracardiac fatty tissue there are lesions of mm in soft tissue density showing an increase in size . osseous structures at the level of the right ribs the intercostal muscle planes of approximately mm and the fatty planes in between were and the right . there are newly developed lesions in soft tissue density evaluated in favor of the implant measuring approximately mm at the level of the rib . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdomen sections within the image there is free fluid that is observed to have developed in the perihepatic and perisplenic areas . in addition there are lymphadenopathies at the level of the interaortacaval paracaval and portal hilum the largest of which is about 28 mm in diameter . there are varicose structures in the upper abdomen included in the sections . post-treatment control is recommended . there is irregularity in the liver contour . lung parenchyma in addition it has been observed in many nodules with slightly irregular borders some of which have in both lungs . there is a pneumothorax measuring 8 mm in its thickest part adjacent to the apical segment of the upper lobe of the right lung . there are cavitary lesions in both lungs the largest of which is in the lower lobe of the right lung and measuring approximately 5 cm in length . in addition there is subcutaneous emphysema in the right hemithorax especially at the level of the lower ribs . the described cavitary lesions and their nodular appearance are non-specific . occasionally linear atelectasis is observed in both lungs . it may belong to specific infections or . the described findings are also present in the previous examination of the patient . bilateral minimal pleural effusion is observed . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures in addition there is subcutaneous emphysema in the right hemithorax especially at the level of the lower ribs . abdomen no relevant findings . lung parenchyma nodular ground-glass consolidation areas accompanied by central-peripheral weighted interlobular septal thickenings were observed in the basal segments of the lower lobe of the right lung . no mass lesion with distinguishable borders was detected in the lung parenchyma . the outlook is in favor of pneumonic infiltration . as far as can be observed fibroatelectasis sequela parenchymal changes were observed in the apex of both lungs left lung upper lobe lower lobe superior segment and right lung lower lobe posterobasal segment . investigation secondary to motion artifacts could not be performed optimally . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . diffuse thickening was observed in the left adrenal gland . lung parenchyma sequelae changes are observed in the inferior lingular segment . there is a 4 mm diameter nodule in the superior segment of the lower lobe . a mosaic attenuation pattern is observed in both lungs small vessel disease small airway disease . a ground-glass nodule with a diameter of 4 mm is observed at the posterobasal level in the right lung . no pathological size and configuration of lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window sequelae changes are observed in the middle lobe . parenchymal bands are present in the left lung anteromediobasal . bilateral pleural effusion or pneumothorax is not observed . airways no relevant findings . mediastinum a catheter appearance is observed extending from the left brachiocephalic vein to the right atrium appendix . the aortic arch is 32 mm wider than normal . there are calcific atheroma plaques in the coronary arteries of the descending aorta in the main branches of the aortic arch . the protrusion of the aorta is 52 mm wider than normal . millimetric sized lymph nodes are observed in the mediastinum . the pulmonary trunk is 31 mm the right pulmonary artery is 27 mm and the left pulmonary artery is 27 mm wider than normal . mild hiatal hernia is observed . heart and great vessels the review was evaluated together with the old it dated . there is an appearance compatible with cardiomegaly . a catheter appearance is observed extending from the left brachiocephalic vein to the right atrium appendix . there are calcific atheroma plaques in the coronary arteries of the descending aorta in the main branches of the aortic arch . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen surrounding soft tissue plans are natural . there is atrophic appearance in both kidneys . control is recommended . there is an increase in density in the gallbladder compatible with the biliary . the aortic arch is 32 mm wider than normal . the protrusion of the aorta is 52 mm wider than normal . there are calcific atheroma plaques in the coronary arteries of the descending aorta in the main branches of the aortic arch . there is a solid lesion with a diameter of 28 mm and a density of 54 hu in the posterior part of the left kidney in the middle part . in the upper abdominal organs included in the sections a decrease in density consistent with hepatosteatosis is observed in the liver . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures the neural foramina are narrowed . there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . abdomen the liver parenchyma density within the sections decreased minimally consistent with adiposity . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window density increases of reticulonodular fibrotic sequelae were observed in both lung apical segments . it is recommended to evaluate and follow up with previous examinations if any . apart from this no mass lesion-pneumonic infiltration with distinguishable borders was detected in both lungs . linear atelectatic changes were observed in both lung lower lobe basal segments . subpleural parenchymal nodules were observed in the right lung the largest in the lower lobe anterobasal segment mm and the largest in the upper lobe apicoposterior segment in the right mm in size . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen liver gallbladder both adrenal glands spleen and pancreas are normal as far as can be seen on non-contrast images . no stones were observed in both kidneys within the sections . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion is detected and there are sequelae changes . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma millimetric nonspecific nodules were observed in both lungs . there is minimal bronchiectasis in the central parts of both lungs . there are linear density increases in a small area in the left lung upper lobe lingular segment inferior subsegment . density increases and minimal volume loss and minimal structural distortion are observed in both lung apexes which are evaluated in favor of pleuroparenchymal sequelae changes . there are linear atelectasis in the lower lobe of both lungs and the middle lobe of the right lung . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there are no enlarged lymph nodes in pathological dimensions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . the lesion could not be characterized in this examination . lung parenchyma evaluated for covid-19 viral pneumonia . when examined in the lung parenchyma window diffuse patchy ground glass densities and reverse halo signs are observed in both lungs . airways trachea both main bronchi are open . mediastinum there are a few millimetric calcific foci in the aortic arch and abdominal aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are a few millimetric calcific foci in the aortic arch and abdominal aorta . liver parenchyma density in the upper abdominal organs included in the sections changes in favor of . lung parenchyma this appearance may be associated with the infected process . in addition a pulmonary nodule with a diameter of approximately 5 mm in the anterior segment of the upper lobe of the right lung and minimal ground glass densities are observed around this nodule . linear atelectasis areas are observed in the lower lobes of both lungs . post-treatment follow-up is recommended . when examined in the lung parenchyma window in the left lung upper lobe air bronchograms and ground glass densities are observed in the consolidation area extending from the hilus to the central part of the lung and the appearance is evaluated primarily in favor of pneumonic infiltration . airways the trachea is in the middle lobe and both main bronchi are open . mediastinum no lymphadenopathy is observed in the mediastinal area in pathological size and appearance . the ascending aorta has an ectatic appearance up to the arch of the aorta and the ascending aorta at its widest point measures approximately 42 mm . calcific atheroma plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures heart contour size are normal . lymph nodes with short axes not exceeding 7 mm are observed in the mediastinal area . thoracic aorta diameter is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . precardiac fat are normal . other mediastinal main vascular structures heart contour size are normal . osseous structures widespread sclerotic and lytic changes are observed in the bone structures included in the examination . compression is observed at the t4 vertebra level in the upper thoracic vertebra . abdomen the ascending aorta has an ectatic appearance up to the arch of the aorta and the ascending aorta at its widest point measures approximately 42 mm . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . the upper abdominal organs included in the examination have a natural appearance . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . minimal bronchiectasis is also observed in the left lung upper lobe lingular segment inferior subsegment . there is minimal bronchiectasis in the central parts of both lungs . there are millimetric nonspecific nodules in both lungs . there are minimal emphysematous changes in both lungs . in this localization bronchiectasis is accompanied by minimal structural distortion and minimal volume loss . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . millimetric atheroma plaques are observed in the coronary arteries . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma when examined in the lung parenchyma window there is a small nonspecific nodule measuring 53 mm in series 2 image at the posterolateral junction of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma both lung hiluses could not be evaluated on non-contrast sections . the largest of the metastatic nodules was measured mm in the posterobasal segment of the lower lobe on the left . no active infiltration was detected in both lungs . metastases completely the lower lobe of the right lung and formed a mass of mm . effusion reaching 2 cm thickness was observed in the right pleural space . no left pleural effusion was detected . distributed were observed in both lungs and were evaluated in favor of metastasis . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in other parts of the mediastinum a lymph node with short axis measuring less than 1 cm and not reaching pathological dimensions was observed . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . a catheter image extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed . a pathological lymph node measuring mm was observed in the right paratracheal area . partially nodular lymph nodes were observed in the anterior and right paracardiac fatty planes the largest of which was mm in size . a drainage catheter extending from the esophagus to the gastric corpus was observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures no lytic-destructive lesion in favor of metastasis was observed in bone structures . no lymph nodes in pathological size and appearance were observed in bilateral supraclavicular and axillary fossae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a drainage catheter extending from the esophagus to the gastric corpus was observed . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma hilar pathological size and configuration of lymph nodes are not observed . when examined in the lung parenchyma window pleuroparenchymal mild sequela changes are observed in the right lung and middle lobe . a superposed 3x2 mm nodule is observed on the interlobar fistula in the left lung . a faint nodule with a diameter of 2 mm is observed laterally in the superior segment of the lower lobe of the right lung . a 2 mm diameter nodule is observed in the right lung upper lobe posterior segment medial subpleural area . airways trachea both main bronchi are open . mediastinum in the case a nodular density of approximately 16x13 mm is observed in the anterior mediastinum adjacent to the aortic arch lymph node thymic mass . thoracic aorta diameter is normal . calibration of mediastinal major vascular structures is natural . in other areas no pathologically sized and configured lymph nodes were detected in the mediastinum . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is a faint hypodense appearance in the vicinity of the falciform ligament in the liver focal adiposity . a clear evaluation cannot be made in the non-contrast examination . there is a nonspecific nodular appearance with a diameter of approximately 8 mm at the level of the left adrenal lateral crus . in the case a nodular density of approximately 16x13 mm is observed in the anterior mediastinum adjacent to the aortic arch lymph node thymic mass . thoracic aorta diameter is normal . however aneurysm originating from the splenic artery is included in the differential diagnosis since it shows a close neighborhood with the splenic artery . lung parenchyma in addition band atelectatic changes were observed in the left lung lower lobe basal . multiple parenchymal nodules were observed in both lungs . pleuroparenchymal sequelae changes were observed in the right lung middle lobe and lower lobe mediobasal segments . both lungs are emphysematous . when examined in the lung parenchyma window pleuroparenchymal recessions interlobular septal thickenings and minimal atelectasis changes were observed in the subpleural areas in the anterolateral parts of the left lung upper lobe post-rt changes . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there is extensive atherosclerosis in the abdominal aorta and its visceral branches . a small hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures osteoporosis and degenerative changes were observed in the thoracic vertebrae . thoracic kyphosis is increased . abdomen liver contours are irregular . diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . it is recommended to be evaluated together with clinical and laboratory in terms of possible parenchymal disease . there is extensive atherosclerosis in the abdominal aorta and its visceral branches . the left kidney is atrophic . lung parenchyma according to the previous review it appears to be stable . in the evaluation of both lung parenchyma mosaic atteniation is observed in both lung parenchyma small airway disease small vessel disease . in addition interlobular septal thickening and minimal ground glass densities are observed in both lung parenchyma peripheral lung parenchyma and lower lobes . thin pleural thickenings are observed in both hemithorax . airways trachea and main bronchi are open . mediastinum the diameter of the main pulmonary artery was 37 cm the diameter of the right pulmonary artery was 25 cm and the diameter of the left pulmonary artery was 28 cm and the diameter of the pulmonary artery was enlarged . the ap diameter of the ascending aorta is 53 cm and the diameter of the descending aorta is 31 cm and it is wider than normal . no pathological lap was detected in the mediastinum . right upper-bilateral lower paratracheal stable lymph nodes are observed . heart and great vessels calcific atherosclerotic plaques are observed in the walls of the coronary arteries . it was evaluated secondary to cardiac stasis . osseous structures metallic sutures secondary to bypass surgery are observed in the sternum . no lytic-destructive was detected in bone structures . abdomen no pathology was detected in bilateral adrenal sites . no significant lesion was detected in the non-contrast abdominal examination . in sections passing through the upper part of the west the gallbladder has a large volume and millimetric calculi are observed in it . the ap diameter of the ascending aorta is 53 cm and the diameter of the descending aorta is 31 cm and it is wider than normal . lung parenchyma there are minimal emphysematous changes and occasional linear atelectasis in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma diffuse pleuroparenchymal sequelae changes are observed in the apical part . no active infiltration or mass lesion was detected in both lungs . there is one more nodule with a similar character of 5 mm in diameter in the left lung lower lobe laterobasal . when examined in the lung parenchyma window an 8 mm diameter nodule located is observed in the apicoposterior segment of the left lung . there are centriacinar nodules and pleuroparenchymal linear densities in smaller sizes around this nodule . linear pleuroparenchymal density is observed in the posterobasal section of the lower lobe of the left lung sequelae subsegmentary atelectasis . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window bilateral peribronchial thickenings were observed . parenchymal nodules measuring 6 mm in diameter were observed in both lungs the largest of which was in the lower lobe of the right lung . pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . lymph nodes with a short axis smaller than 1 cm some of which are calcified are observed in the subcarinal paraesophageal and both hilar regions . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in the bone structure . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the study area a few hypodense lesions measuring 10 mm in diameter were observed in both lobes of the liver . it cannot be characterized in this examination . lung parenchyma increase is observed . irregular interlobular septal thickness increases and centriacinar nodular opacity increases are observed in both lungs and were evaluated as compatible with lymphangitis carcinomatosa . as the main finding a mass lesion is observed in the right hilar region narrowing the main bronchus and upper lobe bronchus and obliterating the lower lobe bronchus . density increase areas compatible with consolidation are observed in the posterior and lower lobes of the right lung upper lobe and its borders cannot be clearly distinguished from the mass described in the right hilar region . a free effusion measuring 60 mm is observed in the deepest part of the right pleural region . airways no relevant findings . mediastinum calibration of mediastinal vascular structures heart contour size are normal . the lesion extends from the midline to the mediastinum and its borders cannot be clearly distinguished from the esophagus . thoracic aorta diameter is normal . multiple lymphadenopathy was observed at mediastinal lymph node stations and at the bilateral hilus level with the largest one measuring 12 mm in the short axis . in the previous ct examination an increase in the size of the lymph nodes is observed . the lesion extends from the midline to the mediastinum and its borders cannot be clearly distinguished from the esophagus . heart and great vessels an effusion measuring 26 mm is observed in the deepest part of the pericardial area which is observed to have newly developed . calibration of mediastinal vascular structures heart contour size are normal . osseous structures in the bone structures within the image cortical integrity loss is observed due to the invasion of the mass lesion defined posteriorly on the right 7-8 and 9th ribs . abdomen thoracic aorta diameter is normal . in the abdominal sections within the image there is a newly developed nodular lesion with a diameter of 26 mm in the left adrenal gland metastasis . lung parenchyma when examined in the lung parenchyma window in the upper lobe of the right lung thickening of the peribronchovascular interstitium and fibrotic distortion causing shrinkage in the major fissure are observed . in addition there are centriacinar nodular infiltrates the largest of which is 8 mm in diameter and a focal consolidation area of mm adjacent to the major fissure . interlobular septal thickenings were noted at this level and in the right lung middle lobe superior part . fibroatelectatic pleuroparenchymal sequelae changes were observed in the right lung middle lobe medial segment left lung inferior lingular segment and left lung lower lobe basal segments . a 55 mm diameter subpleural calcified nodule is observed in the left lung lower lobe laterobasal segment . a subpleural nodule with a diameter of 53 mm was observed adjacent to the major fissure in the posterior segment of the right lung upper lobe . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures heart contour and size are normal as far as can be observed in the non-contrast examination . atherosclerotic wall calcifications are observed in the descending aorta and coronary arteries in the supraaortic branches of the aortic arch . paraesophageal prevascular right upper paratracheal bilateral lower paratracheal subcarinal and calcified lymphadenopathies with calcifications in the right hilar region mm in size the largest in the subcarinal level were observed . at the proximal level of the thoracic esophagus the lumen ap diameter has increased and compressed secondary to retraction . sliding type hiatal hernia is observed in the distal esophagus . heart and great vessels mediastinal main vascular structures heart contour and size are normal as far as can be observed in the non-contrast examination . atherosclerotic wall calcifications are observed in the descending aorta and coronary arteries in the supraaortic branches of the aortic arch . pericardial effusion-thickening was not observed . osseous structures the bones in the sections are porotic . in the anterolateral part of the left third rib an appearance compatible with the old fracture is observed . abdomen in the evaluation of the upper abdominal organs as far as can be seen on non-contrast sections liver gall bladder spleen pancreas are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . atherosclerotic wall calcifications are observed in the descending aorta and coronary arteries in the supraaortic branches of the aortic arch . no calculus was observed in both kidneys within the sections . there are diffuse atherosclerotic wall calcifications in the splenic artery . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . right upper-bilateral lower paratracheal lymph node in millimetric size is observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . bilateral adrenal glands appear natural . in sections passing through the upper abdomen a hypodense lesion with a diameter of approximately 9 mm is observed in segment 7 of the liver . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the case followed up due to covid-19 pneumonia the consolidation areas in the parenchyma increased in number and size and its prevalence increased . other findings are stable . the findings are progressive . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma in lung parenchyma evaluation aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma the findings were primarily evaluated in the direction of viral pneumonia and clinical laboratory correlation follow-up is recommended for the differential diagnosis of covid-19 . no nodular lesion was detected in the lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window in both lungs patchy ground glass densities are observed in the lateral and posterior segments of the lower lobes mostly located in the peripheral subpleural . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when evaluated together with the patients previous examinations it was understood that these appearances were primary mass and metastasis respectively . it was learned that the patient was being followed up for lung cancer and a mass was observed in the posterior segment of the right lung upper lobe . there was no finding in favor of pneumonic infiltration in both lungs . in addition there is an irregularly circumscribed nodule adjacent to the mass described in the upper lobe of the right lung . no pleural or pericardial effusion was detected . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma a subsegmental linear atelectasis area is observed in the lingular segment of the left lung upper lobe . in lung parenchyma evaluation no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . atherosclerotic plaques in the form of wall calcifications are observed in the aortic arch and abdominal aorta . heart and great vessels left ventricular diameter increased . heart size increased . atherosclerotic plaques are observed in the coronary arteries . a stent is observed in the circumflex artery . pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections there is a 24 mm diameter nodular lesion in the left adrenal gland that cannot be characterized by this examination . atherosclerotic plaques in the form of wall calcifications are observed in the aortic arch and abdominal aorta . lung parenchyma in the lung parenchyma adjacent to the effusion there is an area of increase in density consistent with the consolidation observed in air bronchograms . measured 25 mm deep on the right at its deepest point . there are stable nodules in millimetric sizes in both lung parenchyma . however pneumonic infiltration cannot be excluded . in addition there is a newly developed bilateral pleural effusion in the current examination . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum a central venous catheter is observed . mediastinal vascular structures and heart examination were not evaluated optimally because of the lack of iv contrast . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal vascular structures and heart examination were not evaluated optimally because of the lack of iv contrast . in the current examination newly developed effusion in the pericardial area was observed . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma no lymph node was detected in bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum lymph nodes with more than one short axis measuring up to 5 mm are observed in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window left upper lobe lobectomy of the lung is observed . sequelae changes are observed in the right lung apex . mild bronchiectasis are present in the central levels of both lungs . there are minimal emphysematous changes and a few millimetric nodules in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it has been evaluated as compatible with covid pneumonia . no pathological size and configuration lymph nodes were detected at both hilar levels . however since other viral pneumonias are included in the differential diagnosis evaluation together with clinical and laboratory findings is recommended . there is a focal consolidative increase in density in the lingular segment . focal consolidation areas are observed in the middle lobe and lower lobe laterobasal segment on the right . when examined in the lung parenchyma window there are ground-glass-like density increments in both lungs with a slight convergence tendency and reticulonodular density increments on the ground . a 2 mm diameter nodule is observed in the right lung upper lobe posterior segment and subpleural area . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . it is wider than normal . arch aortic calibration is 34 mm . cto is within the normal range . calibration of other major vascular structures in the mediastinal is natural . millimetric calcific atheroma plaques are observed in the descending aorta of the aortic arch ascending aorta and coronary arteries . mild hiatal hernia is observed in the esophagus . heart and great vessels millimetric calcific atheroma plaques are observed in the descending aorta of the aortic arch ascending aorta and coronary arteries . osseous structures there are findings compatible with dish in . there are degenerative changes in the bone structures in the study area . abdomen left adrenal in natural appearance . it is wider than normal . it was evaluated as compatible with adenoma . at the level of the right adrenal genu there is a nodular hypodense lesion of approximately mm in size and an average density of 3 hu . arch aortic calibration is 34 mm . cto is within the normal range . when the upper abdominal organs included in the sections were evaluated there is a decrease in density compatible with mild adiposity in the liver . millimetric calcific atheroma plaques are observed in the descending aorta of the aortic arch ascending aorta and coronary arteries . in the anterior neighborhood of the spleen nodular formation in millimeters compatible with the accessory spleen is observed . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . mild sequelae changes are observed at the apical level of both lungs . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window both hemithorax are symmetrical . pleural effusion-thickening was not detected . airways calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of the main mediastinal vascular structures is natural . the thoracic esophagus calibration is normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the appearances described during the pandemic process were evaluated in favor of covid-19 pneumonia . no mass was detected in both lungs . in both lungs some round-shaped consolidations and ground glass areas are observed being more prominent in the lower lobes and peripheral areas . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma in addition the findings were almost completely regressed with the possible infective process observed in all segments in the form of a budding tree view in the right lung in the previous examination . in the evaluation of both lung parenchyma interlobular septal thickenings subsegmental atelectasis and a few nodules smaller than 5 mm in the lower lobe basal segment are observed in the left lung ima . in the left hemithorax thickenings in the mediastinal and costal pleura and effusions entering the fissure are observed . airways trachea and main bronchi are open . mediastinum calcific plaques are observed in the walls of the coronary artery in the aortic arch . right upper-lower paratracheal aortopulmonary lymph nodes smaller than 1 cm were also observed in previous examinations . heart and great vessels calcific plaques are observed in the walls of the coronary artery in the aortic arch . no pathological lap was detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen also available in previous reviews . calcific plaques are observed in the walls of the coronary artery in the aortic arch . perirenal effusions are observed in the sections passing through the upper part of the abdomen . lung parenchyma peripheral and central ground glass areas are observed in both lungs being more prominent in the lower lobes . however when evaluated together with the clinical preliminary diagnosis it was evaluated in favor of infective pathology . the views described are not specific . there are atelectasis in both lungs . no mass was detected in both lungs . there is also patchy consolidation in both lungs . these findings are frequently observed in pneumonia . minimal pleural effusion is observed on the left . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . atheroma plaques are observed in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels there is no pericardial effusion . as far as can be observed the heart is larger than normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen atheroma plaques are observed in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . minimal pleuroparenchymal sequelae are observed at the apex of both lungs . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were detected in the mediastinal and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were observed . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma the outlook was evaluated in favor of pneumonic infiltration . apart from this no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window in the left lung lower lobe anterobasal segment and right lung lower lobe posterobasal segment centracinar nodular infiltrates budding tree view and ground glass densities were observed in places . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen millimetric calculus was observed in the middle pole of the left kidney . as far as can be observed in the non-contrast examination liver spleen both adrenal glands pancreas are natural . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window structural distortion of tb sequelae and sequelae changes accompanying volume loss were observed in the right lung upper lobe apical segment . pleural effusion-thickening was not detected . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen as far as it can be observed within the borders of non-contrast ct in the upper abdominal sections within the image a 5 mm diameter hyperdense stone is observed in the lower pole of the right kidney . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lung parenchyma . pleural effusion-thickening was not observed in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there are smooth interlobular septal thickenings in both lungs especially in the upper lobes secondary to cardiac pathology . emphysematous changes are also observed in both lungs . since the patient is not breathing properly during the examination both lung parenchyma cannot be evaluated optimally . as far as can be observed no mass was detected in both lungs . there are lymphadenopathies in the bilateral lower cervical chain mediastinal entrance paratracheal prevascular subcarinal and both hilar regions . there are sometimes linear atelectasis in both lungs . this view is nonspecific . there is a 7 mm diameter nodule in the anterior segment of the left lung upper lobe . the pleural effusion measured 46 mm at its thickest point on the right . in both hemithorax pleural effusion continues to the apex of the lung when the patient is in the supine position . in addition a focal ground glass area is observed in the subpleural area lateral to the anterior segment of the left lung upper lobe . bilateral pleural effusion is observed more prominently on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . mediastinum the largest of these masses measured approximately mm . the widths of the mediastinal main vascular structures are normal . there is a millimetric atheroma plaque in the aorta . there are lymphadenopathies in the bilateral lower cervical chain mediastinal entrance paratracheal prevascular subcarinal and both hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . numerous masses are observed in the paraaortic interaortokaval paracaval regions portal hilus and peripancreatic areas . the largest of the described lymphadenopathies is observed in the subcarinal area and its short diameter is 36 mm . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is a pericardial effusion measuring approximately 1 cm in its thickest part . pericardial thickening was not detected . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen the spleen is larger than normal . it is understood that these masses are lymphadenopathies . there is a millimetric atheroma plaque in the aorta . no upper abdominal free fluid-collection was detected within the sections . it is recommended that the patient be evaluated together with previous examinations if any . the borders of some of the masses cannot be distinguished from each other and show conglomeration . apart from this there are other lesions that are thought to be cysts when evaluated together with their densities in both kidneys . there is a nodular appearance with a similar density to the kidney cortex with exophytic extension from the cortex in the upper pole of the right kidney and measuring 35 mm in its thickest part . the described lesion cannot be characterized because no contrast agent was given . numerous masses are observed lung parenchyma when examined in the lung parenchyma window central bronchovascular structures are prominent in both lungs . findings may be secondary to pulmonary edema . there are mosaic density differences especially in the lower lobes and thickening of the pleuroparenchymal interlobular septa . airways trachea both main bronchi are open . mediastinum calcific plaques are observed in the aorta and coronary arteries . lymph nodes with a short axis reaching 11 mm were observed in the mediastinum . thoracic aorta diameter is normal . apart from this no pathologically enlarged lymph nodes were detected . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is 40 mm and is ectatic . the heart is larger than normal . lad has a stent view . osseous structures no relevant findings . abdomen thoracic aorta diameter is normal . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma no relevant findings . airways there is also an accompanying increase in bronchial wall thickness . mediastinum no lymph node in pathological size and appearance was detected in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels calcified atheroma plaque is observed proximal to lad . pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were initially evaluated in terms of the onset of an early infectious process . when examined in the lung parenchyma window small size nodular ground glass densities with a halo sign are observed on the fissure in the posterior right lung upper lobe . there are mild fibrotic sequelae changes in the upper lobe apical levels in both lungs . clinical laboratory correlation and close follow-up are recommended for the differential diagnosis of viral pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . stent is observed in lad . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is recommended to be evaluated together with clinical and examination findings in terms of covid-19 . there are linear subsegmental atelectasis in the lower lobe of the left lung . suspected ground glass opacities are observed in the posterobasal section of the lower lobe of the right lung . when examined in the lung parenchyma window a pulmonary nodule with a diameter of 5 mm is observed in the anterior segment of the right lung upper lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no pathologically enlarged lymph nodes were detected in both axillae . lymph nodes with short axes not exceeding 1 cm are observed in the mediastinal area . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this there are a few nonspecific sequelae calcific nodules in both lungs . it is recommended to evaluate the patient with clinical and laboratory findings and to evaluate with control ct after treatment . apart from this a few more nonspecific ground-glass opacities are observed scattered in both lungs . when examined in the lung parenchyma window a nodular ground glass-consolidation area is observed in the superior segment of the lower lobe of the right lung . however the large nodular ground-glass consolidation area in the right lung also suggests bacterial pneumonia . these appearances are also observed in covid-19 pneumonia . appearances are among the findings observed in covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum there are calcific atheromatous plaques in the aortic walls . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area have an osteoporotic appearance . abdomen there are calcific atheromatous plaques in the aortic walls . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequelae densities and changes are observed . when the lung parenchyma is examined there are no findings in favor of nodules or infiltration in both lung parenchyma . a pleural effusion of 30 mm in size is observed on the left in the bilateral deepest . airways no relevant findings . mediastinum no lap was detected in mediastinal pathological dimension . in addition paraesophageal collateral vascular structures are observed . heart and great vessels no relevant findings . osseous structures there are extensive multiple metastases in the bones . abdomen in the abdominal sections there is an appearance consistent with chronic liver parenchyma disease and in the liver . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window dependent atelectasis changes are observed in both lung lower lobe posterobasal segments more prominent on the left . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in addition in the left lung lower lobe superior segment there is a lesion in the center of the larger one and consolidation acinar infiltrates around it . again in the upper lobe of the right lung the upper lobe of the left lung the lingular segment and the lower lobe anterobasal segment branch bud appearances at multiple levels acinar opacity increases were observed . the appearance was initially thought to be compatible with granulomatous diseases tb . in the left lung upper lobe apicoposterior segment there is a large consolidation area with central cavitation . there are areas of acinar infiltration in its neighborhood . when both lungs are evaluated in the parenchyma window mild emphysematous changes were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum as far as can be observed mediastinal main vascular structures heart contour size are normal . thoracic aorta diameter is normal . there are lymph nodes with a short axis measuring 12 mm in the mediastinal upper-lower paratracheal subcarinal and prevascular areas the largest in subcarinal localization . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are frequently reported imaging features of covid-19 pneumonia . when examined in the lung parenchyma window focal ground-glass density increases were observed in the peripheral subpleural area and peribronchovascular localization in the upper lobes and lower lobes of both lungs and peripheral subpleural consolidation areas were observed in the lower lobes . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen there was an of the colon loops between the liver and the diaphragm chilaiditi syndrome . minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta . lung parenchyma consolidation areas in the left lung inferior lingular segment and ground glass density increases in its vicinity were observed . the outlook may be compatible with covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . bilateral pleural thickening-effusion was not detected . when both lung parenchyma windows are evaluated in both lungs nodular ground glass density increases with faint borders were observed in the peripheral subpleural area and the peribronchovascular area . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structure . no lytic-destructive lesion was detected . abdomen an uncharacterized hypodense lesion with a diameter of 1 cm was observed at the liver segment 4b level . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . liver parenchyma density in the cross-sectional area has decreased diffusely consistent with fatty deposits . lung parenchyma when examined in the lung parenchyma window mild atelectatic changes are observed in the posterobasal segments of both lung lower lobes . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . there are calcific atheroma plaques in the coronary arteries . osseous structures diffuse mild hypertrophic osteophytic tapering is observed in the bone structures especially in the anteriors of the vertebral corpus endplates . abdomen in the upper abdominal organs included in the sections there is a finding consistent with mild hepatosteatosis in the liver parenchyma density . lung parenchyma right upper-bilateral lower paratracheal millimetric lymph node is observed . in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . in the non-contrast examination no obvious pathology was detected in the abdominal sections . lung parenchyma in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . ventilation of both lungs is natural . pericardial pleural effusion was not detected . a nonspecific nodule measuring 5 mm in diameter with a pleural base was observed in the anterolateral segment of the lower lobe of the left lung . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . it could not be evaluated optimally due to lack of contrast . mediastinal vascular structures and heart examination iv . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window a linear subsegmental atelectasis change was observed adjacent to the fissure in the lateral segment of the right lung middle lobe . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . pleuroparenchymal fibroatelectasis sequelae were observed in the left lung upper lobe inferior lingular and right lung lower lobe and left lung lower lobe posterobasal segments . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs . mosaic attenuation has been found to be secondary to small airway disease . in addition a millimetric nonspecific parenchymal nodule was observed in the lateral segment of the right lung middle lobe . there is segmental-subsegmental peribronchial thickening and luminal narrowing in both lungs . calcific nodules the largest of which is 75 mm in diameter were observed at the junction of the right lung upper lobe lobe superior segment . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma diffuse emphysematous changes are observed in both lungs and there are fibroatelectasis changes in the upper lobe of the right lung . when examined in the lung parenchyma window consolidative changes are observed in the upper lobe and lower lobe of the left lung air bronchogram signs that do not differ significantly air bronchogram signs in the right lung lower lobe superior segment and upper lobe posterior and consolidation areas with bronchiectasis are observed . between the bilateral pleural leaves there are pleural effusions measuring up to 40 mm in thickness on the left in the form of plastering on the right . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a decrease in density in the bone structures in the examination area . vertebral corpus heights are preserved . there is a loss of height and a sclerotic area that completely covers the vertebral corpuscles . abdomen a hypodense lesion measuring up to 20 mm in size is observed in the right adrenal gland . liver sizes increased . lung parenchyma there are nodules measuring 35 mm in paramediastinal series 2 image 60 in the anterior of the left lung upper lobe 9 mm in the left lung lower lobe posterior in the series 2 image which was also observed in the previous without significant dimensional difference . diffuse centrilobular emphysematous changes are present in both lungs . there is a faint nodule in the right lung in series 2 image 135 in the middle lobe measuring 54 mm in size which was also observed in the previous . when examined in the lung parenchyma window at the posterobasal level of the lower lobe of the right lung diffuse ground-glass consolidation areas with air bronchogram signs are observed . atelectatic changes are observed at the basal level of the left lung lower lobe . it was evaluated in favor of lobar pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . there are lymph nodes in the mediastinum with more than one short axis measuring 13 mm which were also observed in the previous which did not show significant dimensional and structural differences . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes decrease in density and hypertrophic osteophytic tapering in the end plateaus in the bone structures in the study area . abdomen changes in favor of hepatosteatosis are observed in the liver parenchyma . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . in the gallbladder there are millimetric hyperdense findings compatible with stones which were also observed in the previous . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the left lung inferior lingular segment band-like sequela fibrotic density increases were observed . when examined in the lung parenchyma window no mass or infiltration was detected in both lungs . bilateral pleural thickening-effusion was not detected . a nonspecific parenchymal nodule with a diameter of 55 mm located subpleural was observed in the anterior segment of the right lung upper lobe . airways bilateral peribronchial thickenings were observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal subcarinal and bilateral hilar regions . in the anterior mediastinum a triangular soft tissue density that does not cause a significant mass effect was observed remt thymus . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma reticulonodular sequela fibrotic density increases were observed in both lung apexes . no mass lesion-active was detected in both lungs . when examined in the lung parenchyma window an azygos fissure variation was observed in the upper lobe of the right lung . central tubular bronchiectasis and peribronchial thickening were observed in both lungs . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window both lungs have a mosaic attenuation pattern small airway disease small vessel disease . no active infiltration or mass lesion was detected in both lungs . there are smooth interlobular septal thickness increases observed more clearly in the lower lobes of both lungs and were primarily evaluated as secondary to cardiac stasis . there are sequela parenchymal changes in the lower lobes of both lungs right lung middle lobe medial segment left lung upper lobe inferior lingular segment . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum as far as can be seen it shows aneurysmatic dilatation with a diameter of 30 mm in the pulmonary trunk . no lymph node was detected in the mediastinum in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end . heart and great vessels an increase in heart size was observed . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures in addition no lymph nodes in pathological size and appearance were detected in both supraclavicular fossa and axillary regions . degenerative changes were observed in the bone structures within the image . abdomen first of all it was evaluated in favor of adenoma . as far as can be seen within the limits of non-contrast ct in the upper abdominal sections within the image there is nodular thickness increase in the right adrenal gland corpus in which fat densities are observed in millimetric dimensions . lung parenchyma clinical laboratory correlation of the findings with the infectious process is recommended . when examined in the lung parenchyma window at the basal levels of both lung lower lobes atelectatic changes and consolidated atelectatic changes including air bronchogram signs are observed . at these levels the differential diagnosis of a space-occupying lesion cannot be made in a patient whose primary is known . there are moderate pleural effusions in both hemithorax measuring 27 mm on the right and 30 mm on the left . in the upper lobes of both lungs there are subpleural slightly patchy ground glass densities in the anteriors . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the ascending aorta measures 38 mm and is slightly wider than normal . an increase in heart size is observed . pericardial effusion-thickening was not observed . osseous structures diffuse density reduction in bone structures and hypertrophic osteophytic tapering in end plates are observed . abdomen there is a high degree of free in the abdomen . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this there are other millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . the described appearance may be an intrapulmonary lymph node or a subpleural nodule . no pleural or pericardial effusion was detected . a subpleural nodular lesion measuring approximately 8x5 mm was observed adjacent to the horizontal fissure in the middle lobe of the right lung . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . a subsegmental atelectasis area was observed in the middle lobe of the right lung . bilateral minimal pleural effusion was observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . in the right upper paratracheal lower paratracheal prevascular aorticopulmonary area fatty hilus with a short axis smaller than 1 cm can be observed some of which are calcified lymph nodes . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart sizes were significantly increased . pericardial thickening-effusion was not detected . osseous structures degenerative changes are observed in bone structures . no lytic-destructive lesion was detected . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . in the upper abdominal sections that entered the examination area a mild effusion was observed in the abdomen . bilateral adrenal glands are normal . lung parenchyma there are similar pleuroparenchymal densities in the lingular segment and laterobasal level . coarse reticulonodular density increases are observed at the level of the lower lobe of the left lung . it is recommended to evaluate the case with clinical and laboratory findings especially in terms of bacterial pneumonia . pleuroparenchymal sequela changes are observed in the anterior segment of the left lung upper lobe . no bilateral pleural effusion or pneumothorax was detected . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum calibration of other mediastinal major vascular structures is normal . millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta . thoracic aorta diameter is normal . there are no pathologically sized and configured lymph nodes at the mediastinal and both hilar levels . cto is normal . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta . thoracic aorta diameter is normal . cto is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition ground glass appearances were observed in the lung parenchyma especially in the lower lobe of the right lung . when examined in the lung parenchyma window in the right lung dense collections of loculated were observed towards the lung parenchyma reaching a thickness of 64 mm in the thickest part of the right lung . there is a mosaic attenuation pattern in both lungs . it has reached the fissural surfaces . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum in addition stable lymphadenopathies of round configuration the largest of which is mm in size were observed in the mediastinal prevascular area in the aortopulmonary window in the upper and lower paratracheal subcarinal region right paracardiac area and bilateral hilar region . calcified atheroma plaques were observed in the mediastinal main vascular structures . no lymphadenopathy was detected in the bilateral axillary region reaching pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels coronary artery and coarse calcifications were observed in the heart . no pericardial effusion or thickening was detected . the ascending aorta measures approximately 50 mm and fusiform dilatation is observed . osseous structures multiple sclerotic lesions were observed in the bones . lymphadenopathies with a short diameter reaching 25 cm the largest of which were observed in the supraclavicular region and lower cervical region on the right . abdomen multiple hypodense lesions were observed in the liver . there is fluid in the perihepatic area . nodular and plaque-like thickenings were observed on the omental surfaces in the abdomen especially in the area extending to the anterior of the liver . in the current examination the length and dimensions of the thickenings have increased . lung parenchyma the size of the mass increased and was evaluated in favor of progression . in the current examination a large consolidation area was observed in the lower lobe of the left lung . ground glass densities were observed around the consolidation area and in the apicoposterior and lingular segments of the right lung upper lobe . when the findings were evaluated as a consolidations of both lungs evident on the left were evaluated in favor of pneumonic infiltration . two ground-glass nodules were observed on the major fissure in the middle lobe of the right lung and in the current examination it was observed that they appeared recently infective . a mass lesion with an infiltrative character was observed in the center of the left lung obliterating the upper lobe bronchus and surrounding the middle and lower lobe bronchi and the right pulmonary artery and the fatty planes between it were . in addition centriacinar nodules and ground glass densities were observed in and around the consolidation areas in the peripheral subpleural area in the lower lobe of the left lung . airways no relevant findings . mediastinum prevascular right upper bilateral lower paratracheal lymph nodes with pathological dimensions measuring mm mm in the previous examination were observed in the right lower paratracheal . heart and great vessels heart contour size is normal . osseous structures no lytic-destructive lesion in favor of metastasis was observed in bone structures . in both supraclavicular fossas no lymph node was detected in pathological size and appearance within the sections . abdomen no relevant findings . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window peribronchial thickenings were observed in both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures thoracic kyphosis is increased . degenerative changes in the bone structures in the study area and less than 50 height loss in the vertebrae secondary to schmorl nodule impressions at the mid-thoracic level were observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen in the sections an accessory spleen with a diameter of 12 mm was observed anteriorly at the level of the spleen hilus . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . no pleural effusion was observed . airways trachea both main bronchi lobar and segmental bronchi and air passages are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no mass or infiltrative lesion was observed in both lungs . there are areas of linear atelectasis in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels there are motion artifacts in the images . heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . thoracic kyphosis is increased . abdomen within the limits of non-contrast bt there is no discernible mass in the upper abdominal organs . lung parenchyma in the evaluation of both lung parenchyma mild increases in density are observed in the lower lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . right upper-bilateral lower paratracheal aortopulmonary lymph node in millimetric size is observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window bilateral minimal peribronchial thickenings were observed . no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways as far as can be seen trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric-sized ground-glass nodules observed in the previous examination in the posterobasal segment of the right lung lower lobe were not detected in the current examination . there are densities of post-op operation material in the right hilar region . both lung were increased . nonspecific ground-glass-like density increases were observed in the inferior lingular segment and lower lobe of the left lung and newly emerged . no pleural effusion-thickening was detected on the left . when examined in the lung parenchyma window there is a free pleural effusion measuring 13 mm in thickness on the right 23 mm in the previous examination and mild atelectatic changes in the adjacent lung parenchyma . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum minimal calcified atherosclerotic changes were observed in the wall of the thoracic artery . no newly emerged lymph node was detected in the current examination . stable lymph nodes were observed in the mediastinal inferior paratracheal subcarinal and aorticopulmonary window with the largest measuring 5 mm in the short axis according to the previous examination . the thoracic esophagus is calibrated and appears slightly dilated . sliding type hiatal hernia was observed . heart and great vessels no pericardial thickening-effusion was detected . heart contour size is natural . osseous structures degenerative changes are observed in the bone structures post-op defect appearance is noted in the 7th rib on the right and is also observed in the previous examination . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . minimal calcified atherosclerotic changes were observed in the wall of the thoracic artery . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window there are changes in the right lung . in the anterior segment of the upper lobe of the right lung a newly developed nodular density area of 15 mm in size with ground glass density was observed . in the case with left pneumonectomy effusion up to 4 cm deep was observed in the pneumonectomy site . there is a stable 15 mm nodule in the paravertebral area in the posterobasal segment of the lower lobe of the right lung . airways evaluation is suboptimal because of motion artifacts . trachea both main bronchi are open . mediastinum mediastinal structures are deviated to the left . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures the old fracture line is observed in the left 5th rib . abdomen nodular thickness increase persists in the left adrenal gland . available . also stable hypodense lesions of the liver 10 mm in size in segment 2 and 6 mm in segment 4a . metastasis . thoracic aorta diameter is normal . the right adrenal gland locus is normal and no space-occupying lesion was detected . in the evaluation of upper abdominal organs including sections although the evaluation of the organs is suboptimal an lesion of approximately 8 cm in size in the right lobe posterior segment of the liver which could not be clearly distinguished in the previous examination is an additional finding and was evaluated in favor of metastasis . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen changes in favor of steatosis are observed in the liver parenchyma . lung parenchyma there is also minimal peribronchial thickening in the upper lobe of the right lung . these appearances were evaluated primarily in favor of sequelae changes . in addition diffuse calcific nodules were observed in both lungs more prominently in the upper lobe of the right lung . there is a lesion measuring 9x7 mm in the bronchiectatic duct in the upper lobe of the right lung . the described lesion can also be observed in the patients previous examinations and no significant difference was detected . linear and nodular density increases structural distortion and volume loss are observed in the upper lobe of the right lung especially in the apical segment . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are emphysematous changes in both lungs . it is recommended to follow . although less likely the appearance was thought to be compatible with . the pleural effusion measured 33 mm on the right at its thickest point . there is bilateral minimal pleural effusion more prominent on the right . no pleural thickening was detected . airways the described appearance may be a mucus plug . no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . the shortest diameter of the largest of the lymph nodes was 10 mm . some of the lymph nodes are calcific . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are lymph nodes in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . atheroma plaques are observed in the aorta and coronary arteries . osseous structures the described appearances were primarily evaluated in favor of metastases . there are lytic bone lesions in the bone structures within the sections . minimal height loss is observed in the t6 superior end plate of the vertebra . abdomen no soft tissue component was detected accompanying these metastatic lesions . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there are more prominent emphysematous changes and bulla-bleb formations in the upper lobes of both lungs . there are accompanying interlobular septal thickness increases . there are diffuse ground-glass areas in both lungs and peripherally weighted patch-like consolidation areas in the lower lobes accompanied by air bronchograms . compatible with viral pneumonia covid 19 pneumonia . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . there is bilateral tubular bronchiectasis . mediastinum the widths of the mediastinal main vascular structures are normal . a few lymph nodes with a diameter of 6 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the prevascular area and no enlarged lymph nodes in pathological size and appearance are detected . there are calcific atheroma plaques in the anterior descending coronary artery and aortic arch . sliding type hiatal hernia is observed at the esophagogastric junction . no pathological increase in wall thickness was detected in the esophagus . heart and great vessels there are calcific atheroma plaques in the anterior descending coronary artery and aortic arch . heart contour and size are normal . osseous structures within the sections there is a lytic-destructive lesion in the right scapula the borders of which cannot be clearly distinguished on non-contrast examination . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . coarse calcification is observed in the left lobe of the liver . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . there are calcific atheroma plaques in the anterior descending coronary artery and aortic arch . lung parenchyma a nodule with a diameter of 5 mm in the left lung adjacent to the fissure similarly a few nodules with a diameter of 2-3 mm with a nonspecific appearance are observed in both lungs ima left . in the evaluation of both lung parenchyma in the right lung a 7x4 mm nodule located in the fissure in the lower lobe superior segment is observed intraparenchymal lymph node ima . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . right upper bilateral lower paratracheal aortopulmonary a few millimetric lymph nodes are observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . bilateral adrenal glands appear natural . no significant pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma it is thought that this appearance may also be a sequelae change . it is recommended to evaluate the patient together with laboratory findings . the described appearances were primarily evaluated in favor of changes . in addition there is a similar appearance in the central part of the lower lobe of the right lung . these appearances may or may not be compatible with distal airway disease . it was learned that the patient had undergone right upper lobectomy for lung cancer . apart from these there are sometimes linear atelectasis in both lungs . minimal bronchiectasis and peribronchial thickening are observed in the medial segment of the right lung middle lobe . this appearance is present in the patients previous examination . no mass was detected in both lungs . soft tissue thickness increase was also observed in the right lung middle lobe superior part . minimal emphysematous changes were observed in both lungs . in the middle lobe of the right lung there are centriacinar nodules in the medial and lateral segments some of which have the appearance of budding trees . it is recommended to follow . consolidation-soft tissue density appearance is observed in the posterobasal segment in the lower lobe of the right lung . no pleural or pericardial effusion was detected . airways no relevant findings . mediastinum aorta diameter is normal . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery diameter is 35 mm and wider than normal . atheroma plaques are observed in the aorta . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen atheroma plaques are observed in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . aorta diameter is normal . lung parenchyma the findings were initially evaluated in favor of hypersensitivity pneumonia and it appears atypical in terms of covid-19 viral pneumonia but due to the current pandemic clinical lab . when examined in the lung parenchyma window there are mild bronchiectasis in the lower lobes of both lungs . diffuse patchy centriacinar nodular ground glass densities are observed in both lungs . recommended for better differential diagnosis . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is peg material on the anterior abdominal wall . thoracic aorta diameter is normal . in the upper abdominal organs included in the sections in the left kidney or adrenal gland the finding of a 31 mm hypodense fluid attenuation which could not be was initially evaluated in favor of a cyst . lung parenchyma subsegmentary atelectasis was observed in the medial segment of the right lung middle lobe . in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window there are sequelae parenchymal changes in both lung parenchyma right lung middle lobe medial segment and left lung upper lobe inferior lingular segment . no mass lesions were detected in both lungs . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . millimetrically sized nonspecific stable nodules are observed in both lungs . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures and heart contour size are natural . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures and heart contour size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma there are diffuse areas of atypical pneumonic infiltration in both lungs . there are pleuroparenchymal linear density increases in the lower lobe basal segments and they belong to parenchymal findings in the recovery period . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart sizes are normal . aortic valve calcification is observed . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections suture materials belonging to the sleeve gastrectomy operation are observed . a slightly high-density cortical exophytic lesion with a diameter of 28 mm partially sectioned in the left kidney could not be characterized by this examination . lung parenchyma it is nonspecific . no pneumonic infiltration was detected . no mass-occupying lesion was detected in the lung parenchyma . no infiltrative involvement was detected . when examined in the lung parenchyma window no area of infiltrative is observed in the lung parenchyma . centrally located nonspecific density increase is observed in the right lung lower lobe superior segment . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node in pathological size and appearance was observed in the axilla supraclavicular fossa . no lytic-destructive lesions were detected in bone structures . abdomen no pathology was noted in the upper abdominal sections . lung parenchyma the described findings may be compatible with infections . apart from this millimetric nonspecific pulmonary nodules were observed in both lungs . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window segmentary tubular bronchiectasis and minimal thickening were observed in both lungs . pleuroparenchymal atelectatic changes were observed in the left lung upper lobe inferior lingular and right lung lower lobe anterobasal segment . nodular consolidations were observed in the lower lobe laterobasal segments of both lungs with ground glass halos around the larger one on the right . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures no lytic-destructive lesion in favor of metastasis was observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . the spleen is full . the liver is larger than normal as can be seen on non-contrast images . lung parenchyma a parenchymal band is observed in the middle lobe on the right . there is a nodule of approximately 4 mm in diameter in the laterobasal segment of the lower lobe of the left lung . no lymph node with pathological size and configuration is observed at the hilar level . in almost all zones of both lungs there are ground-glass-like density increases with a confluence and thickening of the interlobular septa on this background . bilateral pleural effusion or pneumothorax was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are millimetric lymph nodes in the aorticopulmonary window at the prevascular level in the upper-lower paratracheal area . mediastinal main vascular structures heart contour size are normal . hiatal hernia is observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . when examined in the lung parenchyma window pericardial mild thickening is observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there are diverticula appearances in the descending colon . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the described findings are the findings that can be observed in covid-19 pneumonia . it is recommended to evaluate the patient together with laboratory findings . no mass was detected in both lungs . there are nodules with a ground glass area around them in the area and subpleural area in the lower lobe of both lungs and the upper lobe of the right lung . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . however it is not specific . when examined in the lung parenchyma window a millimetric ground glass nodule was observed in the posterior segment of the right lung upper lobe . in the right lung lower lobe mediobasal segment focal minimal nonspecific ground glass density increase which is thought to be related to spur compression was observed . a similar subsegmental atelectasis area and fibroatelectasis changes in both lungs were observed in the middle lobe of the right lung . appearance is nonspecific . fibroatelectasis changes were observed in the anterior segment of the upper lobe of the left lung . it can be observed in the early period in covid-19 pneumonia . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen the diameter of the ascending aorta was 42 mm and showed fusiform dilatation . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures in bone structures area was observed in t4 vertebra . abdomen in the upper abdominal sections in the study area a suspicious appearance in terms of diverticulum was observed in the 2nd part of the duodenum . lung parenchyma these findings are also frequently observed in covid-19 pneumonia . when examined in the lung parenchyma window widespread patchy ground-glass opacities consolidation areas are observed in both lungs . these outlooks favor viral pneumonia . in the pandemic conditions first of all covid-19 pneumonia was considered . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles and there are mild atelectasis in the right lung lower lobe secondary to these osteophytes in the right lung lower lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles and there are mild atelectasis in the right lung lower lobe secondary to these osteophytes in the right lung lower lobe . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma in both lungs ground-glass densities are accompanied by nonspecific appearance in the upper lobe anterior segments and posterior segment . dependent density increases in the lower lobes of both lungs and prominence of interlobular septa in both lungs possibly secondary to cardiac congestion are observed . nodular density with pleuroparenchymal retraction and calcification is observed in the apicoposterior segment of the left lung upper lobe . in the evaluation of both lung parenchyma mosaic attenuation areas are observed in both lungs small airway disease small vessel disease . in the right hemithorax bilateral pleural effusions are observed in the form of smearing on the left measuring 15 cm in the thickest part . in addition punctate pleural calcifications are observed on the left and in the form of plaques on the right . airways calcific nodules are observed in the trachea and bronchial walls tracheobronchopathy osteochondroplastica . trachea and main bronchi are open . mediastinum right upper-bilateral lower paratracheal aortopulmonary the larger one mediastinal lymphadenomegaly with a narrow diameter of 11 mm and millimetric lymph nodes are observed . heart and great vessels calcifications are observed in the walls of the coronary artery . the cardiothoracic index increased in favor of the heart . the ascending aorta is 41 cm in diameter and wider than normal . osseous structures suture materials secondary to surgery in the sternum are observed . bones appear osteopenic . abdomen if available it is recommended to compare with old . in the sections passing through the upper part of the abdomen no significant pathology was detected in the bilateral adrenal lobes . lung parenchyma when examined in the lung parenchyma window there is a millimetric nonspecific subpleural nodule at the right apical level . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen when the upper abdominal sections in the examination area are evaluated a change in favor of steatosis is observed in the liver . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma when examined in the lung parenchyma window emphysematous changes were observed in both lung parenchyma . no active infiltration or mass lesion was detected in both lung parenchyma . in both lung parenchyma peripheral pleuroparenchymal sequelae bands more prominent in the lower lobe posterobasal segment and ground glass densities are observed at these levels and the appearance was evaluated primarily in favor of findings secondary to the dependent effect . pericardial pleural effusion or thickness increase was not observed . airways trachea both main bronchi are open and no occlusive pathology is observed . mediastinum the mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the descending aortic ap diameter was measured as 31 mm and wider than normal . there are calcified atheroma plaques in the wall of the aortic arch . no lymph node is observed in pathological size and appearance in mediastinal lymph node stations . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the descending aortic ap diameter was measured as 31 mm and wider than normal . there is an increase in the cardiothoracic ratio in favor of the heart . osseous structures left-facing scoliosis is observed in the thoracic vertebral column . no lytic-destructive lesions were observed in the bone structures within the sections and the vertebral corpus heights were preserved . abdomen the mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the descending aortic ap diameter was measured as 31 mm and wider than normal . there are calcified atheroma plaques in the wall of the aortic arch . in the upper abdomen sections within the image no bordering mass was observed as far as it can be seen within the borders of non-contrast ct . lung parenchyma there are linear atelectasis in the right lung middle lobe left lung upper lobe lingular segment and left lung lower lobe . there are several millimetric nonspecific nodules in both lungs . minimal emphysematous changes were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . there are millimetric calcific nodules in the upper lobe apicoposterior segment . there is a nodule with a diameter of approximately 4 mm in the anterior segment caudal of the left lung upper lobe . there are possible post-operative changes in the right lung upper lobe posterior segment adjacent to the interlobar fissure . parenchymal sequelae bands are observed in the lower lobe posterobasal segment . there are ground-glass-like density increases in the lower lobe of the right lung . sequelae changes are observed at the apical level . there is a 2 mm diameter nodule in the anterior segment of the right lung upper lobe . sequelae changes are observed in the middle lobe . a ground-glass nodule with a diameter of approximately 6 mm is observed in the apicoposterior segment of the upper lobe of the left lung . at this level mild irregularity and nodular thickening are observed in the pleura . no significant pleural effusion or pneumothorax was detected in both lungs . airways lumens are clear . in the evaluation of the parenchymal window of both lungs calibration of trachea and main bronchi is natural . mediastinum a millimetric-sized calcific atheroma plaque is observed in the aortic arch . no lymph node in pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no pathological wall thickness increase was detected . heart and great vessels cto is normal . osseous structures there are degenerative changes in bone structures . sequelae changes are observed in the posterolateral part of the 5th rib on the right . abdomen both adrenal glands are normal . in the sections passing through the upper abdomen a decrease in density consistent with hepatosteatosis is observed in the liver . a millimetric-sized calcific atheroma plaque is observed in the aortic arch . an area protected from fat is observed in the vicinity of the gallbladder . lung parenchyma it is recommended to be evaluated together with the clinic and laboratory . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window in both lungs multilobar multisegmental central-peripheral crazy paving pattern and nodular patchy consolidation areas showing signs of vascular enlargement ground glass densities around it and accompanying linear atelectasis were observed . the described findings are consistent with covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are consolidation areas in both lungs lower lobes and posteriorly predomitly localized tending to merge from place to place and accompanying subsegmental glass areas . bilateral tubular bronchiectasis is observed . no mass was detected in both lungs . a calcific nodule with a diameter of 4 mm is observed in the posterior segment of the right lung upper lobe . findings are consistent with viral pneumonia covid-19 pneumonia . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . several lymph nodes with a diameter of 9 mm are observed in the mediastinum the largest of which is in the lower right paratracheal area . no pathological increase in wall thickness was detected in the esophagus . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures there are sclerotic changes and indentations of schmorls nodules in the thoracic vertebral end plates within the sections . no lytic-destructive lesion was observed . abdomen nonspecific density increases are observed in bilateral pararenal fatty tissue . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . sliding type minimal hiatal hernia is observed at the esophagogastric junction . lung parenchyma active infiltration or mass lesion was not detected in both lung parenchyma . there are several millimetric nonspecific nodules in both lung parenchyma . sequelae pleuroparenchymal bands are observed in the middle lobe of the right lung and the lingular segment of the left lung . emphysematous changes were observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no mass or infiltrative lesion was detected in both lungs . a regression is also observed in the findings evaluated in favor of lymphangitis carcinomatosa observed in both lungs . there are millimetric nonspecific nodules in both lungs . occasionally linear atelectasis is observed in both lungs . when evaluated together with the patients primary disease it was primarily thought that interlobular septal thickenings were due to lymphangitis carcinomatosis . there are smooth interlobular septal thickenings in both lungs more prominent in the lower lobes . minimal peribronchial thickening is observed in both lungs especially in the central parts . significant regression was observed in the amount of pleural effusion . there is also bilateral minimal pleural effusion more prominent on the left . airways there is no obstructive pathology in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . the short diameter of lymphadenopathy which was described as the largest in this examination was measured in the previous . no enlarged lymph node was detected in the right axilla in pathological size and appearance . the short diameters of all lymph nodes are less than 1 cm . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are lymph nodes in the prevascular paratracheal and subcarinal regions . there is a mixed type hiatal hernia at the lower end of the esophagus . heart and great vessels minimal pericardial effusion was observed . heart contour and size are normal . osseous structures height loss is observed in the l1 vertebral corpus more prominently in the central part . no soft tissue component was detected accompanying the described metastatic lesions . apart from this minimal height losses are also observed in the thoracic vertebral corpuscles within the sections . lytic bone lesions are observed in almost all bone structures within the sections and are compatible with metastases . the anteroposterior diameter of the vertebra has increased and the anterior-posterior diameter of the spinal canal has narrowed at this level . no significant difference was found in the number and size of metastatic lesions in the bones . the height loss is observed almost completely in the central section . abdomen no upper abdominal free fluid-collection was detected in the sections . as far as it can be observed within the limits of non-contrast ct there is no mass that can be distinguished in the upper abdominal organs within the sections . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window a few nodules with a diameter of 6 mm were observed in the parenchyma of both lungs the largest of which was in the right middle lobe laterally . a minimal emphysematous appearance is observed in the upper lobes . no pathological lap was detected . there are subpleural fibrotic changes due to vertebral osteophyte in the right lung lower lobe mediobasal segment . subpleural reticular densities and ground glass densities are observed in the bilateral lower lobe posterobasal areas . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . lymph nodes with a short axis reaching 10 mm in diameter are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal organs including sections there are hypodense lesions in the liver the larger of which reaches 25 mm in diameter in segment . bilateral adrenal glands were normal and no space-occupying lesion was detected . lung parenchyma in addition reticular density increases consistent with interstitial fibrosis more prominent in the lower lobes of both lungs draw attention . peribronchial thickening which from the perihilar areas in both lungs extends to the lower lobes . it is stable . when examined in the lung parenchyma window the widespread mosaic attenuation pattern and ground-glass appearances in both lungs in the current examination are remarkable . multiple parenchymal nodules were observed in both lungs the largest of which was 55 mm in diameter in the upper lobe segment of the right lung . nodular consolidations accompanying the bud tree appearances seen in the previous examination in the posterior segment of the right lung upper lobe were not observed in the current examination . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum mediastinal main vascular structures were evaluated as because the heart examination was unenhanced . thoracic aorta diameter is normal . stable lymph nodes with a short diameter of 6 mm were observed in the mediastinal prevascular area aortopulmonary window paratracheal area and subcarinal region . no obvious pathology was detected . the thoracic esophagus measures approximately 34 mm at its widest point and has a dilated and course . thoracic esophagus is in normal calibration and no pathological wall thickening is detected . the esophagogastric junction is normal . heart and great vessels mediastinal main vascular structures were evaluated as because the heart examination was unenhanced . pericardial effusion-thickening was not observed . osseous structures there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . consistent with dish disease of the lower thoracic vertebrae in the study area draws attention . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in both kidneys hypodense primarily appearances were observed . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . the esophagogastric junction is normal . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is an appearance compatible with in the liver parenchyma entering the section area . lung parenchyma the outlook was evaluated in favor of bronchopneumonia . reticulonodular density increases in the right lung apical and posterior segment left lung upper lobe apicoposterior segment and accompanying traction bronchiectasis in the right lung apical segment were observed . when examined in the lung parenchyma window tubular bronchiectasis which became prominent in the center was observed in both lungs . centriacinar nodular infiltrates were observed in the lower lobe of the right lung in the basal and central ground glass density . apart from this no mass lesion with distinguishable borders was observed in both lungs . pericardial-pleural effusion-thickening was not observed . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . in both axillae a large number of lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen liver gallbladder spleen pancreas both kidneys both adrenal glands are normal as far as can be seen on non-contrast images . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . there is surgical fixation material in the lateral part of the left clavicle . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the lung parenchyma no newly developed mass or nodular space-occupying lesion and infiltrative involvement were detected . tubular bronchiectasis are observed in the upper lobe of the right lung . it is stable . it is accompanied by areas of linear subsegmentary atelectasis . a similar finding is also observed in the basal segment of the lower lobe of the right lung . in both upper lobe apical segments of both lungs sequelae increase in density causing pleuroparenchymal distortion is observed . this prominence may be due to increased secretions in the process . its dimensions are stable and no difference was detected in the process . infection would be appropriate . consolidation area compatible with round atelectasis is observed in the superior and basal segments of the left lung lower lobe . left lung upper lobe volume was also decreased . between the leaves of the left pleura a thick-walled chronic collection area with a diameter of 2 cm is observed . airways no relevant findings . mediastinum prevascular right upper paratracheal bilateral lower paratracheal paraaortic and subcarinal located prevascular lymph nodes in the mediastinum most of which have a short axis below 1 cm are observed . the findings are stable . there are extensive calcified atheroma plaques in the abdominal aorta . the dimensions of the lymph node located in the right lower tracheal region with a short axis measuring 14 mm are stable . there is a sliding type hiatal hernia . heart and great vessels there is short stent material in the ascending aorta . suture materials are observed in the coronary arteries . osseous structures no lytic-destructive lesions were detected in bone structures . in the supraclavicular fossa no lymph node was observed in the axilla in pathological size and appearance . there is a sternotomy of the sternum . abdomen no space-occupying lesion was observed in the adrenal glands in the upper abdominal sections . the findings are stable . there is a stable hypodense lesion in the liver segment 2 localization that cannot be characterized due to its 6 mm diameter size . there are extensive calcified atheroma plaques in the abdominal aorta . there is a 27 mm diameter cortical cyst in the upper pole of the right kidney . lung parenchyma there are nodular ground glass densities in both lungs especially in the lower lobes posteriorly . a millimetric calcific nodule is observed in the lateral aspect of the right lung middle lobe . when examined in the lung parenchyma window in the left lung upper lobe posterior an increase in density is observed in the form of a sequela fibrotic band adjacent to the major fissure . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion with distinguishable borders was detected in the lung parenchyma . linear subsegmentary atelectatic changes were observed in the basal segments of the right lung middle lobe and left lung lower lobe . in the current examination nodular-patchy ground-glass densities accompanied by interlobular septal thickenings in the right lung upper and lower lobe superior segment left lung lower lobe posterobasal-laterobasal segments and peripheral subpleural areas were observed . in his previous examination a focal ground-glass area accompanied by interlobular septal thickening in the subpleural area and subpleural lines was observed in the posterobasal segment of the lower lobe of the right lung . bilateral pleural effusion-thickening was not observed . airways no relevant findings . mediastinum no relevant findings . heart and great vessels stable effusion in the form of smearing was observed in the pericardial area . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window there are peripherally located widespread ground glass densities which tend to merge in both lung parenchyma . there are calcific lymph nodes in the left hilar region and at the level of the carina . sequela of millimetric calcifications are observed in the upper lobes of the lung more prominent on the right . airways in ground glass densities there are occasional enlargements of the bronchi . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . the spleen is not observed in the upper abdominal sections and there are millimetric calcifications and nodularities in the spleen lodge . lung parenchyma when examined in the lung parenchyma window in both lungs patchy ground glass densities are observed in small sizes mostly located in the peripheral and subpleural . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma more common in the lower lobe in the right lung a few patchy ground glass densities in the lower lobe basal segments of the left lung and a more hyperdense appearance in the center of the ground glass densities in the lower lobes creates a halo sign . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper-bilateral lower paratracheal aortopulmonary narrow lymph node with diameters less than 1 cm is observed . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic destructive lesion was observed in the bones . abdomen no significant pathology was detected in the bilateral adrenal glands in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window mosaic density differences and interlobular septal thickening are observed in both lungs . pleural effusion with a diameter of 21 mm which is prominent on the right bilaterally and compression atelectasis in the vicinity of the effusion are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . there are widespread calcific atheroma plaques in the abdominal aorta . other mediastinal main vascular structures are normal . the pulmonary trunk is ectatic . there is a hiatal hernia . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the heart is larger than normal . the ascending aorta is ectatic . osseous structures vertebral degenerative changes are observed . sternotomy is available . abdomen perihepatic free fluid and mild liver distension are observed in upper abdominal sections . there are widespread calcific atheroma plaques in the abdominal aorta . there is a hiatal hernia . lung parenchyma linear atelectasis areas are observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma the presence of an underlying mass cannot be completely excluded . bronchiectasis is observed in both lungs . structural distortion loss of volume and many calcific nodules were observed in and around the soft tissue density in the apicoposterior segment of the left lung upper lobe . the described appearance was first evaluated in favor of pleuroparenchymal sequela fibrotic change . although it was evaluated primarily in favor of compressive atelectasis pneumonic infiltration could not be completely excluded . when examined in the lung parenchyma window the effusion reaching 45 cm in the thickest part in the right hemithorax and 25 cm in the thickest part in the left hemithorax was observed . structural distortion and volume loss diffuse pleuroparenchymal fibroatelectasis sequelae changes were observed in both lungs especially in this localization . bronchiectasis is most prominently observed in the left lung upper lobe apicoposterior segment and lingular segment . diffuse emphysematous changes were observed in both lungs . no mass was detected in both lungs . consolidation areas were observed in the right lung middle lobe and lower lobe basal segments in the areas adjacent to the effusion . millimetric nonspecific nodules some of which are calcific were observed in both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum calcific atheroma plaques were observed in the aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures no fracture or lytic-destructive lesion was observed in the bone structures in the study area . abdomen calcific atheroma plaques were observed in the aorta and coronary arteries . it is recommended to be evaluated for liver parenchymal disease . a nonspecific hypodense lesion with 78 mm diameter was observed in segment 8 at the level of the liver dome . in the upper abdominal organs included in the sections volume loss is observed in the right lobe of the liver . the left lobe of the liver is minimally hypertrophied and its contours are slightly irregular . it is also present in the previous examination of the patient . the appearance was thought to be due to surgery . no significant difference was detected . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window central-peripheral localized in both lungs more widespread crazy paving pattern in the right lung and widespread patchy ground glass consolidations with vascular enlargement were observed and the appearance is compatible with covid-19 pneumonia . linear subsegmentary atelectatic changes were observed in both lungs . a 21 mm diameter parenchymal air cyst was observed in the subpleural area in the posterobasal segment of the lower lobe of the left lung . airways it is recommended to be evaluated together with us . the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea both main bronchi and segmental bronchi . mediastinum diffuse calcific atheroma plaques were observed in the thoracic aorta supraaortic branches and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures minimal osteodegenerative changes were observed in the bone structures in the study area . abdomen diffuse calcific atheroma plaques were observed in the thoracic aorta supraaortic branches and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a 5 mm nodular appearance in the major fissure on the right . in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . sequelae fibrotic changes in the bilateral apex and focal pleural thickening in the neighborhood of the right upper lobe were observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . intrapulmonary lymph node in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window multilobar peripheral subpleural localized diffuse consolidation and increased density in ground glass density are observed in both lungs and viral pneumonias covid-19 pneumonia are considered in the etiology of the findings . no pericardial pleural effusion or increased thickness was detected . airways trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum there are minimal calcific atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . there is a slight sliding type hiatal hernia at the lower end of the esophagus . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen there are minimal calcific atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures . not clearly characterized cyst within the limits of unenhanced ct . in the upper pole of the right kidney a hypodense lesion with fluid density was observed . no lymph node was observed in pathological size and appearance . no intraabdominal free fluid loculated collection was detected . as far as can be seen within the limits of non-contrast ct in the upper abdominal sections within the image the liver parenchyma density was diffusely decreased secondary to hepatosteatosis . lung parenchyma there is a millimetric nodule in the right lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen as far as it can be observed within the limits of unenhanced ct there is no mass with distinguishable borders in the upper abdominal organs within the sections . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma pleuroparenchymal band-like sequelae changes are observed in the posterobasal segment and lingular segments of the left lung lower lobe . no infiltrative lesion was detected in both lung parenchyma . when examined in the lung parenchyma window a few millimetric nodules some of them calcific nonspecific are observed in both lungs . partial calcified lymph nodes are observed in the right hilum . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum as far as can be evaluated in the unenhanced series the mediastinal main vascular structures are of normal width . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal pathological dimensions . density increases are observed in the anterior of the aortic arch which may be compatible with the thymus tissue . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures post-op at the 9th costovertebral junction . a defective appearance is observed and there is a foreign body belonging to the metallic cerclage extending to the 8th rib superiorly in the posterior neighborhood of the described ribs . partial fusion is observed posteriorly in the 6th and 7th ribs . when the bone was examined in the window no lytic-destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax . the lower end of the scapula is deformed on the left and with metallic cerclage . there is also partial fusion posteriorly in the 8th and 9th ribs . abdomen spleen size and parenchyma are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the study area no space occupying lesion was detected in the liver . in bilateral kidneys upper and lower calyceal hyperdensity areas with faint borders are observed in millimeters . density increases are observed in the anterior of the aortic arch which may be compatible with the thymus tissue . there is massive steatosis in the liver . the gallbladder is normal . lung parenchyma when examined in the lung parenchyma window mild sequelae changes are observed at the apical level in both lungs . a 5x3 mm nodule is observed in the left lung lower lobe laterobasal segment . also diffuse ground-glass-like density increases in both lungs which are more prominent at the base and thickening of the interlobular septa in this localization are observed . there are parenchymal bands in the middle lobe . subpleural 2 mm nodules are observed in the segment of the right lung . bilateral pleural effusion or pneumothorax was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . the aortic arch calibration is 32 wider than normal . other mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . other mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen in the sections passing through the upper abdomen there is a decrease in density consistent with hepatosteatosis in the liver . thoracic aorta diameter is normal . the aortic arch calibration is 32 wider than normal . there is a hypodense lesion of approximately 9 mm in diameter with exophytic appearance in the superior pole lateral of the left kidney cortical cyst . lung parenchyma the findings were evaluated in favor of covid-19 viral pneumonia . clinical laboratory correlation and close follow-up are recommended . when examined in the lung parenchyma window in both lungs nodular patchy ground glass densities are observed in the center more prominent in the right and more intense in the subpleural areas . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . pleuroparenchymal fibroatelectasis sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . a paraseptal emphysematous area accompanied by fibrotic recessions was observed in the apex of both lungs . when examined in the lung parenchyma window segmentary-subsegmental peribronchial thickening was observed in both lungs . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum calibration of pulmonary arteries is natural . as far as can be seen the ascending aorta is wider than normal with an anterior-posterior diameter of 44 mm and an anterior-posterior diameter of the descending aorta 34 mm . calcified atheroma plaques were observed in the aortic arch . in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . heart size increased . the aortic valve is calcified . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen the ascending aorta is wider than normal with an anterior-posterior diameter of 44 mm and an anterior-posterior diameter of the descending aorta 34 mm . calcified atheroma plaques were observed in the aortic arch . diffuse thickening was observed in the left adrenal gland . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . hypodense nodular lesion areas measuring 44 mm in the long axis on the right and 30 mm in the long axis on the left were observed in the upper pole of both kidneys . lung parenchyma in both lungs parenchymal nodules with a diameter of 5 mm were observed in the right lung the largest in the lower lobe laterobasal segment and 48 mm in diameter on the fissure in the anteromediobasal segment of the lower lobe on the left and on the fissure in the anterobasal subsegment of the left lung . it is recommended to evaluate and follow-up together with previous examinations if any . when examined in the lung parenchyma window central-peripheral focal nodular ground glass opacities are observed in both lungs lower lobe basal left lung upper lobe lingular and upper lobe anterior segment and the appearance is highly suspicious for covid-19 pneumonia . no mass lesion with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with the clinic and laboratory . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum diffuse atherosclerotic wall calcifications were observed at the level of the abdominal aorta and renal artery . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in pathological dimensions were observed . diffuse atherosclerotic wall calcifications were observed in the thoracic aorta its supraaortic branches and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures at the mid-thoracic level syndesmophytes bridging each other compatible with dish were observed . as far as can be observed surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . abdomen diffuse atherosclerotic wall calcifications were observed at the level of the abdominal aorta and renal artery . liver gallbladder spleen pancreas both adrenal glands are normal as far as can be seen in the sections . in both kidneys nodular lesion areas with a fluid density of 25 cm in diameter were observed cyst . diffuse atherosclerotic wall calcifications were observed in the thoracic aorta its supraaortic branches and coronary arteries . no intraabdominal free fluid-collection was detected . moderate stenosis was observed at the level of the visceral branches . a 67 mm diameter hyperdense nodular lesion area was observed in the upper pole lateral part of the right kidney hemorrhagic cyst . lung parenchyma there are areas of ground glass in the apicoposterior segment of the upper lobe of the left lung . no mass or infiltrative lesion was detected in both lungs . these views are nonspecific . the left lung is almost completely atelectatic except for the superior segment . pleural effusion is observed on the left . the pleural effusion measured approximately 40 mm at its thickest point . atelectasis is observed in the lower lobe of the left lung adjacent to the pleural effusion . airways no relevant findings . mediastinum the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . however if there is a history of this may be related to this . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels the content of the effusion is observed as hyperdense in places and it was thought to be primarily hemorrhagic . when evaluated together with the patients clinical knowledge it may belong to infective pathology or it may be due to aspiration or cardiac pathology when evaluated together with other findings . due to the artifact by the the localization where the ends cannot be clearly evaluated . it is observed that the terminates at the level of the left ventricular apex . there is a pericardial effusion measuring 25 mm in its thickest part . the described appearance could not be characterized . there is also air in the pericardial space . heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma no suspicious mass or nodular space-occupying lesion was observed . when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma sequela parenchymal changes are observed in the right lung upper lobe lower lobe superior and middle lobe . minimal centriacinar emphysematous changes are observed in both lungs . a few millimetric nodules some of which are calcified are observed in both lungs . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . no pericardial and pleural effusion or increased thickness was detected . airways trachea and both main bronchi are open and no obstructive pathology is detected in the lumen . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . mediastinal vascular structures could not be evaluated optimally because the heart examination was performed without iv contrast material and the calibration of the vascular structures heart contour and size are natural . no pathological increase in wall thickness is observed in the thoracic esophagus and a slight sliding type hiatal hernia is observed in the lower end of the esophagus . heart and great vessels mediastinal vascular structures could not be evaluated optimally because the heart examination was performed without iv contrast material and the calibration of the vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no free solid mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window there are paraseptal emphysematous changes at the apical levels of both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . breath artifacts are observed in the study . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . there are stones measuring up to 18 mm in multiple sizes in the gallbladder . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are linear atelectasis areas in the left lung upper lobe lingular segment and both lung lower lobe posterior segments . no mass or infiltrative lesion was detected in both lungs . in both lungs there are several nonspecific nodules with a diameter of 2 mm the largest of which is in the apicoposterior segment of the left lung upper lobe . pleural or pericardial was not detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are several lymph nodes in the mediastinum with a short diameter of less than 5 mm . mediastinal main vascular structures are normal . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures several lymph nodes the largest of which is 5 mm in diameter are observed in the left supraclavicular area . no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no discernible mass was detected in the upper abdominal organs within the contrast ct limits . lung parenchyma a 45 mm diameter nodule is observed in the posterobasal segment of the lower lobe of the right lung . again there is a 6x4 mm nodule at the paravertebral level in the superior segment of the lower lobe . mosaic attenuation pattern is observed in places small vessel disease small airway disease . a little more superiorly a nodule measuring 3x2 mm is observed in the superior segment of the lower lobe . a decrease in density consistent with emphysema sequelae changes at the apical level are observed in both lungs and parenchymal calcifications are present in the posterior segment of the right lung upper lobe . no pathological size and configuration of lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window both hemithorax are symmetrical . there are occasional frosted glass-style density increments . airways calibration of the trachea and main bronchi is normal . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures however there are degenerative changes as far as can be observed . bone structure cannot be evaluated due to motion . further evaluation is not possible . abdomen hiatal hernia is observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . in the middle part of the left kidney a suspicious density is observed in terms of calculus with a size of 2 mm . surrounding soft tissue planes are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma radiological findings are in favor of advanced copd . mediastinal deviation to the right and a decrease in the volume of the right lung are observed . radiological findings were primarily evaluated in favor of pneumonic infiltration . honeycomb lung appearance is present in the lower lobe basal segments of both lungs and in the right middle lobe and parenchymal fibrosis findings are evident . it is quite prominent in the apical segments . when the lung parenchyma window is examined diffuse panacinar emphysema is observed in both lungs . in the upper lobe of the right lung fibrotic parenchyma areas with increased density are observed around emphysema . around the consolidation areas budding tree views compatible with bronchopneumonic infiltration are observed . if there is no radiological at the end of the treatment tissue diagnosis of the consolidation areas will be appropriate . on this background there are subpleural areas of consolidation in the middle lobe of the right lung with a similar appearance showing volume increase in air bronchograms . airways no relevant findings . mediastinum reactive mediastinal lymph nodes less than 1 cm in diameter located in the right upper and lower paratracheal and paraaortic mediastinum are observed . calibrations of mediastinal major vascular structures are normal . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments are of normal width . calcified atherosclerotic plaques are present in the coronary arteries . osseous structures no lymph node in pathological size and appearance was observed in the axilla and supraclavicular fossa . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma the outlook was considered to be consistent with typical-probable findings for covid-19 pneumonia . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . other viral pneumonias can be considered in the differential diagnosis . when evaluated in the parenchyma window of both lungs ground-glass-like density increases were observed in the upper and lower lobes of both lungs which tended to coalesce from place to place . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no lymph node with pathological size and configuration was detected at each hilar level . the common ground-glass-like density increments observed in the old ct in the consolidation tendency have significantly regressed in the current examination . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . the outlook may be compatible with the covid pneumonia process . however in the current examination thickenings in the interlobular septa subpleural interstitial tissue and pleuroparenchymal density increases which are more prominent in the areas are observed and were not detected in the previous examination . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum calibration of major vascular structures in the mediastinum is natural . multiple lymph nodes are observed in the subcarinal area in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures small osteophytic taperings are observed at the corners of the bone structure in the study area . abdomen left adrenal is full . there are metallic clip appearances in the gallbladder bed . the right adrenal gland locus is normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . the surrounding soft tissue is natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma covid-19 pneumonia was evaluated as compatible with the process . there are thickenings in the parenchymal incomplete septa and interlobular septa in places . no pleural effusion or pneumothorax was detected . airways trachea both main bronchi are open . mediastinum lymph nodes are observed in the upper-lower paratracheal area at the prevascular level in the window and the largest are measured in the right upper paratracheal area measuring approximately mm . mediastinal main vascular structures heart contour size are normal . multiple lymph nodes are observed in both axillary the largest one on the right with an oval configuration approximately 17x12 mm in size . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen there is a millimetric lymph node with a short axis not exceeding 1 cm in the anterior diaphragmatic area . in the evaluation of the upper abdominal organs included in the sections there is a decrease in density consistent with hepatosteatosis in the liver . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in the lung . the mass is lobulated on the right lateral side . when examined in the lung parenchyma window subsegmentary atelectatic changes were observed in the segments of the lower lobe of the right lung . airways no occlusive pathology was observed in the lumen of the trachea and both main bronchi . mediastinum the mass is at the interface of the sternum superior vena cava aortic arch and right heart . fatty planes between the described mass and mediastinal vascular structures could not be observed occasionally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination . as far as can be seen there is a mass with necrosis and coarse calcification area in the anterior mediastinum measuring mm in its widest part in the axial plane and measuring approximately 41 mm in the long axis . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels is recommended . the mass is at the interface of the sternum superior vena cava aortic arch and right heart . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures the mass is at the interface of the sternum superior vena cava aortic arch and right heart . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the mass is at the interface of the sternum superior vena cava aortic arch and right heart . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window pleuroparenchymal sequelae density increases and paraseptal emphysema areas were observed in both lung apexes . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures in the right 6th rib there is in the anterior adjacent to the costovertebral joint . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen liver gallbladder spleen both kidneys pancreas and right adrenal gland are normal as far as can be observed in the non-contrast examination . minimal thickening was observed in the left adrenal gland medial crus and corpus . lung parenchyma when examined in the lung parenchyma window widespread alveolar consolidation areas extending from the perihilar area to the periphery were observed in both lungs . the described findings initially suggest diffuse pulmonary edema . infectious process can be considered in the differential diagnosis . there is minimal effusion between bilateral pleural leaves . in addition there are prominences in the subpleural interlobular septa in the periphery . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the abdominal aorta . as far as can be seen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . multiple lymph nodes measuring 16 mm in the short axis of the largest were observed in the right upper-lower paratracheal prevascular and subcarinal area . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased . as far as can be seen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . pericardial thickening-effusion was not detected . osseous structures it is recommended to be evaluated in terms of dish disease . no lytic-destructive lesion was detected in bone structures . there are metallic suture materials belonging to on the anterior thorax wall . there are bridging spur formations in the right anterolateral of the thoracic vertebrae . abdomen calcified atherosclerotic changes were observed in the wall of the abdominal aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . as far as can be seen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . in the upper abdominal sections within the examination area there is millimetric calcification at the level of the liver caudate lobe . lung parenchyma in both lungs peribronchial wall thickness increases diffuse interlobular septal thickening and honeycomb appearance were observed more prominently in the lower lobe basal segments . the appearance is consistent with changes secondary to treatment or interstitial pattern . the mass is infiltrative and its dimensions cannot be evaluated clearly . paraseptal-centriacinar emphysematous changes were observed in the upper lobes of both lungs . no pleural effusion was detected . when the lung parenchyma window is examined peribronchial thickness increases are observed in the central part of the left lung it extends to the peripheral subpleural area in the upper lobe segment and it significantly narrows the upper lobe bronchus by it . airways however since the current examination was performed without contrast optimal evaluation could not be made . trachea both main bronchi are open . mediastinum in the pretracheal subcarinal aortopulmonary window bilateral hilar region a large number of lymphadenopathy measuring 14 mm in the short axis of the right hilar region and lymph nodes less than 1 cm in the short axis were observed . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a minimal effusion measuring 56 mm was observed in the thickest part of the pericardial space . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . there are many laps in the right supraclavicular 16x11 in the previous examination 20x15 mm in size mm . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric calculi were observed in both kidneys . there is calculus in the gallbladder . upper abdominal organs included in the sections are normal . lung parenchyma no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . sliding type mild hiatal hernia is present . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no gall bladder was observed in the upper abdominal sections operated . lung parenchyma when examined in the lung parenchyma window mild mosaic pattern attenuations are observed in both lungs . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcifications are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . when the upper abdominal organs included in the sections were evaluated there is a finding compatible with a 10 mm spleen in the same density as the spleen adjacent to the spleen . lung parenchyma when examined in the lung parenchyma window a mosaic attenuation pattern is observed in the upper lobes of both lungs small airway small vessel disease . there is minimal sequelae thickness increase in the lower lobe pleura of both lungs . pleuraparenchymal band formations and subsegmental atelectasis areas are observed especially in the lower lobes of bilateral lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . in the mediastinal area a few lymph nodes with short axes not reaching 1 cm are observed . calcific atheroma plaques are observed in the aortic walls . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . coarse calcifications are observed in the left ventricle and left atrium localization . mediastinal main vascular structures heart contour size are normal . osseous structures widespread osteophytic tapering is observed in the anterior parts of the vertebral corpus . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed in the aortic walls . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma minimal ground glass appearance is observed in the nonspecific appearance in the basal segment of the lower lobe of the left lung and it is nonspecific . a 5 mm diameter subpleural nodule is observed in the right lung lower lobe laterobasal segment and a 65 mm diameter nodule is observed in the left lung lower lobe mediobasal segment ima 66 . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . calcific plaques are observed in the aortic arch and coronary artery walls . heart and great vessels calcific plaques are observed in the aortic arch and coronary artery walls . osseous structures degenerative changes are observed in the vertebrae . no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . calcific plaques are observed in the aortic arch and coronary artery walls . lung parenchyma nonspecific parenchymal nodules were observed in both lungs the largest of which was 3 mm in diameter in the medial segment of the right lung middle lobe . in addition aeration increases were observed in both lungs consistent with panlobular emphysema . it is stable . when examined in the lung parenchyma window sequela fibrotic changes were observed in the apex of both lungs . consolidations observed in both lungs in the previous examination have been resorbed in the current examination and there are only localized linear atelectasis in their sites . in addition segmental atelectasis was observed in the medial segment of the right lung middle lobe . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea and both main bronchi are open . mediastinum mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no obvious pathology was detected . lymph nodes with a short diameter of up to 5 mm were observed in the mediastinal prevascular area the aortopulmonary window and the paratracheal area . the thoracic esophagus is in normal calibration . heart and great vessels the diameter of the ascending aorta was approximately 37 mm . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . pericardial effusion-thickening was not observed . osseous structures in the evaluation of bone structures multiple levels of sclerotic lesions were observed in the vertebral bodies . height loss was observed in l1 vertebra . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no pathological wall thickening was detected . no obvious pathology was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are areas of increase in density evaluated in favor of subsegmental atelectasis in the left lung lower lobe basal segment and upper lobe inferior lingular segment . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . in the mediastinum and in the supraclavicular fossa lymph nodes with fusiform configuration were observed which were not pathological in size and appearance with a short diameter of less than 1 cm . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no pathology was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window patchy ground glass densities are observed in both lungs located peripherally mostly at the apical level of the upper lobe and at the posterobasal level of the lower lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window slight patchy ground-glass densities are observed in the upper lobe of the left lung superiorly and peripherally in the middle lobe of the right lung . it was evaluated in favor of suspected infectious processes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aortic arch and descending aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures there are hypertrophic osteophytic taperings in the anteriors of the vertebral corpus endplates and diffuse density reduction in bone structures . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . there are dilatations in the visible colon loops . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aortic arch and descending aorta . mild thickenings are observed in the interlobular septa . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion is detected and there are millimetric nonspecific nodules . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures cyst no lytic or destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen there is a 19 mm diameter lesion in the middle pole of the right kidney with a fluid density that cannot be clearly characterized within the borders of non-contrast ct . lung parenchyma the described appearances are those that are frequently observed in covid-19 pneumonia . linear density increases are mostly observed during the recovery period . there is no mass in both lungs . there are millimetric nodules in both lungs . in the lower lobes of both lungs ground glass areas are observed in the peripheral areas and linear density increases extending parallel to the pleura in the subpleural areas are observed . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . atheroma plaques are present in the aorta and left coronary artery . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are present in the aorta and left coronary artery . osseous structures there are osteophytes in the vertebral corpus corners . the neural foramina are open . vertebral corpus heights alignments and densities are normal . abdomen atheroma plaques are present in the aorta and left coronary artery . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma there is no mass or infiltrative lesion in both lungs . minimal emphysematous changes and locally linear atelectasis were observed in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . diffuse atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen it is recommended that the patient be evaluated for liver parenchymal disease . no upper abdominal free fluid-collection was detected in the sections . there is slight lobulation in the liver contours . diffuse atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma volume loss is observed in the upper and lower lobes of the left lung . the described view is also observed in the previous review . interlobular septal thickenings are observed in both lungs . there are emphysematous changes in both lungs . this view is not specific . follow-up is recommended . ground-glass nodular density increases were observed in the peripheral subpleural area in the upper lobe and lower lobes of the right lung . on the left the pleural effusion is locally loculated . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum according to the previous examination stable short axis lymph nodes smaller than 1 cm were observed in the mediastinal bilateral hilar region . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels no relevant findings . osseous structures apart from this no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the upper abdominal sections that entered the examination area . lung parenchyma no pneumonic consolidation was detected in the lung parenchyma . it has very mild involvement . linear atelectasis area is observed in the lingular segment of the left lung . there was a slight ground glass density in the peribronchial parenchyma in the basal segment of the left lung lower lobe and it was evaluated as compatible with parenchymal involvement in the case with covid . in the lung parenchyma a few very millimetric pleural nodules with diameters less than 5 mm are nonspecific . mild pleural effusion with a diameter of 15 cm is observed between the leaves of the right pleura . airways mild bronchial wall thickness increases are observed in segmental bronchi . mediastinum there are nonspecific lymph nodes in the mediastinum paraaortic upper and lower paratracheal and subcarinal short diameters less than 1 cm . pulmonary venous structures are quite prominent . heart and great vessels and diameter increase is observed . heart sizes were significantly increased . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen liver sizes increased . in the upper abdominal sections there is edema in the subcutaneous adipose tissue and perihepatic free fluid . lung parenchyma emphysema is observed in the upper lobes . when examined in the lung parenchyma window there are sequelae fibrotic sequelae changes in both lungs . on the left at the level of the lingular segment an air cyst with an ap diameter of mm and a craniocaudal size of approximately mm is observed . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apex . a millimetric calcific nodule was observed adjacent to the minor fissure in the middle lobe of the right lung . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen within the sections 2 mm diameter calculus was observed in the upper pole of the right kidney . bilateral adrenal glands were normal and no space-occupying lesion was detected . a millimetric calculi image was observed in the lower pole of the left kidney . lung parenchyma when examined in the lung parenchyma window large patchy ground glass densities were observed accompanied by interlobular septal thickenings that turned into large consolidative areas in the lower lobes of both lungs . pleuroparenchymal density increases were observed in both lung apexes . other viral pneumonias should be considered in the differential diagnosis . the described findings are highly suspicious for covid-19 pneumonia . no mass lesion with distinguishable borders was detected in both lungs . in the upper lobes the ground glass densities are mostly in peripheral focal nodular form . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calcified atheroma plaques were observed in the branches of the aorta . as far as can be seen calibration of the ascending aorta and pulmonary arteries is natural . descending aorta diameter of 31 mm was observed wider than normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcified atheroma plaques that did not cause significant stenosis were observed at the level of the abdominal aorta and vascular of the visceral . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart contour size is normal . pericardial effusion-thickening was not observed . osseous structures bone structures in the study area are natural . syndesmophytes bridging each other were observed at the level . vertebral corpus heights are preserved . abdomen liver spleen pancreas and both adrenal glands are normal as far as can be observed in the non-contrast examination . a 135 mm diameter hypodense exophytic nodular lesion area was observed in the middle zone posterior of the right kidney cyst . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . calcified atheroma plaques were observed in the branches of the aorta . as far as can be seen calibration of the ascending aorta and pulmonary arteries is natural . descending aorta diameter of 31 mm was observed wider than normal . no intraabdominal free-loculated fluid was detected . calcified atheroma plaques that did not cause significant stenosis were observed at the level of the abdominal aorta and vascular of the visceral . millimetric calculus was detected in the gallbladder lumen . no stones were observed in both kidneys . lung parenchyma no nodular lesions were detected in both lung parenchyma . when examined in the lung parenchyma window diffuse peripherally located patchy ground glass densities and vascular are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum there are several small lymph nodes measuring up to 10 mm in the mediastinum . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . small hiatal hernia is observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . liver parenchyma density in upper abdominal organs included in sections was evaluated in favor of steatosis . lung parenchyma passive atelectatic changes were observed in the lung planes adjacent to the effusion in the lower lobe of the right lung . there are millimetric nodules in both lungs . segmentary-subsegmentary minimal peribronchial thickening was observed in both lungs . linear subsegmental atelectatic changes were observed in the left lung lower lobe basal . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . no increase in pleural effusion-thickness was observed on the left . when examined in the lung parenchyma window pleural effusion measuring 51 mm in its thickest part was observed between the pleural leaves on the right . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . on the right the port chamber under the skin on the anterior chest wall and the catheter extending to the superior-right atrium junction of the vena cava are observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures entering the section area . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma on the right is normal and no infiltrative lesion is detected in the lung parenchyma . infectious processes observed in the previous examination were not detected in the current examination . pleural effusion-thickening was not detected . there are a few subpleural nodules measuring up to 7 mm which are observed in the previous examinations especially in the middle lobe of the right lung and in the lower lobe of the right lung which are located subpleural series . airways trachea both main bronchi are open . mediastinum right aberrant subclavian artery is observed . the diameter of the ascending aorta was 43 mm and the diameter of the descending aorta was 32 mm and it was wider than normal . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . calcific plaques are observed in the aortic arch and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaques are observed in the aortic arch and coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures diffuse density reduction in bone structures hypertrophic-osteophytic tapering in vertebral corpus end plates are present . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . the diameter of the ascending aorta was 43 mm and the diameter of the descending aorta was 32 mm and it was wider than normal . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . calcific plaques are observed in the aortic arch and coronary arteries . lung parenchyma when examined in the lung parenchyma window ground-glass-like opacities are observed in both lungs which are more prominent especially in the central parts . again in the lower lobes and segments of both lungs there are areas of linear consolidation with air bronchograms . in addition there are peribronchial wall thickness increases which are more prominent in the lower lobes of both lungs . these appearances were evaluated primarily in favor of pneumonic infiltration . the appearances observed in the lower lobes of both lungs may also be secondary to atelectasis . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma cylindrical bronchiectasis foci are present in the apical posterior and basal segments of the upper lobe of the right lung and in the basal segment of the lower lobe of the left lung and mucus plugs are observed within the bronchial lumens . the radiological pattern is consistent with covid-19 pneumonia . because of the underlying bronchiectasis of the patient close radiological follow-up of disease progression would be appropriate . more extensive pleural-based patchy pneumonic infiltration areas were observed in the upper lobes of both lungs . airways no relevant findings . mediastinum no lymph node in pathological pathological size and appearance was observed in the mediastinum . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass or infiltration was detected in both lungs . bilateral millimetric non-specific nodules were observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window consolidated ground glass densities are observed in a patchy manner adjacent to the fissure in the upper anterior segment posterior in both lungs . a mm calcific focus is observed in the middle lobe of the right lung . it was considered secondary to previous previous tb . cylindrical bronchiectasis sequelae changes and atelectasis findings are present in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . in the mediastinum in the infraclavicular areas there are more than one lymph nodes in the prevascular paratracheal and subcarinal regions the size of the conglomerated one that tends to merge with each other measuring up to 15 mm and which is thought to be secondary to . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures are diffusely reduced degenerative changes are present . thoracic kyphosis has increased . there are hypertrophic osteophytic taperings in the anterior of the end plate of the vertebral corpuscles . abdomen thoracic aorta diameter is normal . suspicious stones were evaluated in favor . it is partially monitored and cannot be measured . more than one millimetric oval structures are observed in the gallbladder . in the upper abdominal organs including sections spleen dimensions were markedly increased in the craniocaudal axis . lung parenchyma there are millimetric nodules in both lungs . in the previous examinations of the patient it was learned that there was a mass in this localization and that radiotherapy was applied . suture materials were observed in the medial part of the anterior segment of the upper lobe of the right lung and the medial part of the lower lobe of the left lung . there are emphysematous changes occasional atelectasis and sequela changes in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . in the lower lobe of the right lung there is an in the soft tissue density in the posterobasal segment in the peripheral area . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . the longest diameter of the described view measured 42 mm . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . there is a hypodense lesion in the right lobe of the liver which could not be characterized in this examination but which could be observed in the previous examination of the patient and whose size and appearance did not differ . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . when the upper abdominal sections in the examination area are evaluated there are changes in liver parenchyma density in favor of steatosis . lung parenchyma no relevant findings . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebrae have a degenerative appearance . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . fibroatelectasis sequela changes were observed in the lower lobes of both lungs . when examined in the lung parenchyma window paraseptal emphysema was observed in the upper lobe of the right lung . there are interlobular septal thickenings in the lower lobes of both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . segmentary-subsegmental peribronchial thickening was observed in both lungs . peribronchial weighted centriacinar nodular tree view are present in the right lung upper lobe posterior middle and lower lobe basal segments left lung upper lobe lingular and lower lobe basal segments . the findings described are in favor of pneumonic infiltration . the peripheral subpleural areas of the lower lobe basal segments of the left lung are accompanied by areas of focal nodular consolidation . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . a catheter inserted from the left internal jugular vein extending to the superior-right atrium junction of the vena cava was observed . calcific atherosclerotic changes were observed in the aortic arch and rca . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures no lytic-destructive lesion in favor of metastasis was observed in the bone structures within the sections . abdomen minimal irregularity was observed in liver contours . thoracic aorta diameter is normal . it is recommended to be evaluated together with clinical and laboratory in terms of chronic parenchymal disease . left and caudate lobes are prominent . calcific atherosclerotic changes were observed in the aortic arch and rca . cysts were observed in both kidneys . a 5 mm diameter nodular lesion area was observed in the subcutaneous fat tissue in the right upper quadrant and it was learned from previous examinations that there was metastasis in the anterior abdominal wall . lung parenchyma in the evaluation of both lung parenchyma no suspicious nodule mass or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there are minimal emphysematous changes and occasional linear atelectasis in both lungs . peribronchial thickening is observed in both lungs . no mass was detected in both lungs . an increase in density was observed in the posterior segment of the right lung upper lobe which was evaluated in favor of a change in pleuroparenchymal sequelae . the described manifestations were first evaluated in favor of an infective pathology aspiration pneumonia . peribronchial thickenings are accompanied by centriacinar nodules some of which have the appearance of budding trees more prominently in the posterior segment of the lower lobe of the lung and ground glass appearances in places . no pleural effusion was observed . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . pathologically enlarged lymph nodes were not detected . diffuse atheroma plaques are observed in the aorta and coronary arteries . sliding type hiatal hernia was observed at the lower end of the esophagus . heart and great vessels there is minimal pericardial effusion . pericardial thickening was not detected . as far as can be observed the heart is larger than normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . diffuse atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there were no pathologically sized and configured lymph nodes at both hilar levels . when examined in the lung parenchyma window in the case with covid pneumonia anamnesis peripherally located ground-glass-style density increases in both lungs focal consolidations and pleuroparenchymal density increases are observed on this background and were evaluated as compatible with covid pneumonia in the resolution process . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum multiple lymph nodes are observed in almost all areas in the mediastinum the largest of which is in the right lower paratracheal area and approximately 11x8 mm in size . calibration of mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures there is a partial fusion appearance in the posterior part of the 4th and 5th rib on the right . mild degenerative changes are observed in the bone structure . abdomen mild steatosis is observed in the liver . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space occupying lesion was detected . upper abdominal organs included in the sections are normal . lung parenchyma apart from this budding tree appearances are also observed in the lower lobe of the left lung . apart from these there are smooth interlobular septal thickenings in both lungs especially in the lower lobes of both lungs . in the lower lobe of the right lung there is a consolidation ground glass appearance and centriacinar nodules in the posterobasal segment . the described appearance is also present in the pet ct examination of the patient and it is understood that he has regressed . these appearances were evaluated primarily in favor of infective pathology . in the pet ct examination of the patient it is understood that the consolidation observed in the left lung upper lobe lingular segment has disappeared . no mass was detected in both lungs . this view is nonspecific . consolidation is observed in the medial segment of the right lung middle lobe . since the patient cannot breathe properly during the examination especially the lower lobes cannot be evaluated clearly in terms of focal lesion . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . apart from this there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there is lymphadenopathy in the subcarinal region with a short diameter measuring approximately 15 mm . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen further investigation is recommended . there is no upper abdominal free fluid-collection within the sections . although a clear evaluation cannot be made in this examination a diffuse increase in gastric wall thickness is observed . lung parenchyma a few nonspecific nodules less than 3 mm in diameter were observed in both lungs . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there are subsegmental linear atelectasis areas in both lung lower lobe basal segments . subsegmental linear atelectasis areas are observed in the lower lobes of both lungs . no suspicious nodule or mass-occupying lesion was detected . it is accompanied by aeration differences in the lung parenchyma . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . it is stable . the extraction was performed at the level . parenchymal aeration differences are observed in both lungs more prominently in the lower lobes . when the lung parenchyma window is examined a slight increase in pleural thickness is observed in the lower lobe pleura of both lungs . airways no relevant findings . mediastinum diffuse calcific atherosclerotic plaques are observed in the aortic arch and thoracic aorta . calcific atherosclerotic plaques are observed in the abdominal aorta and its branches . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . nonspecific milimetric lymph nodes located in the mediastinum and in the upper and lower paratracheal and paraaortic are stable . heart and great vessels heart size increased . the ascending aorta diameter slightly increased to 47 mm . diffuse calcific atherosclerotic plaques are observed in the coronary arteries . pericardial effusion was not detected . osseous structures it is also present in the previous examination . an increase in thoracic kyphosis and degenerative changes in the vertebrae are observed . no lytic-destructive space-occupying lesion that can be distinguished by ct was detected in bone structures . the appearance of fat density in the intercostal space between the left 2nd and 3rd ribs is compatible with lipoma . fracture lines are observed in the left 7th 9th and 10th ribs . abdomen diffuse calcific atherosclerotic plaques are observed in the aortic arch and thoracic aorta . calcific atherosclerotic plaques are observed in the abdominal aorta and its branches . in the upper abdominal sections included in the image there are cysts reaching large sizes in both kidneys . the largest measured 75 cm on the left and the largest 65 cm on the right . lung parenchyma when examined in the lung parenchyma window in both lung parenchyma more prominent in the upper lobes and on the right ground glass densities which tend to merge with widespread peripheral weight consolidation and crazy paving pattern are observed in places . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections there is diffuse density loss in the liver . lung parenchyma the described views were evaluated in favor of covid-19 pneumonia during the pandemic process . there are minimal emphysematous changes in both lungs . peripheral and centrally located diffuse ground glass appearances and consolidations accompanying the ground glass appearance are observed in both lungs . in addition local linear density increases and minimal structural distortion and minimal volume loss were observed in both lungs . no mass was detected in both lungs . minimal peribronchial thickening was observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there are diffuse atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed the heart is larger than normal . it is understood that the patient underwent coronary by-pass surgery . osseous structures vertebral corpus heights alignments and densities are normal within the sections . there are osteophytes in the vertebral corpus corners . the neural foramina are open . there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . there are diffuse atheromatous plaques in the aorta and coronary arteries . lung parenchyma when both lung parenchyma windows are evaluated in the upper upper lobe and lower lobe of the right lung patchy consolidation areas that tend to merge from place to place and are accompanied . are ground glass density increases observed the appearance is primarily suggestive of an infectious process . clinical and laboratory correlation is recommended . bilateral pleural thickening was not observed . between the bilateral pleural leaves there is a free pleural effusion measuring 43 mm thick on the right and 16 mm thick on the left and atelectatic changes in the adjacent lung parenchyma . airways trachea and both main bronchial lumens are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the abdominal aorta . mediastinal millimetric lymph nodes were observed . no lymph node was detected in the mediastinal pathological dimension and appearance . there are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . sliding type hiatal hernia was observed . heart and great vessels heart size increased . the diameter of the ascending aorta is 40 mm and shows fusiform dilatation . calcifications were observed in the aortic valve . osseous structures thoracic kyphosis has increased . no lymph node was detected in the supraclavicular region in pathological size and appearance . degenerative changes were observed in the bone structures within the examination area . trabeculation increase consistent with osteopenia was observed in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the abdominal aorta . an accessory spleen with a diameter of 2 cm was observed adjacent to the upper pole of the spleen in the upper abdominal sections that entered the examination area . there are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window multilobar multisegmental multilobar lower lobe posterobasal-laterobasal segments more diffuse peripherally located crazy paving pattern and patchy ground glass consolidations showing signs of vascular enlargement were observed in both lungs and the appearance is compatible with covid-19 pneumonia . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum calcific atheroma plaques were observed in the coronary arteries and descending aorta . the mediastinum could not be evaluated optimally in the non-contrast examination . atherosclerotic wall calcifications were observed in the abdominal aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen calibration of mediastinal major vascular structures is natural . sliding hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calcific atheroma plaques were observed in the coronary arteries and descending aorta . right adrenal glands were normal and no space-occupying lesion was detected . diffuse thickening was observed in the left adrenal gland . atherosclerotic wall calcifications were observed in the abdominal aorta . no space-occupying lesion was detected in the liver entering the section area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no lymph node reaching mediastinal pathological dimension was detected . thoracic aorta diameter is normal . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . osseous structures bone structures in the study area are natural . no lymph nodes reaching pathological dimensions were detected in the bilateral axillary and supraclavicular areas . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma a calcified nonspecific pulmonary nodule with a diameter of 25 mm is observed in the apical segment of the right lung . when examined in the lung parenchyma window mild emphysematous changes are observed in both lungs . interlobular septal thickenings were observed in its vicinity . however it is a new finding in the anterior segment of the upper lobe of the right lung . multiple pulmonary nodules measuring 7 mm in diameter are observed in both lungs the largest of which is in the posterobasal segment of the left lung lower lobe . in the upper lobe anterior segment of the right lung a nodular consolidation area in which air bronchograms are observed with a size of approximately cm in which density increases in the form of ground glass are observed in the periphery of the pleura adjacent to the mediastinum . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph nodes were detected in mediastinal hilar and bilateral axillary pathological dimensions and appearance . mediastinal upper-lower paratracheal prevascular subcarinal lymph nodes with a short axis smaller than 1 cm are observed . diffuse calcific atherosclerotic changes are observed in the thoracic aorta coronary artery wall and abdominal aorta . sliding type hiatal hernia was observed in the distal esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes are observed in bone structures . there are bridging osteophyte formations in the right anterolateral of the thoracic vertebra . no lytic-destructive lesion was detected . abdomen both kidneys are reduced in size . bilateral adrenal gland is normal . diffuse calcific atherosclerotic changes are observed in the thoracic aorta coronary artery wall and abdominal aorta . the parenchyma thickness is thinned from place to place . the liver is normal in the upper abdominal sections included in the examination area . lung parenchyma when examined in the lung parenchyma window in the left lung upper lobe inferior lingula an air bronchogram sign is also observed and a consolidation area measuring up to 35 mm around which ground glass densities are detected is observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma again on the right asymmetric prominent bilateral ground glass opacities and interlobular septal thickenings are observed . the consolidation area which was clearly observed in the middle and lower lobes in the previous examination is regressed in the current examination . the consolidation area observed in the lower lobe basal segment of the right lung is markedly regressed . asymmetric prominent nodular lesions of different sizes are observed in the right lobe of both lungs . there is also regression in the consolidation areas in the left lung lower lobe basal segment . healed with parenchymal fibrosis . it is also observed in the previous examination and no difference was found . asymmetrically prominent bilateral peripheral subpleural consolidation areas are observed in both lung parenchyma on the right . peribronchial and subpleural consolidation area in the previous examination of the left upper lobe of the left lung shows quite marked regression in the peribronchial area . airways it is accompanied by mild traction bronchiectasis . mediastinum there are mediastinal lymph nodes in the right upper paratracheal and lower paratracheal areas with a more pronounced mild increase in diameter in the right lower paratracheal area . calibration of mediastinal main vascular structures is naturally followed . heart and great vessels heart size increased . calcific atheroma plaques are observed in the coronary arteries . osseous structures there are degenerative changes in the bone structures that enter the image area . abdomen no relevant findings . lung parenchyma there are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . in addition atelectasis were observed in both lung lower lobes . there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were observed . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . millimetric atheroma plaque is observed in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . millimetric atheroma plaque is observed in the aorta . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal density increases were observed in both lung apical segments . apart from this no infiltrative lesion was detected in both lung parenchyma . central tubular bronchiectasis and peribronchial thickening were observed in both lungs . bilateral pleural effusion was not observed . airways correlation with clinical and laboratory is recommended in terms of bronchiectasis and infections developed on this basis . trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum prevascular right lower paratracheal aorta pulmonary lymph nodes with a size of mm which did not reach pathological dimensions were observed . although the mediastinum cannot be evaluated optimally in non-contrast examination the mediastinal main vascular structures are normal in heart contour size . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . stents were observed in rca and lad coronary arteries . although the mediastinum cannot be evaluated optimally in non-contrast examination the mediastinal main vascular structures are normal in heart contour size . osseous structures vertebral corpus heights are preserved . mild degenerative changes are observed in the bone structures in the examination area . abdomen a stable hypodense lesion of approximately 18x12 mm is observed in the anterior of the upper pole of the spleen . in the sections passing through the upper abdomen the liver parenchyma density has decreased diffusely which is compatible with adiposity . lung parenchyma there are minimal emphysematous changes in both lungs and occasional linear atelectasis in both lungs . no mass or infiltrative lesion was detected in both lungs . a few millimetric nonspecific nodules were observed in the right lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is a stent in the left anterior descending coronary artery . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma these appearances may be secondary to opportunistic infections in a patient with a diagnosis of multiple myeloma who is followed up and is known to have undergone transplantation . consolidation area is available . apart from the described lesion multiple consolidation areas and peripheral ground-glass density areas are observed in the upper lobe of the right lung multiple in the upper lobe of the left lung superior lingular segment multiple in the upper lobe of the right lung 14 mm the largest of which is 14 mm . as the main finding in the posterobasal segment of the right lung lower lobe subcapsular localized irregular borders cm in size at its widest diameter with a cavitary area inside showing in its periphery linear atelectasis areas towards the pleura and a air image inside . no pleural effusion was detected . airways calcifications are observed in the periphery of the main bronchi . no occlusive pathology was detected in the trachea and both main bronchi . trachea both main bronchi are open . mediastinum significant calcific plaque formations are observed in the walls of the coronary artery in the aortic arch and the wall of the descending aorta . no lymph node was detected in mediastinal bilateral hilar axillary pathological size or appearance . significant is observed in the aorta . calibration of mediastinal major vascular structures is normal . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the anterior-posterior diameter of the ascending aorta has increased by 43 mm . pericardial effusion was not detected . heart contour size is normal . significant calcific plaque formations are observed in the walls of the coronary artery in the aortic arch and the wall of the descending aorta . osseous structures an increase in thoracic kyphosis and left-facing thoracic scoliosis are observed . when the bone is examined in the window multisegmental degenerative changes and mid-thoracic syndesmophytes are observed in the thoracic vertebral column . abdomen significant is observed in the aorta . bilateral adrenal glands were normal and no space-occupying lesion was detected . liver gall bladder pancreas are natural . in the upper abdominal organs included in the examination area spleen size increased by mm . significant calcific plaque formations are observed in the walls of the coronary artery in the aortic arch and the wall of the descending aorta . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . the findings were evaluated in favor of and there is a suspicious nodule measuring up to 60 mm at this level especially at the mediastinum level . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window widespread patchy ground glass densities are observed in both lungs . the outlook was evaluated in favor of typical-probable covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathologically sized and configured lymph nodes were detected in the mediastinum and both hilum . it was evaluated as significant in terms of covid pneumonia . mild sequelae changes are observed in the middle lobe on the right . however since other viral pneumonias are included in the differential diagnosis clinical and laboratory correlation is recommended . when examined in the lung parenchyma window there are scattered and peripherally located ground glass-like density increments in the middle-lower zones . subpleural and peripherally located densities are observed at the level extending from the left lung lower lobe from anteromediobasal to posterobasal . bilateral pleural effusion or pneumothorax is not observed . airways no relevant findings . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and both hilum . calibration of mediastinal major vascular structures is natural . at this level thickenings and possibly prominent pulmonary venous structures are observed in the interlobular septa . it was evaluated as compatible with . it is seen that the spinal artery extends from the left half of the by prominent . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels contrast evaluation is recommended if necessary . cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen it is seen that the spinal artery extends from the left half of the by prominent . however the vein could not be observed clearly . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . it was evaluated as compatible with . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . it is recommended to be evaluated together with the clinic and in terms of infectious process . apart from this no mass was detected in both lung parenchyma . pleural effusion-thickening was not detected . when both lung parenchyma windows are evaluated peripheral subpleural consolidation areas were observed in the posterobasal segment of both lungs . airways the examination performed without contrast was considered suboptimal . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . as far as can be seen trachea lumen of both main bronchi are open . mediastinum diffuse calcific atherosclerotic changes were observed in the wall of the thoracic aorta . lymph nodes with a short axis smaller than 1 cm were observed in the upper-lower paratracheal aorticopulmonary window and prevascular area . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels heart contour size is normal . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . parapelvic cysts were observed in the left prominent bilateral kidney . upper abdominal organs included in the examination area are normal . diffuse calcific atherosclerotic changes were observed in the wall of the thoracic aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma control imaging would be appropriate to rule out the suspicion of an underlying mass after pneumonia treatment . when examined in the lung parenchyma window soft tissue density obstructing the left lung lower lobe posterobasal segment bronchus and its branches is observed . an area of lobar pneumonic consolidation is observed in the lower lobe of the left lung which almost completely fills the basal segment . there are bronchial wall thickness increases and areas of linear subsegmental atelectasis in the basal segment bronchi of the lower lobe of the right lung . subsegmental atelectasis areas are observed in the right lung middle lobe medial segment and left lung lingula inferior segment . airways it is secondary to wall thickness increases in segmental bronchi . mediastinum right upper paratracheal bilateral lower paratracheal and subcarinal localized nonspecific lymph nodes with short axis not exceeding 1 cm are present . no lymph node was observed in pathological size and appearance in both axillae . calibrations of mediastinal main vascular structures were followed naturally . wall calcifications are observed in the abdominal aorta . there is a sliding type hiatal hernia . heart and great vessels the left ventricle has a hypertrophic appearance . heart size increased . calcified atheroma plaques were observed in the coronary arteries . osseous structures osteophyte formations leading to bridging are observed in the anterior corners of the thoracic vertebral corpus and ligament calcification foci throughout the all dish . in both supraclavicular fossas no lymph node in pathological size and appearance was observed in the cross-section . abdomen there is a type hernia in the evaluation of the upper abdominal sections entering the image area . there is a hypodense lesion with a diameter of in the upper pole of the left kidney and a cortical exophytic location and a density above hemorrhagic cyst . wall calcifications are observed in the abdominal aorta . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window focal atelectic changes were observed in the left lung upper lobe inferior lingular segment . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . atherosclerotic wall calcifications are observed in the thoracic aorta its supraaortic branches and coronary arteries . other mediastinal vascular structures heart contour size are normal . calcified atheroma plaques are observed in the abdominal aorta and visceral branches . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the ascending aorta was observed wider than normal with an anterior-posterior diameter of 39 mm . other mediastinal vascular structures heart contour size are normal . there is stent material placed in the coronary arteries . osseous structures in the upper-middle thoracic level bridging spur formations are observed at the vertebral corpus corners and scoliosis with the opening facing left is observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . atherosclerotic wall calcifications are observed in the thoracic aorta its supraaortic branches and coronary arteries . as far as can be seen within the sections upper abdominal organs are normal . a cortical cyst was observed in the upper pole of the right kidney . calcified atheroma plaques are observed in the abdominal aorta and visceral branches . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma widespread consolidative areas ground glass-like density increases airbronchograms are observed in almost all areas in the lower lobe segments and more prominently on the right in the upper lobe posterior segments in almost all areas . however scattered frosted glass areas is suspicious in terms of viral pneumonia . it is recommended to evaluate the case in terms of aspiration pneumonia in the first place . airways calibration of trachea and main bronchus is natural . peribronchial sheath thickening is observed . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . in the subcarinal paraesophageal area several lymph nodes the largest of which are approximately mm in size are observed superposed on each other and are also present in the previous examination . calibration of mediastinal major vascular structures is natural . heart and great vessels cto is normal . calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . osseous structures significant degenerative changes are observed in the bone structure . abdomen calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . irregular contaminations are observed in the perinephric fatty planes in both kidneys . bilateral adrenal glands were normal and no space-occupying lesion was detected . the gallbladder wall is edematous . sonographic examination is recommended . there is a suspicious appearance in terms of pericholecystic fluid . parenchymal calcification is observed in the upper abdominal organs included in the sections and in the right lobe of the liver . lung parenchyma when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . a millimetric nonspecific parenchymal nodule was observed adjacent to the fissure in the left lung upper lobe lingular segment . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections calcifications consistent with sequelae were observed in the right adrenal gland . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal main vascular structures are normal . no filling defect compatible with embolism was detected in the pulmonary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . no mass or filling defect compatible with thrombus was detected within the heart cavities . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there is no discernible mass in the upper abdominal organs within the sections . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma there is an 8 mm diameter nodular lesion in the lateral segment of the right lung middle lobe . ground glass nodule areas are observed in the left lung upper lobe and lower lobe superior segment . more prominent are present in the upper lobes of both lungs . this lesion was also present in the examination of the case in system and no difference was detected . when examined in the lung parenchyma window there is a pleural effusion reaching 1 cm in diameter between the right pleural leaves . airways tracheostomy cannula is observed . clinical evaluation for infective bronchiolitis is recommended . bronchial wall thickness increases are observed in segment bronchi in the right lung . mediastinum nonspecific millimetric lymph nodes are observed in the mediastinum . diffuse calcific atheroma plaques are observed in the abdominal and thoracic aorta . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . normal calibration of the esophagus is observed . heart and great vessels evaluation for heart failure is recommended . a more significant increase in diameter is observed in both . widespread calcified atheroma plaques are present in the coronary arteries . pericardial effusion was not observed . heart sizes were significantly increased . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen diffuse calcific atheroma plaques are observed in the abdominal and thoracic aorta . in the upper abdominal sections there is mild free fluid in the perihepatic area and the left subdiaphragmatic area . lung parenchyma however in both lungs especially in the lower lobes of both lungs in the posterobasal and mediobasal segments including the right laterobasal segment as well as in the right upper lobe and the middle lobes and the left lingular segments newly emerged infiltration areas with air bronchograms were formed . airways trachea both main bronchi are open . mediastinum calibration of mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion was observed in the bone structures in the study area . abdomen no relevant findings . lung parenchyma in the evaluation of both lung parenchyma no suspicious nodule mass or infiltration was detected in both lungs . there is fissural thickening on the right . fibroatelectasis appearances were observed in bilateral basals . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in addition especially in the upper lobe of the right lung ground glass densities are observed in the apical and anterior segments which were not detected in the previous examination of the patient . covid-19 pneumonia is also included in the differential diagnosis . these appearances were primarily evaluated in favor of viral pneumonia . in both hemithorax consolidation areas compatible with pleural effusion and accompanying compression atelectasis in the lung 45 cm in the thickest part are observed on the left . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . multiple reactive lymph nodes are observed in the mediastinal area with short axes not exceeding 1 cm . calcific atheroma plaques are observed in the aorta and coronary arteries . calibration of other mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen nodular lesion area evaluated in favor of adenoma is observed in the left adrenal gland . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma findings are more pronounced in peripheral regions . enlarged vascular structures and minimal interlobular septal thickening are observed within the ground glass areas . peripheral and centrally located ground glass areas are observed in both lungs . no mass was detected in both lungs . the described findings are in the style frequently observed in covid-19 pneumonia . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 50 mm in anterior-posterior diameter and is wider than normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma ground glass areas are accompanied by small consolidations and enlarged vascular structures in places . peripheral ground glass areas are observed in the lower lobe of the right lung . there are millimetric nonspecific nodules in both lungs . there is a similar appearance in the medial of the superior segment in the lower lobe of the left lung . there is no mass in both lungs . the described findings are the findings frequently observed in covid-19 pneumonia . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma right upper-bilateral lower paratracheal millimetric lymph node is observed . in the evaluation of both lung parenchyma subsegmental atelectasis and interstitial density increases are observed in the middle lobe of the right lung the lingular segment of the left lung and the lower lobes of both lungs . according to the previous review the consolidations in the previous reviews have regressed in the current review . there is no progression in the interstitial pattern . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . calcific plaques are observed in the aortic arch descending aorta and coronary arteries . heart and great vessels calcific plaques are observed in the aortic arch descending aorta and coronary arteries . osseous structures there are degenerative changes in the vertebrae . no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen there are hypodensities partially entering the examination area which may belong to parapelvic cysts or ectasia in both kidneys partially entering the examination area . calcific plaques are observed in the aortic arch descending aorta and coronary arteries . lung parenchyma mosaic attenuation is present in both lungs small airway disease small vessel disease . significant peribronchovascular thickening is observed in the lower lobes of both lungs . when examined in the lung parenchyma window areas of consolidation and atelectasis including air bronchogram are observed in the lower lobes of both lungs . there are calcified nodules in the upper lobe of the left lung . there is a pleural effusion with a depth of approximately 15 cm on the left and approximately 3 cm on the right . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . pulmonary arteries and ascending aorta are dilated . two soft tissue lesions lap are observed in the anterior mediastinum with dimensions of mm stable and in the right paracardiac fatty tissue the largest of which is mm in size . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the diameter of the ascending aorta was 37 mm . heart contour size is normal . osseous structures multiple lytic lesions in the internal bone structures of the section and a hyperdense appearance extending from the corpus to the in the t5 vertebra . appearances and widespread osteodegenerative changes are present in the thoracolumbar vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . pulmonary arteries and ascending aorta are dilated . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . in the mediastinum a secondary density is observed in the thymic . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma mosaic perfusion appearance is observed in the left lung . right lung volume decreased . there is a mass in the lower lobe mediobasal segment of the right lung that cannot be clearly distinguished from the atelectasis lung parenchyma caused by it as far as can be distinguished from the non-contrast examination . apart from the focal lung tissues in the upper lobe and middle lobe of the right lung a large of atelectasis which was observed in the previous pet-ct is observed in the right lung . according to the previous pet-ct examination a newly appeared pleural effusion with a diameter of 25 cm is observed in the left hemithorax . pleural effusion measuring 75 cm in its thickest part is observed in the right hemithorax and air images are observed within the effusion . in the previous pet-ct examination pleural-based mass appearances were observed and in the current examination the presence borders of these masses cannot be clearly distinguished due to increased atelectasis . airways no relevant findings . mediastinum calcific atherosclerotic plaques are observed in the aortic arch and coronary arteries . prevascular right upper-lower paratracheal right hilar aortopulmonary the larger one with a narrow diameter of 13 mm mediastinal lymphadenomegaly and lymph nodes which were also selected in the previous pet-ct examination are observed . heart and great vessels calcific atherosclerotic plaques are observed in the aortic arch and coronary arteries . the cardiothoracic index increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . sonography is recommended . calcific atherosclerotic plaques are observed in the aortic arch and coronary arteries . bilateral adrenal glands appear natural . in the sections passing through the upper part of the abdomen there is calculus in the gallbladder . lung parenchyma there are diffuse consolidations located in both lungs both peripherally and centrally . it is also understood that the prevalence of the findings has increased . when evaluated together with the patients previous examination it is understood that the findings are compatible with covid-19 pneumonia . no mass was detected in both lungs . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels there is minimal pericardial effusion . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . thymic remt was observed in the anterior mediastinum and nodular calcification foci were observed in the thymus tissue . in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . millimetric nodular sequela coarse calcification was observed in liver segment 6 which entered the section area . upper abdominal organs included in the sections are normal . lung parenchyma the findings were evaluated primarily in favor of covid-19 viral pneumonia due to the current pandemic and it is in the differential diagnosis of lobar pneumonia . when examined in the lung parenchyma window patchy ground glass densities in the lower lobe of the right lung and the lower lobe of the left lung upper lobe the consolidation area in crazy paving pattern is observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window both lung parenchyma aeration is normal mild emphysematous changes in bilateral lungs and sequela pleuroparenchymal linear densities are present in the pericardiac area in the left lung upper lobe lateral lingular segment right lung lower lobe superior segment . no nodular or infiltrative lesion was detected in the lung parenchyma . several nonspecific sequelae nodules are observed in both lungs which are peripherally located the largest of which does not exceed 4 mm . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma subsegmental atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . no newly emerging nodules masses or infiltrations were detected in the current examination . nonspecific parenchymal nodules with a diameter of 3 mm in the posterobasal segment of the left lung lower lobe and 35 mm in diameter in the middle lobe of the right lung were observed . when examined in the lung parenchyma window there is significant regression in the dimensions of the nodular lesion in the lower lobe of the right lung which measured approximately mm in the previous examination . bilateral pleural effusion no thickening was detected . airways trachea and lumen of both main bronchi are open . control is recommended . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . it was also observed in the previous examination and no significant size change was detected hepatic lipoma . upper abdominal sections in the study area a hypodense lesion with a fat density of 5 mm in diameter was observed at the liver segment 4a level . lung parenchyma no mass or infiltrative lesion was detected in both lungs . both lungs have a mosaic attenuation pattern small airway diseasesmall vessel disease . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced ct . lung parenchyma there are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . minimal emphysematous changes were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are millimetric osteophytes at the vertebral coprus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . a nodular lesion measuring 15 mm in diameter is observed in the right adrenal gland corpus and was evaluated in favor of adenoma . lung parenchyma both lungs have a mosaic attenuation pattern small airway disease small vessel disease . there are several nodules in both lungs the largest of which is in the posterior segment of the upper lobe of the right lung measuring approximately 5 mm in diameter . no mass or infiltrative lesion was detected in both lungs . bronchiectasis peribronchial thickening and volume loss are observed in the medial segment of the right lung middle lobe . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were observed in the bone structures within the sections . periosteal reaction was not detected . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are two nonspecific nodules measuring 3 mm at the level of the left major fissure series 2 image . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . there is a millimeter nonspecific nodule in the anterior upper lobe of the right lung series 2 ima . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . apart from this no pathologically enlarged lymph nodes were detected in the mediastinum . lymph nodes with a short axis measuring up to 3 mm were observed in the mediastinum especially in the aorticopulmonary window . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the largest of the nodules described is observed in the upper lobe of the left lung and measured approximately 5 mm in diameter . millimetric nodules were observed in the left lung . these nodules can also be observed in the previous examination of the patient and no difference was found in their number and size . density increase and minimal structural distortion are observed in the subpleural area in the medial part of the left lung upper lobe apicoposterior segment posterior subsegment and this appearance was evaluated in favor of sequelae change . minimal pleural effusion is observed on the left . airways the described appearance was also present in the previous examination of the patient and no difference was detected . there is no obstructive pathology in the trachea and left main bronchus . trachea and left main bronchus are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . there are no pathologically enlarged lymph nodes in the internal mammary artery traces in both axillae . mediastinal structures and upper abdominal organs within the sections cannot be clearly evaluated since no contrast material is given . no pathologically enlarged lymph nodes were observed . the largest of the described lymph nodes is observed in the aorticopulmonary window measuring 85 mm in short diameter . there are atheromatous plaques in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels there is minimal pericardial effusion . heart contour and size are normal . osseous structures in the right hemithorax there are increases in density the borders of which can hardly be distinguished from the muscle at the level of the right scapula inferior adjacent to the muscle in the lateral and anterior chest wall . no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures and upper abdominal organs within the sections cannot be clearly evaluated since no contrast material is given . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no nodular lesions were detected in both lung parenchyma . when examined in the lung parenchyma window oval nodular densities up to 8 mm in size are observed in the apicoposterior apicoposterior of both lungs adjacent to the fissures series 2 image 90 on the left image on the right . there are patchy ground glass densities in the paracardiac area in the left lung upper lobe inferior lingula . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are lymph nodes with a short axis measuring up to 5 mm in both axillary regions and in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal organs included in the sections a change in favor of steatosis is observed in the liver parenchyma . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . azygos fissure variation is observed . ground-glass-like density increases band density increases observed in the previous review leading to intense consolidation in places regressed in the current review . there are mild sequelae changes in the lingular segment and upper lobe anterior segment of the left lung as well as mild ground-glass-like density increases . no bilateral pleural effusion or pneumothorax was detected . airways there is mild prominence in bronchial calibration consistent with bronchiectasis at the central level and in areas extending towards the base . mediastinum the aortic arch calibration is 31 mm slightly wider than normal . cto is within normal limits . calibration of other mediastinal vascular structures is normal . millimetric sized lymph nodes are observed in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . millimetric-sized calcific atheroma plaques are observed in lad . osseous structures in the left lung 1-2 peripheral thin sclerotic nonspecific hypodense lesions are observed at the lateral level of the lower ribs . vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen the gallbladder appears distended . surrounding soft tissue plans are natural . both adrenal kidney spleen pancreas and segments are normal . upper abdominal organs included in the sections are normal . a slight decrease in density consistent with steatosis is observed in the liver . the aortic arch calibration is 31 mm slightly wider than normal . cto is within normal limits . lung parenchyma an increase in the size of these metastases is also observed . these masses especially those located in the neighborhood of the lower lobe of the left lung tend to merge with each other . no appearance that may be compatible with active infection was detected in both lung parenchyma . numerous metastases are observed in both lung parenchyma . the largest of these lesions although the exact size cannot be given reaches approximately 10 cm in diameter . especially in the left lung lymph nodes were observed in the areas and the sizes of these lesions also increased . there is also an increase in the size of metastases of lesions located in the mediastinal pleura . numerous necrotic metastatic masses are observed in the left lung pleura and pericardial pleura . airways no relevant findings . mediastinum calibrations of mediastinal main vascular structures are natural . heart and great vessels heart sizes are normal . a port catheter extending to the right atrium is observed on the right anterior chest wall . its contours and compartments are natural . osseous structures no relevant findings . abdomen there are nodular hypodense appearances in the liver and spleen parenchyma included in the examination . evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast . these were interpreted in favor of metastasis . the density of the liver parenchyma included in the study was diffusely decreased consistent with hepatosteatosis . lung parenchyma hilar lymph node was not observed . when examined in the lung parenchyma window a nodule with a diameter of 3 mm is observed at the level of the interlobar fissure on the right . no pneumonia pneumothorax or pleural effusion was observed . airways no relevant findings . mediastinum calibration of mediastinal vascular structures is natural . no pathological size and configuration lymph nodes were detected in the mediastinum . heart and great vessels cto is at the maximal physiological limit . osseous structures minimal degenerative changes are observed in the bone structure entering the examination area . abdomen a decrease in density consistent with hepatosteatosis is observed in the liver . lung parenchyma generally there are ground-glass-like density increases in both lungs with peripheral distribution . sequelae changes are observed at the posterobasal level in the left lung . there are sequelae changes in the middle lobe of the right lung . when examined in the lung parenchyma window sequelae changes are observed at the apical level in both lungs . no pleural effusion or pneumothorax was detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . there is a slight decrease in density consistent with hepatosteatosis in the liver entering the cross-sectional area . upper abdominal organs included in the sections are normal . lung parenchyma this appearance may belong to pneumonic infiltration . no mass was detected in both lungs . consolidation is observed in the left lung upper lobe lingular segment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma in both lungs density increases in the form of frosted glass are observed in almost all zones predomitly located peripherally and with a round appearance from place to place . no pathological size and configuration of lymph nodes were detected in both hilar-level non-contrast examinations . sequelae changes and emphysematous findings are present at the apical level . pleural effusion and pneumothorax were not detected . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum calibration of other major mediastinal vascular structures is natural . pulmonary conus calibration was measured at 30 mm . in the mediastinum there is a lymph node with a short axis measuring approximately 10 mm in the right upper paratracheal area . millimetric calcific atheroma plaques are observed in the aortic arch and descending aorta . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures degenerative changes are observed in the bone structure . there is left-facing scoliosis in the dorsal region . abdomen surrounding soft tissue plans are natural . millimetric calcific atheroma plaques are observed in the aortic arch and descending aorta . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious nodular or mass-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are normal . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma mosaic attenuation pattern and minimal interseptal thickness increases are observed in both lungs . nonspecific ground glass densities are observed especially in the central parts of both lungs . when examined in the lung parenchyma window bilateral lung aeration is decreased . nonspecific pulmonary nodules not larger than 5 mm are observed in both lungs . no mass lesions were detected in both lungs . pleural effusions are observed in both hemithorax reaching a thickness of about 3 cm at the thickest part on the right and 3 cm on the left . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size was slightly increased . pericardial effusion was not detected . its contours are regular . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no pathological appearance was detected in the fatty tissues within the limits of the examination . when the upper abdominal organs included in the examination were evaluated calculus that does not cause dilatation of the collecting system is observed in the right kidney . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma left lung lower lobe and upper inferior lingular segment and areas of in which air bronchograms are observed are observed . in addition diffuse pleuroparenchymal fibroatelectasis changes were observed in the right lung lower lobe superior segment and left lung upper lobe posterior segment extending from the right lung upper lobe anterior segment to the middle lobe . emphysematous changes are observed in the ventilated lung areas . findings were evaluated in favor of pneumonic infiltration . a hemorrhagic effusion extending from the apex to the basis and extending to the major fissure was observed in the left pleural space and a hematoma measuring cm in the lower zone was observed . effusion reaching 47 cm in thickness extending from the apex to the base in the right pleural space and atelectatic changes are observed in the lung areas adjacent to the effusion . airways millimetric nodular calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi . although the mediastinum cannot be evaluated optimally in non-contrast examination no occlusive pathology was observed in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta and pulmonary artery calibrations are normal . numerous lymph nodes with short axes less than 1 cm were observed in the mediastinum . diffuse atheroma plaques are observed in the thoracic aorta its supraaortic branches and coronary arteries . mixed type hiatal hernia is observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size increased . effusion reaching 65 mm thickness was observed in the pericardial space . osseous structures fracture lines forming callus formation are observed on the left 8 9 10 and 11 ribs . vertebral corpus heights are normal . is bilaterally . there is left-facing scoliosis at the thoracic level . abdomen thoracic aorta and pulmonary artery calibrations are normal . diffuse atheroma plaques are observed in the thoracic aorta its supraaortic branches and coronary arteries . lung parenchyma a few millimeter-sized nonspecific nodules were observed in both lungs . no active infiltration or mass lesion was detected in both lungs . ventilation of both lungs is natural . no pericardial pleural effusion or thickness increase was observed . airways when examined in the lung parenchyma window there is diffuse ectasia and peribronchial diffuse thickness increase in the bronchial structures of both lungs which are prominent in the center . trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no lymph nodes in pathological size and appearance were observed in both axillary regions bilateral supraclavicular fossae and mediastinum . calcified atheroma plaques in millimetric sizes were observed in the thoracic aortic wall . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen no pathology was detected as far as it can be observed within the borders of non-contrast ct in the upper abdominal sections within the image . calcified atheroma plaques in millimetric sizes were observed in the thoracic aortic wall . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . when examined in the lung parenchyma window a stable calcified parenchymal nodule with a diameter of 85 mm was observed in the upper lobe of the left lung adjacent to the fissure . bilateral pleural thickening-effusion was not detected . airways bilateral peribronchial thickenings were observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . calibration of other mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . the descending aorta shows an elongated course . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . as far as can be seen the diameter of the ascending aorta was 46 mm and showed fusiform dilatation . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . one or two hypodense lesions cortical cysts were observed in the right kidney . no gall bladder was observed in the upper abdominal sections included in the examination area cholecystectomized . in the right adrenal gland mm in size well-defined hypodense lesion with an average hu value of 23 was observed . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . the descending aorta shows an elongated course . lung parenchyma when examined in the lung parenchyma window multisegmental in both lungs more common in the lower lobes central-peripheral crazy paving pattern and nodular-patchy consolidation areas with vascular enlargement were observed . the outlook is highly suspicious for covid-19 pneumonia . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . liver parenchymal density is diffusely decreased consistent with hepatosteatosis . it is recommended to be evaluated together with clinical and laboratory . lung parenchyma focal central parenchymal focal consolidation which was observed in the posterobasal segment of the left lung in the previous is not observed in the current examination . widespread emphysema areas are observed in the upper lobes of both lungs with a appearance . there are sequelae changes in the apical and posterior segment of the right lung upper lobe . first of all it was evaluated in favor of sequelae . however in the current examination the area of nodular consolidation in the subcapsular area in the posterobasal segment of the left lung lower lobe is a new finding . pleuroparenchymal focal consolidation area which causes shrinkage in the major fissure is observed in the lateral of the left lung upper lobe apicoposterior segment and it causes structural distortion in the pleura and parenchyma . no pleural effusion was observed on the left . airways as far as can be seen in non-contrast sections trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the mediastinal and hilar regions lymph nodes with fatty hiluses that do not reach pathological dimensions with short axes measuring less than 1 cm are observed . mediastinal main vascular structures heart contour and size are normal . the diameter of the ascending aorta was 40 mm and the descending aorta diameter was 29 mm . calcific plaque formations are observed in the walls of the thoracic aorta and coronary artery . no pathological wall thickness increase was observed in the esophagus within the sections . sliding type hiatal hernia is observed at the lower end of the esophagus . heart and great vessels effusion reaching 2 cm in thickness is observed in the pericardial space . calcific plaque formations are observed in the walls of the thoracic aorta and coronary artery . the ascending aorta has an ectatic appearance . mediastinal main vascular structures heart contour and size are normal . pericardial thickening was not detected . left heart chambers are increased . osseous structures when the bone is examined in the window right-weighted syndesmophytes are observed with an increase in thoracic kyphosis . no lytic destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax . abdomen no space-occupying lesion was detected in either adrenal gland . the diameter of the ascending aorta was 40 mm and the descending aorta diameter was 29 mm . calcific plaque formations are observed in the walls of the thoracic aorta and coronary artery . in the evaluation of the upper abdominal organs in the examination without contrast material liver gall bladder and spleen are natural . lung parenchyma there are paraseptal emphysematous changes in the apex of both lungs . a millimetric diverticular lesion is observed in the right upper paratracheal area . no active infiltrating mass or nodular lesion was detected in both lungs . no pericardial pleural effusion or thickening was observed . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . when examined in the lung parenchyma window diffuse mild ectasia is observed in bilateral bronchial structures more prominent in the central . mediastinum in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures heart contour and size were normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures heart contour and size were normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be observed within the limits of non-contrast ct in the upper abdominal organs included in the sections no solid mass was detected . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . minimal fibrotic recessions are observed at both apical levels . pleural effusion-thickening was not detected . there is a 4 mm nodule in the subpleural area in the middle level of the left lung lower lobe lateral series 2 ima . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs are included in the study partially and a few hyperdense findings in the right kidney with a pelvicalyceal size up to 4 mm were evaluated in the direction of calcules . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . a nonspecific nodule measuring 35 mm in diameter was observed in the laterobasal segment of the lower lobe of the left lung . ventilation of both lungs is normal . there are sequela parenchymal changes in the basal parts of the right lung middle lobe medial segment left lung upper lobe inferior lingular segment and both lung lower lobes . pleural effusion-thickening was not detected . no pericardial or pleural effusion was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were observed in both axillary regions bilateral supraclavicular fossae and mediastinum . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . sliding type mild hiatal hernia was observed at the lower end . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . osseous structures there are degenerative changes . no lytic or destructive lesions were observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma density increases accompanied by parenchymal recessions in the vicinity of the suture were evaluated in favor of a change secondary to the operation . there is a marked increase in the size of the thyroid gland and extension of the lower lobes around the trachea into the upper mediastinum . in the previous examination it was understood that the primary mass lesion in the right lung middle lobe was and middle lobectomy was performed . when examined in the lung parenchyma window there are three nodules in the right lung lower lobe superior segment and left lung lower lobe superior segment which cannot be characterized due to their millimetric size and small size . since the increase in size is millimetric it would be appropriate to evaluate it in follow-up imaging . airways the trachea narrows the air passage . mediastinum no space-occupying lesion was observed in the mediastinal fat pad . there is a marked increase in the size of the thyroid gland and extension of the lower lobes around the trachea into the upper mediastinum . calibrations of mediastinal major vascular structures are natural . metastatic mediastinal lymph nodes located in the right upper and lower paratracheal region and with a decrease in their size are not observed in the current examination . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen suture lines are observed in the operation site . no features were detected in the upper abdomen sections . lung parenchyma both lungs have millimetric nodules some of which are calcific . the effusion measured 50 mm on the right at its widest point . atelectasis was observed adjacent to the effusion in the lower lobes of both lungs . in addition there are sometimes linear atelectasis and minimal pleuroparenchymal sequelae changes in both lungs . diffuse emphysematous changes were observed in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . bilateral pleural effusion is observed . the pleural effusion continues to the apex of the lung when the patient is in the supine position . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the diameter of the descending aorta is normal . there are lymph nodes in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the shortest diameter of the largest of these lymph nodes was 14 mm . mediastinal structures cannot be evaluated optimally because contrast material is not given . diffuse atheroma plaques were observed in the aorta and coronary arteries . the aortic arch is elongated . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels the anterior-posterior diameter of the ascending aorta is 48 mm at its widest point and is wider than normal . no significant pericardial effusion was detected . as far as can be observed the heart is larger than normal . osseous structures the neural foramina are narrowed . there are osteophytes in the vertebral corpus corners . vertebral corpus heights within the sections are normal . intervertebral disc distances are narrowed . abdomen no upper abdominal free fluid-collection was observed in the sections . the diameter of the descending aorta is normal . diffuse atheroma plaques were observed in the aorta and coronary arteries . the aortic arch is elongated . lung parenchyma there is a decrease in the size of the nodule in the previous examination 1 cm which was 4 mm in the mediobasal segment in series 2 image 97 in the lower lobe of the left lung . findings were initially evaluated in favor of and in favor of inflammatory processes of other early small airways and clinical laboratory correlation follow-up is recommended . when examined in the lung parenchyma window there are patchy ground glass densities mild bronchiectasis and atelectatic changes accompanied by patchy ground glass densities in the superior anterior of the left lung upper lobe more prominently at the basal levels of the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are several small and some calcific lymph nodes in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative density reduction is observed in bone structures . abdomen stones are observed in the gallbladder . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . bilateral adrenal glands are normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . there is a finding consistent with hepatosteatosis in the liver parenchyma . lung parenchyma are recommended . clinical lab in terms of infectious process . there are emphysematous changes at the apical levels of both lungs . blind . when examined in the lung parenchyma window there is atelectasis mild bronchiectasis and consolidation in the form of a fibrotic band extending to the hilum at the basal level of the left lung lower lobe . atelectasis changes are observed in the apical levels of the upper lobe of the right lung causing pleural retraction . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . there is 11 mm hyperdense sclerotic finding in the vertebral corpus . vertebral corpus heights are preserved . abdomen clinical correlation is recommended . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the axis the spleen dimensions were observed partially and were evaluated as larger than normal . hypodense areas in the spleen parenchyma it has been evaluated in its favour . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window linear atelectatic changes are observed in the posterobasal segments of both lung lower lobes . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures fixation materials are observed at the junction level of the thoracolumbar vertebrae . in the vertebral corpus an islet of 7 mm in size which does not differ significantly is observed . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma mass lesion with distinguishable borders of both lungs - no active infiltration was detected . pleuroparenchymal linear fibrotic changes were observed in the right lung upper lobe posterior and left lung upper lobe lingular segments as far as it could be observed secondary to motion artifact . millimetric nonspecific pulmonary nodules were observed in the anterobasal of the lower lobe anteromediobasal segment of both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma except as described no gross pathology was found in the lung parenchyma . when examined in the lung parenchyma window at the apical level of the upper lobe of the right lung patchy ground glass densities are observed in the posterior . further investigation is recommended for clinical laboratory correlation of findings in terms of viral pneumonia onset and for more differential diagnosis . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . several short axis lymph nodes measuring up to 5 mm are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . upper abdominal organs are partially included in the study . a few millimetric hyperdense findings in the right kidney were evaluated in the direction of calculi . lung parenchyma when examined in the lung parenchyma window nonspecific nodular and reticular density increases are observed in the lower lobes of both lungs at posterior subpleural levels more prominently on the left . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there is diffuse density loss in the liver . lung parenchyma diffuse patchy ground-glass densities and interlobular-intralobar septal thickenings were observed in both lungs more prominently in the lower lobes . defined findings were evaluated in favor of sequelae . when examined in the lung parenchyma window segmental-subsegmental peribronchial thickenings were observed in both lungs . a mosaic attenuation pattern was observed in both lungs and was thought to be secondary to small airway stenosis . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . on the right a port chamber under the skin and a port catheter extending to the superior distal vena cava were observed on the anterior chest wall . in the mediastinum millimeter-sized lymph nodes were observed in the right hilum calcified and did not reach pathological dimensions . a catheter extending from the left internal jugular vein to the superior middle part of the vena cava was observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in lad . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures in the case with follow-up lymphoma there are sclerotic bone lesions in the bone structures within the sections . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lungs faint non-specific mild ground-glass-like density increases are observed at the lower lobe level . it is nonspecific . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the evaluation of the upper abdominal organs included in the sections nodular formation is observed in the vicinity of the spleen which is considered compatible with the accessory spleen . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass-infiltration was detected in both lungs . when examined in the lung parenchyma window linear pleuroparenchymal fibroatelectasis changes were observed in the middle lobe of the right lung . emphysematous changes were observed in both lungs . in the left lung lower lobe posterobasal segment subpleural density increases were observed which was evaluated in favor of a dependent increase in density . bilateral pleural thickening-effusion was not detected . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen as far as can be seen in non-contrast sections the liver parenchyma density was diffusely decreased consistent with adiposity . gallbladder was not observed cholecystectomized . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . a mosaic attenuation pattern was observed in the lower lobes of both lungs small airway disease small vessel disease . a sequela parenchymal change was observed in the right lung lower lobe superior segment causing shrinkage in the fissure . a millimetric parenchymal air cyst accompanied by fibrotic recessions was observed in the inferior lingular segment of the left lung upper lobe . no mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window a smear-like pleural effusion was observed in the right hemithorax . sequelae thickening was observed in the posterior costal pleura in both hemithoraces . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum pulmonary trunk and right pulmonary artery diameters increased . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries . the transverse diameter of the pulmonary trunk was 39 mm and the right and left pulmonary artery diameters were 31 mm and 26 mm respectively . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the aortic valve is calcified . as far as can be seen the anterior-posterior diameter of the ascending aorta increased by 40 mm . heart sizes are at the upper limit . atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries . osseous structures degenerative changes were observed in the thoracic vertebrae . vertebral corpus heights are normal . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries . as far as can be seen within the sections liver parenchyma density is diffusely decreased consistent with hepatosteatosis . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion is detected and there are a few millimetric nonspecific nodules . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma linear subsegmental atelectasis are observed in the right lung lower lobe posterobasal and laterobasal . when examined in the lung parenchyma window minimal attenuation pattern is observed in both lungs small airway-small vessel disease . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aortic coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . liver density decreased in favor of hepatosteatosis . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aortic coronary arteries . lung parenchyma mild atelectatic changes are observed in the lower lobe of the right lung due to mild hypertrophic tapering in the vertebral corpus end plateaus . when examined in the lung parenchyma window a nodule with a size of 5 mm is observed in the lower lobe of the right lung located in the posterior subpleural area . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures hyperdense findings of 8 mm in size in the vertebral body were initially evaluated in favor of the islet of bone . bone structures in the study area are natural . mild atelectatic changes are observed in the lower lobe of the right lung due to mild hypertrophic tapering in the vertebral corpus end plateaus . abdomen millimetric calcific foci in the left kidney were evaluated in favor of stone . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma both lungs have a mosaic attenuation pattern small airway disease small vessel disease . occasionally fibroatelectatic structures are observed in both lungs . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . there is an effusion of 115 mm in the left pleural area in its deepest part on the left . pericardial right pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum the ascending aorta is wider than normal at 44 mm the descending aorta 30 mm and the pulmonary artery 32 mm . there are calcified atheromatous plaques on the walls of the aorta and coronary vascular structures . no lymph nodes were detected in pathological size and appearance in both axillary regions . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no lymph node in pathological size and appearance was detected in mediastinal lymph node stations . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels pericardial effusion-thickening was not observed . an increase in the cardiothoracic ratio in favor of the heart is observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . vertebral corpus heights are preserved . in addition no lymph node in pathological size and appearance was detected in the bilateral supraclavicular region . abdomen there are calcified atheromatous plaques on the walls of the aorta and coronary vascular structures . thoracic aorta diameter is normal . the ascending aorta is wider than normal at 44 mm the descending aorta 30 mm and the pulmonary artery 32 mm . in the evaluation of upper abdominal organs including sections in the right adrenal gland body part there is a 16x13 mm nodular thickness increase in which fat densities are observed . lung parenchyma millimetric nonspecific nodules were observed in both lungs . it is recommended that the patient be evaluated together with the laboratory findings . the views described are not specific . no mass was detected in both lungs . peripheral and central milimetric nodular ground glass appearances are observed in the left lung lower lobe superior segment . however it was thought that it may still belong to covid-19 pneumonia during the pandemic process . there are minimal emphysematous changes in both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum atheroma plaques are observed in the aorta and coronary arteries . the diameters of the aortic arch and descending aorta are normal . the main pulmonary artery diameter was 35 mm and wider than normal . there are lymph nodes in the mediastinum and hilar regions the largest measuring 10 mm in short diameter . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . it is understood that the patient underwent coronary bypass surgery . the anterior-posterior diameter of the ascending aorta is 40 mm and wider than normal . osseous structures no fracture or lytic-destructive lesion was detected in the bone structures within the sections . abdomen the diameters of the aortic arch and descending aorta are normal . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . if there is an indication it is recommended to be evaluated with usg . hypodense lesions were observed in the upper pole of the right kidney . atheroma plaques are observed in the aorta and coronary arteries . these lesions are not characterized since no contrast agent was given but when evaluated together with their density they were thought to be cysts . there is a mass in the left adrenal gland which is evaluated in favor of adenoma with the longest diameter of approximately 25 mm . lung parenchyma pleuroparenchymal sequela changes are observed in the superior segment of the left lung lower lobe . no bilateral pleural effusion or pneumothorax was detected . airways when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum thoracic aorta diameter is normal . calibration of mediastinal major vascular structures is natural . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in this area the fine reticulonodular density increments observed in the previous review continue to decrease . the defined changes are observed in the lower lobe superior segment . there is a nonspecific nodule with a diameter of 2 mm in the laterobasal segment of the lower lobe of the left lung which is not clearly observed in the previous examination . it is recommended to evaluate the case in terms of infective processes . in these areas thin reticulonodular density increases are observed in places and focal consolidation atelectasis appearances are observed . in the upper lobe of the right lung pleuroparenchymal sequelae densities thickening of the peribronchial sheath and occasionally paracicatricial bronchiectasis are observed . no pathological size and configuration of lymph nodes were detected at both hilar levels . focal fine reticulonodular density increases are present in the superior segment of the left lung lower lobe and they are also present in the previous examination . a stable nonspecific nodule with a diameter of 3 mm is observed in the middle lobe of the right lung . when examined in the lung parenchyma window both hemithorax are symmetrical . there is a pleural effusion reaching 37 mm in the thickest part of the right lung extending from the basal to the apex . according to his previous examination 56 mm a decrease in the amount of pleural effusion is observed . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there is a density compatible with 3 mm diameter calculi in the middle part of the left kidney . upper abdominal organs included in the sections are normal . in both kidneys a density compatible with 2 calculi the largest of which is 45 mm in diameter on the right and 2 mm in diameter is observed in the middle part . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections mild hepatosteatosis is present in liver parenchyma density . lung parenchyma sequelae changes are observed in the inferior lingular segment . band appearances consistent with parenchymal sequelae are observed in the middle lobe of the right lung . no pneumonia pleural effusion or pneumothorax was detected . there is a subpleural bleb in the right lung lower lobe superior segment . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum calibration of other major mediastinal vascular structures is natural . it is wider than normal . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . cto is normal . the aortic arch calibration is 33 mm . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta calibration is 43 mm . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen it is wider than normal . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . cto is normal . upper abdominal organs included in the sections are normal . the aortic arch calibration is 33 mm . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . it may be compatible with hypersensitivity pneumonia . mild sequelae changes are observed at both apical levels . there is a faint ground-glass-like density increase and a mosaic attenuation pattern in the mid-lower zones of both lungs . there are thickening fibroatelectatic densities in the peribronchial sheath in the mid-lower zones and consolidative parenchyma areas are observed in the middle lobe and especially in the lower lobe basal segments of the right lung . the findings described are atypical for covid pneumonia . there is slight irregularity on the pleural surfaces in the right lung upper lobe posterior segment and in the mid-lower zones on both sides and slight thickening of the pleura in the same areas on the right . no significant pleural effusion or pneumothorax was detected in both lungs . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum calibration of other mediastinal structures is natural . cto is within normal limits . no lymph node with pathological size and configuration was detected in the mediastinum . the aortic arch calibration is 30 mm slightly above normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch calibration is 30 mm slightly above normal . upper abdominal organs included in the sections are normal . cto is within normal limits . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma an oval parenchymal nodule with a diameter of approximately 7 mm was observed in the lateral segment of the right lung middle lobe . when examined in the lung parenchyma window paraseptal-centriacinar emphysema areas are observed in both lungs and honeycomb appearance is remarkable especially in the lower lobe basal segments of both lungs . parenchymal calcified nodules the largest of which is 6 mm in diameter are observed in the posterobasal segment of the left lung lower lobe in both lungs and they are stable . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic aorta calibration is normal . mediastinal main vascular structures are normal . atheroma plaques were observed in the wall of the coronary arteries and thoracic aorta . calcified lymph node was observed in the subcarinal area secondary to granulomatous infection . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures osteophyte formations were observed in the vertebral corpus corners . degenerative formations were observed in the bone structures entering the imaging area . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the right adrenal gland is normal . a soft tissue mass of mm was observed in the subcutaneous adipose tissue in the anterior part of the liver in the right upper quadrant of the abdomen . millimetric hypodense area and nodular calcifications were detected in the spleen it is stable . as far as can be observed in the sections a stable hypodense lesion of 8 mm in diameter was observed in segment 6 of the liver . thoracic aorta calibration is normal . atheroma plaques were observed in the wall of the coronary arteries and thoracic aorta . a stable hypodense mass lesion with a diameter of approximately 34 mm was observed in the left adrenal gland corpus . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections there is a hypodense lesion of cystic density with a diameter of 7 mm in the liver segment localization . no suspicious mass or nodular space-occupying lesion was observed . lung parenchyma in both lungs there are diffuse emphysematous changes consistent with more prominent honeycomb lung in the lower lobes accompanying interlobular septal thickness increases and areas of linear atelectasis . the appearance of postoperative hyperdense materials is observed in the lower lobe of the right lung . a few nodules with a diameter of 7 mm are observed in both lungs the largest of which is in the posterior segment of the left lung lower lobe . there is consolidation in the apicoposterior segment of the upper lobe of the left lung in which air bronchograms are observed pneumonic infiltration . several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions the largest of which is in the aortopulmonary window . no pleural or pericardial effusion was detected . airways no relevant findings . mediastinum several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions the largest of which is in the aortopulmonary window . the diameter of the ascending aorta was 42 mm and the diameter of the pulmonary trunk was 36 mm and increased . no pathological increase in wall thickness was detected in the esophagus . heart and great vessels calcific atheroma plaques are observed in the anterior descending coronary artery . osseous structures there is a appearance compatible with hemangioma in the t3 t10 and t12 vertebral bodies within the sections . no lytic-destructive lesion was detected . abdomen the diameter of the ascending aorta was 42 mm and the diameter of the pulmonary trunk was 36 mm and increased . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen spleen size is at the upper limit 130 mm . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are sequelae changes in bilateral lower lobe posterobasal segment right lung middle lobe medial segment and left lung inferior lingular segment . in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there are several millimetric nodules in both lungs the largest of which is 45 mm in the upper lobe posterior to the right . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window consolidation area is observed in the posterobasal segment of the left lung lower lobe . in addition nodular consolidation areas were observed in the posterobasal segment of the lower lobe of the right lung . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . apart from this the spleen size in the cross-sectional area has increased . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal organs included in the examination area are normal . lung parenchyma when examined in the lung parenchyma window the azygos fissure and its lobe are observed in the upper lobe of the right lung . apart from this both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen findings consistent with mild hepatosteatosis are observed in the liver parenchyma . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma linear atelectasis is observed in the upper lobe inferior lingular segment in the left lung . when examined in the lung parenchyma window nonspecific pulmonary nodules are observed in both lungs the largest of which is 4 mm in diameter in the anterior segment of the right lung upper lobe . active infiltration consolidation and space-occupying lesions were not observed in both lungs . no pericardial-pleural effusion or increased thickness was detected . nodular nonspecific thickness increases are observed in the subpleural areas of both lungs . on the left a mm lipoma is observed adjacent to the diaphragm and pleura . airways the trachea is in the midline and both main bronchi are open . mediastinum the diameters of the mediastinal vascular structures are normal within the limits of the non-contrast examination . in the mediastinum in both axillae and in the retropectoral regions no lymphadenopathy was observed in pathological size and appearance . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic esophageal wall thickness is normal . heart and great vessels heart size contours are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . the precardiac fat pad has a natural appearance . osseous structures no relevant findings . abdomen other upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . liver density decreased in favor of hepatosteatosis . lung parenchyma structural distortion and volume loss in the left lung linguloinferior segment are accompanied by local sequela fibrotic nodular structures in the bilateral lung . there is centrilobular emphysematous change which is more prominent in the lower lobes of both lungs . there is a sequel fibrotic nodular structure in the apical segment of the upper lobe of the bilateral lung with sequelae fibrotic nodular formation in millimetric calcified foci . evaluation of the described findings in terms of infectious pathologies and control ct examination after treatment is recommended . tubular ectasia is observed in the bronchial structures which are more prominently observed in the central level and lower lobe of both lungs and there are increased peribronchial thickness in the lower lobe of the right lung and ground-glass densities accompanied by tree-like centriacinar nodular opacities in the adjacent lung parenchyma . findings compatible with dish a past fracture line showing displacement is observed in the lateral part of the left 5 ribs and there are sequela fibrotic structures and linear density increases consistent with atelectasis in the adjacent lung parenchyma . when examined in the lung parenchyma window an effusion measuring 8 mm in the thickest part in the right pleural area and measuring 7 mm in the thickest part in the left pleural area is observed and an increase in density compatible with atelectasis is observed in the adjacent lung parenchyma . in both lungs intrapulmonary and subpleural localized nodules with ground glass density are observed in both lungs the largest of which is 55 mm in size in the middle lobe segment and subpleural localized . airways tubular ectasia is observed in the bronchial structures which are more prominently observed in the central level and lower lobe of both lungs and there are increased peribronchial thickness in the lower lobe of the right lung and ground-glass densities accompanied by tree-like centriacinar nodular opacities in the adjacent lung parenchyma . trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum due to the lack of contrast in the examination mediastinal main vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are natural . in mediastinal lymph node stations no lymph nodes in pathological size and appearance are observed and fusiform lymph nodes with a short diameter of 78 mm are observed in the right upper paratracheal area . thoracic esophageal calibration is normal no significant tumoral wall thickening is observed and there is a hiatal hernia at the lower end . heart and great vessels due to the lack of contrast in the examination mediastinal main vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are natural . no pericardial effusion or thickening was detected . there are calcified atheroma plaques on the walls of the main vascular structures and the wall of the coronary artery . osseous structures findings compatible with dish a past fracture lung parenchyma when examined in the lung parenchyma window mosaic attenuation pattern of both lungs is observed small airway disease small vessel disease . a ground glass density area of approximately 10 mm in diameter is observed in the posterobasal segment of the lower lobe of the left lung and vascular enlargement is noted at this level . there are several millimeter-sized smooth thin-walled air cysts in both lungs . there are sequela parenchymal changes in the upper lobe of the left lung the inferior lingular segment and the lower lobe of both lungs and the middle lobe of the right lung . the appearance may be of early viral pneumonia . no mass lesions were detected in both lungs . in the posterior segment of the upper lobe of the right lung a nodule located in the oblique fissure which is evaluated in favor of 2 subpleural lymph nodes is observed . no pericardial pleural effusion or thickness increase was detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance . there are calcified atheromatous plaques on the wall of mediastinal vascular structures and coronary vascular structures . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the ascending aortic ap diameter is 41 mm and the descending aortic ap diameter is 34 mm larger than normal . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels an increase in heart size is observed . there are calcified atheromatous plaques on the wall of mediastinal vascular structures and coronary vascular structures . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the ascending aortic ap diameter is 41 mm and the descending aortic ap diameter is 34 mm larger than normal . osseous structures there are osteophytic degenerative changes that tend to merge at the vertebral corpus corners . no lytic or destructive lesions are observed in the bone structures within the image and vertebral corpus heights are preserved . abdomen the gallbladder has a hydropic appearance . in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . bilateral adrenal glands were normal and no space-occupying lesion was detected . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the ascending aortic ap diameter is 41 mm and the descending aortic ap diameter is 34 mm larger than normal . it is recommended to be evaluated together with the usg examination . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are peribronchial diffuse minimal thickness increases in both lungs . no active infiltration or mass lesion was detected in both lungs . there are nonspecific nodules of millimeter size some of which are purcalcified in both lungs . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . calibration of the vascular structures heart contour and size are normal as far as can be observed . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no solid-cystic mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window in the left lung upper lobe posterior millimetric nonspecific nodules were observed adjacent to the major fissure . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma consolidations are observed in the lingular segment and lower base of the left lung pneumonic infiltration sliding type hiatus hernia was observed at the lower end of the esophagus . pleural effusion reaching 3 cm on the right and 2 cm on the left was observed in both hemithorax . there are appearances of passive atelectasis in the lungs adjacent to the pleural effusion . airways trachea and main bronchi are open . mediastinum no pathological lymph node was detected in the mediastinum . dilatation was observed in the pulmonary arteries . heart and great vessels there are aortic valve calcifications . there is minimal pericardial effusion . dilatation is observed in the cardiac cavities in favor of the left heart . calcific atheroma plaques are observed in the main vascular structures and coronary arteries and there are stents in the left coronary arteries . osseous structures there are appearances of degenerative osteophytes in the vertebral corpus corners . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mild bronchiectatic changes were observed in both lungs . no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no significant dimensional difference was detected . the consolidated area in the left lung in which mild bronchiectasis is observed is stable . the differential diagnosis of progression or regression cannot be made . a stable nodule measuring 11 mm in the anterior of the right lung lower lobe superior segment in the previous study cannot be detected within the wide consolidation area described above in the current study within the limits of the examination . the defined consolidation area has a distinctly heterogeneous appearance and the accompanying mass lesion cannot be excluded . in the current study there is an increase in budding tree images around the large consolidation area described above in the lower lobe of the right lung . there is a consolidation area in which air bronchograms are observed starting from the right hilar level and extending from the posterior to the upper lobe apical level and from the posterior to the right middle lobe to the peripheral subpleural area causing irregularity in the walls of the pulmonary arteries narrowing the pulmonary arteries . a subpleural nodule which was 3 mm in the previous study was measured as 4 mm in the current study in the laterobasal segment of the lower lobe of the right lung . no significant pleural effusion or pneumothorax was observed in either lung . airways the lesion defined in the mediastinum shows mild compression in the trachea and in the current study there is a significant invasion extending from the level of the right main bronchial structure to the trachea . calibration of the trachea and main bronchi is normal . mediastinum the lesion defined in the mediastinum shows mild compression in the trachea and in the current study there is a significant invasion extending from the level of the right main bronchial structure to the trachea . calcific atheroma plaques are observed in the aortic arch . calibration of the mediastinum and major vascular structures is normal within the limits of the examination in the current study . the described necrotic lymph node extends to the aorticopulmonary window and subcarinal area and no significant difference was found in its extending components . heart and great vessels no relevant findings . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aortic arch . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window mild centrilobular emphysematous changes are observed in both lungs . no nodular or infiltrative lesion was detected in its parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen usg correlation and follow-up is recommended . 2 bilateral adrenal glands are normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . a hypodense lesion 33 mm in size which can hardly be distinguished from the parenchyma is observed in the central location of the right lobe of the liver entering the cross-sectional area . lung parenchyma millimetric nonspecific nodules were observed in both lungs . when examined in the lung parenchyma window in both lungs faintly bordered ground glass opacities are observed in the peribronchial area most prominently in the upper lobe . subpleural fibrotic and air cysts were observed in the anterior upper lobe on the left . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several lymph nodes with hilar fat selected in both axillary . a nodule with a diameter of 4 mm and slight sequelae changes are observed at the level of the minor fissure . when examined in the lung parenchyma window mild sequelae changes are observed at the apical level . in both lungs an increase in calibration in the bronchial structures and thickening of the peribronchial sheath are observed at the central level . a nodule with a diameter of 3 mm in the inferior lingular segment of the left lung and sequelae changes at this level are observed . there is a 5 mm diameter nodule in the subpleural area of the middle lobe . there are subpleural sequelae changes in the anterior segment of the left lung upper lobe . there is a 3 mm diameter subpleural nodule in the lower lobe laterobasal segment of the left lung . a subpleural nodule with a diameter of 3 mm is observed in the superior segment of the lower lobe . no bilateral pleural effusion or pneumothorax was detected . airways in both lungs an increase in calibration in the bronchial structures and thickening of the peribronchial sheath are observed at the central level . mediastinum no pathological size and configuration lymph nodes were detected in the mediastinum . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . abdomen surrounding soft tissue plans are natural . a decrease in density consistent with hepatosteatosis is observed in the liver . lung parenchyma there is a 2 mm diameter nodule in the posterobasal segment . a 3 mm diameter nodule is observed in the upper lobe posterior segment caudal . there was no finding in favor of pneumonia in both lungs . there is a 2 mm diameter nodule in the left lung lower lobe laterobasal segment . when examined in the lung parenchyma window a subpleural 2 mm diameter nodule is observed in the right lung lower lobe laterobasal segment . pleural effusion or pneumothorax is not observed . airways no relevant findings . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . thymic tissue is observed in the anterior mediastinum . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the sections passing through the upper abdomen metallic densities are observed in the gallbladder bed . there are nodular formations in the vicinity of the spleen which are considered compatible with the accessory spleen . it was evaluated as secondary to cholecystectomy . lung parenchyma in the evaluation of both lung parenchyma in the middle lobe of the right lung there is a mass with irregular contours extending from the lung hilus to the peripheral lung parenchyma . there are frosted glass densities around the mass which were also observed in previous . there is suture material in the right lung in which calcifications extending to the middle lobe are also observed . its component is mm and it was mm in the previous review . there are stable nodules smaller than 5 mm which were observed in previous examinations in both lung parenchyma . irregular contoured extensions and parenchymal distortion extending from this massive appearance to the surrounding parenchyma are noteworthy . among these ground glass densities there are subpleural nodules smaller than 5 mm in the lower lobe of the right lung that do not differ significantly in the peripheral lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures in the t12 . vertebra an appearance that may be significant in terms of metastasis is observed in the 5th and 7th ribs on the right and the 5th ribs on the left and defective appearances are observed in the ribs secondary to possible on the right . abdomen according to the previous examination which to the right lobe posterior segment anterior segment and left lobe lateral segment of the liver stable massive calcifications and no obvious pathology were observed in the bilateral adrenal gland . in the non-contrast examination no additional significant pathology was detected in the abdominal ct . lung parenchyma there are several millimetric nonspecific nodules in both lungs . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . central venous catheter is seen on the right . no enlarged lymph nodes in pathological dimensions were detected . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . there are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . there are several millimetric nonspecific nodules in both lungs . there is minimal bronchiectasis and peribronchial thickening in the left lung lower lobe anteromediobasal segment . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . diffuse atheroma plaques were observed in the aorta and coronary arteries . mediastinal structures could not be evaluated optimally because no contrast agent was given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . it is understood that the patient underwent coronary bypass surgery and valve surgery . osseous structures there are osteophytes in the vertebral corpus corners . the neural foramina are open . vertebral corpus heights alignments and densities within the sections are normal . there is degenerative sclerosis in the end plates adjacent to the intervertebral discs . intervertebral disc distances are narrowed . abdomen diffuse atheroma plaques were observed in the aorta and coronary arteries . there is minimal thickening of the left adrenal gland corpus . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes are observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apexes . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar pathological dimensions were detected . on the right the image of the catheter extending to the anterior chest wall the port chamber and the vena cava superior-right atrium junction was observed on the anterior surface of the pectoral muscles . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are frosted glass-style density increments with scattered nodular character in places . thickening is observed in the interlobular septa . lymph node evaluation cannot be performed due to soft tissue densities at the hilar level . there are density increments compatible with sequelae changes in places . a few nodules the largest of which are 5x3 mm in size are observed in the upper lobe posterior segment of the right lung . when examined in the lung parenchyma window in both lungs pleural effusion reaching 15 mm in thickness on the right and 10 mm on the left and adjacent atelectatic lung segments are observed but consolidative areas including air bronchograms extending from the hilar level to the lower lobes along the peribronchial sheath towards the lingular segment on the left are observed . airways no relevant findings . mediastinum mediastinal main vascular structures are normal . although the dimensions of the mediastinum cannot be evaluated clearly in the non-contrast examination there are lymph nodes in the upper paratracheal area with a more dense appearance and locally lymph nodes . there are millimeter-sized lymph nodes . hiatal hernia is observed in the case . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . its catheter is observed at the level of the right atrium appendix . cto is at the maximal physiological limit . osseous structures mild degenerative changes are observed in the bone structure . abdomen the central mesentery is dirty . surrounding soft tissue plans are natural . left adrenal is full . the right adrenal gland locus is normal and no space-occupying lesion was detected . there is a decrease in density consistent with steatosis in the liver entering the cross-sectional area . lung parenchyma when examined in the lung parenchyma window focal nodules of ground-glass density are observed at the level of the lower lobe superior segment in the right lung . although it is not specific for covid-19 pneumonia covid-19 pneumonia is included in the differential diagnosis . the patients clinical and lab . it is appropriate to evaluate it together with its findings . apart from this a sequel calcific nodule is observed in the lateral part of the middle lobe of the right lung . linear subsegmental atelectasis is observed in the medial part of the left lung lower lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . calcific atheroma plaques are observed in the aortic wall . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . calcific atheroma plaques are observed in the aortic wall . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no consolidation was detected . in both lungs parenchymal and mild septal density increases are observed which are more prominent in the basal segments but also observed in the upper lobes . radiological findings may belong to parenchyma however early lung parenchymal findings of atypical interstitial pneumonias in the case examined with the preliminary diagnosis of infection may belong to a similar appearance and cannot be excluded . mild compression atelectasis is observed adjacent to the effusion . no mass or nodular space-occupying lesion was detected in the lung parenchyma . clinical and laboratory follow-up will be appropriate . an effusion with a diameter of 15 cm on the right and 1 cm on the left is observed between the leaves of both pleura . airways trachea both main bronchi lobar and segmental bronchi air passages are open . there are bronchial wall thickness increases in segment bronchi in both lungs and linear atelectasis are observed in both lungs . mediastinum in the non-contrast examination no lymph node was observed in pathological size and appearance that can be distinguished from mediastinal vascular structures . heart and great vessels left ventricular diameter increased . heart size increased . there is pericardial effusion in the form of mild smearing . a central venous catheter is observed . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . in the section no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window loculated effusion was observed in the right hemithorax adjacent to the lower lobe superior and middle lobes . the appearance may also be compatible with atelectasis or pneumonic infiltration during resolution . linear atelectatic changes were observed in the right lung middle lobe medial lower lobe segment and left lung upper lobe inferior lingular segment . millimetric nonspecific parenchymal nodules were observed in both lungs . no mass lesion with distinguishable borders was detected in both lungs . a parenchymal air cyst was observed adjacent to the fissure in the posterior segment of the lower lobe of the right lung . patchy areas of consolidation were observed in the left lung upper lobe inferior lingular and lower lobe anteromediobasal segment mediobasal subsegment and subpleural area . airways a millimetric diverticulum was observed on the right posterolateral side of the trachea in the mediastinal . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal structures cannot be evaluated optimally because contrast material is not given . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . as far as can be seen the anterior-posterior diameter of the ascending aorta was 44 mm and the anterior-posterior diameter of the descending aorta was 32 mm larger than normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures findings consistent with diffuse idiopathic bone hyperostosis were observed at the mid-thoracic level . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections an adenoma of mm in the right adrenal gland corpus and mm in the left adrenal gland was observed . as far as can be seen the anterior-posterior diameter of the ascending aorta was 44 mm and the anterior-posterior diameter of the descending aorta was 32 mm larger than normal . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window slightly patchy ground glass densities are observed at the basal level of the lower lobe of the right lung more prominently in the upper lobe and lower lobe of the left lung and mild bronchiectatic changes are observed at the apical level of the left lung upper lobe . clinical laboratory correlation is recommended for differential diagnosis of other infectious and processes . there are several millimetric subpleural non-specific nodules in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . a change in favor of hepatosteatosis is observed in the liver entering the cross-sectional area . upper abdominal organs included in the sections are normal . lung parenchyma there are a few millimetric nodules in both lungs . no mass or infiltrative lesion is detected in both lungs . there are linear atelectasis in the lower lobe of both lungs the middle lobe of the right lung and the lingular segment of the left lung upper lobe . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are millimetric atheroma plaques in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . the port catheter terminates at the right cava superior junction . there is a short lymphadenopathy measuring 14 mm in diameter adjacent to the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are millimetric atheroma plaques in the aorta . lung parenchyma no pathological size and configured lymph node was detected at the hilar level . there is effusion in the left interlobar fissure . it may be compatible with small vessel disease or small airway disease . when examined in the lung parenchyma window a nodule with a diameter of approximately 5 mm is observed in the anterior segment of the upper lobe of the right lung and a nodule with a diameter of 4 mm in the middle lobe of the right lung . sequelae changes are observed in the lingular segment of the left lung . there is a mosaic attenuation pattern in both lungs . there is a pleural effusion in the right lung that extends from the basal to the upper zone and reaches 35 mm in thickness where it is most prominent . airways no relevant findings . mediastinum in the fatty planes of the anterior mediastinum slight contamination extends to the periphery of the aorta . a clear evaluation cannot be made in the non-contrast examination . calibration of other major vascular structures is natural . if it is necessary to be evaluated together with clinical findings advanced examination with contrast is recommended . the aortic arch calibration was measured as 33 mm . there are lymph nodes in the mediastinum in the upper-lower paratracheal area in the aorticopulmonary window at the prevascular level with the most prominent short axis measuring around 7 mm . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial mild thickening is observed . cto is normal . the slight increase in density in the lumen of the ascending aorta was evaluated as compatible with the aortic graft . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . post-op changes are observed in the sternum . abdomen in the fatty planes of the anterior mediastinum slight contamination extends to the periphery of the aorta . in the evaluation of the upper abdominal organs included in the sections no significant pathology was detected in the non-contrast examinations . a clear evaluation cannot be made in the non-contrast examination . if it is necessary to be evaluated together with clinical findings advanced examination with contrast is recommended . the aortic arch calibration was measured as 33 mm . lung parenchyma in the examination made in the lung parenchyma window metastatic nodules with increased number and size are observed in all segments of both lungs the larger ones measuring mm mm in the previous examination in the right lung lower lobe mediobasal segment and mm 7 mm in the previous examination at the junction level of the right lung upper lobe anterior-posterior segment . right lung middle lobe both lung lower lobe basal segments and left lung inferior lingular segment along the peribronchial area in which air are observed consolidation areas extending from the center to the periphery were observed and it was seen that they appeared recently in the current examination . in the first place it was evaluated in favor of infective processes . post-treatment control is recommended . newly emerged metastases are also observed in the current examination . no left pleural effusion was observed . an effusion with a diameter of 13 mm was observed in the right pleural space . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum although the mediastinal cannot be optimally evaluated in the patient who is not given iv contrast the heart contour size of the main vascular structures in the mediastinum is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the port chamber and the catheter extending from the left internal jugular vein to the superior vena cava were observed on the anterior chest wall on the left . no pathological increase in wall thickness is observed in the thoracic esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels although the mediastinal cannot be optimally evaluated in the patient who is not given iv contrast the heart contour size of the main vascular structures in the mediastinum is normal . pericardial thickening was not detected . minimal pericardial effusion was observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is thought that these appearances may be sequelae changes . when evaluated together with his clinical knowledge infective pathology viral pathology was thought to be appropriate . this appearance may belong to round atelectasis-pneumonia . in the patients examination dated consolidation is observed in the segment and laterobasal segment in the left lung lower lobe and it is understood that this consolidation has decreased significantly and in a small area in the left lung lower lobe laterobasal segment . focal ground glass areas are observed in the right lung upper lobe apical segment and posterior segment . minimal bronchiectasis and minimal peribronchial thickening are observed in the upper and middle lobes of the right lung . in addition consolidations minimal interstitial thickening structural distortion and volume loss are observed in the right lung upper lobe posterior segment and middle lobe especially in the peripheral areas . the described findings can also be observed in the pet-ct examination of the patient and no significant difference was detected . this appearance is absent in the patients previous examination . there are emphysematous changes in both lungs . it is recommended to follow . millimetric nonspecific nodules are observed in both lungs . there is consolidation in the laterobasal segment in the lower lobe of the left lung and in the peripheral subpleural area . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum it is understood that the patient underwent bypass surgery . the diameters of the aortic arch and descending aorta are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . the main pulmonary artery is 42 mm in diameter larger than normal . there are lymph nodes in the mediastinum and hilar regions with short diameters less than 1 cm . atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . the anterior-posterior diameter of the ascending was 46 mm at its widest point and was wider than normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are millimetric osteophytes in the vertebral corpus corners . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . it is understood that the patient underwent bypass surgery . the diameters of the aortic arch and descending aorta are normal . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific and some calcific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma if available it is recommended to evaluate or follow-up the patient with previous ct examinations . since both hilus examinations were without contrast it could not be evaluated optimally . there are minimal emphysematous changes in both lungs . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickness increase was observed . in both lungs some pure calcified nodules some of which are pure calcified are observed in the left the largest in the lower lobe posterobasal segment mm in size with a pleural base and in the right the largest in the middle lobe lateral segment 4 mm in diameter located subpleural . airways trachea both main bronchi are open and no occlusive pathology is detected . there is diffuse mild ectasia and diffuse mild increase in peribronchial thickness in the bronchial structures in both lungs . mediastinum no lymph nodes in pathological size and appearance were observed in both axillary regions and mediastinum . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen as far as it can be seen within the limits of non-contrast ct in the upper abdominal sections within the image a diffuse decrease in liver parenchyma density secondary to was observed . lung parenchyma the described appearances can also be observed in the previous examination of the patient . consolidations with air bronchograms and ground glass areas are observed in the lower lobes of both lungs especially in the posterior parts of the lungs . no mass was detected in both lungs . these appearances were evaluated primarily in favor of sequelae changes . there are emphysematous changes in both lungs . when these appearances were evaluated together with their clinical information it was primarily thought to be pneumonic infiltration . in the left lung upper lobe apicoposterior segment interlobular septal and thickenings and cystic areas are observed in the subpleural areas . there is also minimal pleural effusion on the right . airways trachea and both main bronchi are normal . there is no obstructive pathology in the trachea and both main bronchi . mediastinum there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . aorta diameter is normal . the main pulmonary artery diameter was 30 mm and wider than normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels pericardial effusion was not detected . heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there is a minimal hypodense appearance measuring approximately 30 mm in diameter in the anterior of the stomach just to the right of the midline in the epigastric region . when the patients previous examinations were examined it was understood that this appearance was a hematoma and a significant reduction in size was observed . aorta diameter is normal . no upper abdominal free fluid was observed in the sections . lung parenchyma there are emphysematous changes that are more evident in the upper lobes of both lungs . an area of increase in density consistent with linear atelectasis was observed in the medial segment of the left lung middle lobe . in the examination made in the lung parenchyma window there is diffuse mild ectasia in the bronchial structures and diffuse minimal thickness increase in the peribronchial in both lungs . millimetrically sized nonspecific nodules were observed in both lungs . no pericardial effusion pleural effusion or increased thickness was detected . airways trachea and both main bronchi are open no occlusive pathology is detected . in the examination made in the lung parenchyma window there is diffuse mild ectasia in the bronchial structures and diffuse minimal thickness increase in the peribronchial in both lungs . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . in the mediastinum no lymph nodes in pathological size and appearance were observed in both axillary regions . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels millimetric-sized calcific atheroma plaques were observed on the walls of the coronary vascular structures . calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window linear atelectesis was observed in the right lung middle lobe medial left lung upper lobe inferior lingular and both lung lower lobe posterobasal-laterobasal segments . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaque is observed in the wall of the abdominal aorta . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . lad calcific atheroma plaques are observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen an accessory spleen with a diameter of 1 cm was observed in the medial of the lower pole of the spleen . calcific atheroma plaque is observed in the wall of the abdominal aorta . bilateral adrenal glands were normal and no space-occupying lesion was detected . a stone with a diameter of 65 mm was observed in the middle part of the right kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it was also present in the previous examination and no difference was detected . there are slight aeration differences in the lung parenchyma from place to place . a nonspecific pulmonary nodule with a diameter of 2 mm was observed adjacent to the fissure in the superior segment of the lower lobe of the right lung . apart from this no mass lesion-active infiltration was detected in both lungs . in the evaluation of lung parenchyma structures mild bronchial wall thickness increases are observed in both lung segment bronchi . bilateral pleural effusion-thickening was not observed . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels heart size increased . pericardial effusion with a diameter of 7 mm was observed in the vicinity of the left ventricle between the pericardial leaves . osseous structures in bone structures no space-occupying lesion in lytic-sclerotic structure was observed within the borders of ct . no lymph node was observed in pathological size and appearance in both axilla and supraclavicular fossa . abdomen perihepatic perisplenic minimal intra-abdominal free fluid was observed . no additional pathology was observed in the upper abdominal sections . spleen size increased . lung parenchyma there are minimal pleuroparenchymal sequelae changes in both lung apexes . no mass and infiltrative lesion were detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . it is recommended that the patient be evaluated together with previous examinations . there is a parapelvic hypodense lesion measuring approximately 32 mm in diameter in the middle part of the right kidney . although the described lesion could not be characterized in this examination it was thought to be a cyst when evaluated together with its density . there is a stone with a diameter of 5 mm in the middle part of the right kidney . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window millimetric ground glass nodular density increases are observed in the posterobasal region of both lower lobes of the lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . parenchymal aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures there are milimetric nodules and mild degeneration in the of the vertebral corpuscles . no lytic-destructive lesion was detected in bone structures . abdomen the oval-shaped finding was evaluated in favor of a cyst in the attenuation of the fluid the size of which was measured as 25 mm in the lower zone of the left kidney . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma the outlook is significant in terms of interstitial lung diseases and lung diseases to pulmonary fibrosis . no active infiltration consolidation or space-occupying lesion was observed . in addition emphysematous changes are observed in the apical segments of the lung . retraction towards the fibrotic area was noted in the pleural area . when examined in the lung parenchyma window in both lungs subpleural interlobular septal thickness increases and sometimes honeycomb appearances are observed which includes all lobes and is more domit in the lower lobe basal segments . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the coronary arteries and aorta . the evaluation of mediastinal vascular structures is suboptimal as the examination is unenhanced but it has a natural appearance . the diameter of the ascending aorta and thoracic aorta has increased . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no pericardial effusion or thickening was observed . heart contour size is normal . osseous structures osteophytic tapering compatible with degeneration in the bone structures in the study area and a previous fracture appearance that causes more than 50 height loss in the vertebral corpus where cannot be made are observed . abdomen calcific atheroma plaques are observed in the coronary arteries and aorta . the abdominal organs in the study area have a natural appearance . the diameter of the ascending aorta and thoracic aorta has increased . lung parenchyma no active infiltration or mass lesion was detected in both lungs . diffuse thickness increase was observed in the interlobular septa in both lungs . mosaic attenuation pattern is observed in both lungs . in the left lung there are nodules of stable size and appearance in millimetric dimensions which were also observed in the previous ct examination . there are peribronchial thickness increases especially in the lower lobes of both lungs . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are lymph nodes in the mediastinum the largest of which is mm in size at the subcarinal level . there is an increase in pulmonary trunk calibration . calcified atheroma plaques were observed in the coronary arteries and the wall of the thoracic aorta . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end . heart and great vessels heart size increased . it was evaluated as secondary to cardiac pathology . mitral valve replacement is available . atrial diameter increase is observed . calcified atheroma plaques were observed in the coronary arteries and the wall of the thoracic aorta . osseous structures degenerative changes were observed in the bone structures within the image . there are increases in reticular density secondary to osteopenia in the vertebral bodies . abdomen in the upper abdominal sections within the image an irregular appearance was observed in the liver contour . no intraabdominal free fluid loculated collection was detected . it is recommended to be evaluated together with clinical and laboratory findings . it was evaluated in favor of chronic liver parenchymal disease . calcified atheroma plaques were observed in the coronary arteries and the wall of the thoracic aorta . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be seen soft tissue density was observed in the anterior mediastinum without mass effect which may belong to the remt thymus tissue . calibration of mediastinal major vascular structures is natural . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the upper abdominal sections that entered the examination area . lung parenchyma a well-circumscribed thin-walled air cyst of mm is observed in the posterobasal segment of the lower lobe of the right lung . there are sequela parenchymal changes in bilateral lung lower lobe posterobasal segment left lung upper lobe inferior lingular segment and right lung middle lobe medial segment . there are emphysematous changes in both lungs . several nonspecific nodules are observed in both lungs the largest of which is 4 mm in the anterior segment of the left lung upper lobe . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum lymph nodes forming conglomeration in both axillary regions and in the supraclavicular fossa cannot be clearly distinguished from each other . there are also paraaortic and interaortocaval lymphadenopathies . mediastinal vascular structures and cardiac examination are not optimally evaluated due to the lack of iv contrast and the calibration of the vascular structures the contour and size of the heart are natural . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination are not optimally evaluated due to the lack of iv contrast and the calibration of the vascular structures the contour and size of the heart are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image and vertebral corpus heights were preserved . abdomen the craniocaudal size of the spleen was measured as mm and increased . there are also paraaortic and interaortocaval lymphadenopathies . lung parenchyma in both lungs there are peripheral and centrally located ground-glass appearances and interlobular septal thickenings accompanying ground-glass appearances . the described findings were evaluated in favor of covid-19 pneumonia . no mass was detected in both lungs . there are enlarged vascular structures in the ground glass areas . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma pathological size and configuration of lymph nodes were not detected in both hilar levels . consolidative areas previously observed in the lingular segment and adjacent ground glass-like density increases were not detected in the current examination . a small bleb appearance is observed at the dorsal subpleural level of the superior segment of the left lung upper lobe . airways when examined in the lung parenchyma window in the proximal part of the trachea a density that may be compatible with the mucus is observed on the left wall . in general the calibration of the trachea and main bronchi is normal . mediastinum calibration of mediastinal major vascular structures is natural . millimetric sized lymph nodes are observed in the mediastinum . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen in the uncontrasted sections passing through the upper abdomen included in the sections a millimeter-sized nodular density compatible with the accessory spleen is observed in the anterior of the spleen . lung parenchyma there are also emphysematous changes in both lungs . no pathological size and configuration of lymph nodes were detected at both hilar levels . in both lungs there is a thickening of the peribronchial sheath and mild bronchiectasis more prominent in the central and basal areas . pleuroparenchymal sequelae changes are observed in the inferior lingular segment . in the evaluation of the lung parenchyma window mild sequelae changes are observed at the apical level on the left . there is a subpleural 4 mm diameter nodule in the posterior segment of the right lung upper lobe . bilateral pleural effusion pneumothorax was not detected . airways no relevant findings . mediastinum several lymph nodes are observed in the mediastinum the largest of which is 11x8 mm in the right paratracheal area . arch aortic calibration is 29 mm it is in the maximal physiological limit . calibration of other major vascular structures is natural . hiatal hernia is observed in the case . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . arch aortic calibration is 29 mm it is in the maximal physiological limit . in the sections passing through the upper abdomen mild steatosis appearance is observed in the liver . lung parenchyma there are several millimetric nonspecific nodules in both lungs . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window nodular patchy ground-glass densities with vascular enlargement and crazy paving pattern were observed more common in the upper lobes peripherally located in the upper lobes of both lungs in the upper lobe and lower lobe superior segments . linear atelectasis which also causes slight volume loss were observed in the left lung lingular segment and in the lower lobe basal segments of both lungs on the right . apart from this no mass lesion with distinguishable borders was detected in both lungs . airways trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen . mediastinum as far as can be seen the anterior-posterior diameter of the ascending aorta was 48 mm and the anterior-posterior diameter of the descending aorta was 38 mm larger than normal . the mediastinum could not be evaluated optimally in the non-contrast examination . the pulmonary trunk is larger than normal with a diameter of 33 mm . an appearance compatible with the graft was observed in the wall of the abdominal aorta at the infrarenal level . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures surgical suture materials secondary to previous bypass surgery in the sternum were observed . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a 14 mm diameter hypodense nodular lesion was observed in the left kidney mid-section lateral cyst . as far as can be seen the anterior-posterior diameter of the ascending aorta was 48 mm and the anterior-posterior diameter of the descending aorta was 38 mm larger than normal . it is recommended to evaluate with usg in terms of . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . an appearance compatible with the graft was observed in the wall of the abdominal aorta at the infrarenal level . liver spleen pancreas both adrenal glands and both kidneys are normal . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . no intraabdominal free-loculated fluid was detected . there is a suspicious hyperdense appearance that gives leveling in the gallbladder lumen . lung parenchyma it is recommended to compare and follow-up with the previous examination if any . when examined in the lung parenchyma window mild parenchymal sequelae and millimetric nonspecific nodules are observed in the left lung upper lobe apicoposterior . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window multiple subpleural ground-glass densities are present in both lung parenchyma . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . the bone structures in the examination area are normal . abdomen in the upper abdominal organs included in the sections a 4 mm hypodense lesion was observed in the liver segment 8 cyst . lung parenchyma no mass infiltration was detected in both lung parenchyma . right upper-bilateral lower paratracheal aortopulmonary lymph nodes in millimetric size are observed . several nonspecific nodules with a diameter of 25 mm are observed in the anterior segment of the right lung upper lobe . in the evaluation of both lung parenchyma pleuroparenchymal sequelae are observed in the apex of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic destructive lesion was observed in the bones . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma minimal thickening is observed in the central parts of both lungs and peribronchial . there are several millimetric nonspecific nodules in both lungs . there is subsegmental atelectasis in the left lung upper lobe anterior segment medial and right lung middle lobe . in addition sometimes linear atelectasis is observed in both lungs . no infiltrative lesion was detected in both lungs . pleuroparenchymal sequelae changes are observed in both lungs most prominently in the apicoposterior segment of the upper lobe of the left lung . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . since the lesion was not given a contrast agent the margin of the lesion could not be clearly evaluated but it was measured approximately 31 mm in its widest part series 2 section 130 . as far as can be observed in the aorticopulmonary window a soft tissue density lesion with minimal narrowing and infiltrative character is observed in the aorticopulmonary window the borders of which cannot be distinguished from the left pulmonary artery aortic arch and left main bronchus and surrounds the left upper lobe bronchi of the left lung . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph node was detected . heart and great vessels heart contour and size are normal . osseous structures the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . the height loss is about 25 . the height loss described in the vertebra was revealed in this examination . vertebral posterior elements are normal . apart from this vertebral corpus heights are normal . contour is not observed in the posterior of the vertebral corpus . compression and loss of height are observed in t6 vertebra superior end plate . vertebral anteroposterior diameter is normal . it was evaluated in favor of benign compression . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . as far as can be observed in the aorticopulmonary window a soft tissue density lesion with minimal narrowing and infiltrative character is observed in the aorticopulmonary window the borders of which cannot be distinguished from the left pulmonary artery aortic arch and left main bronchus and surrounds the left upper lobe bronchi of the left lung . calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window 15 mm diameter nonspecific pleural nodule was observed in the middle lobe of the right lung . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen in the sections the upper abdominal organs are normal . diffuse thickening was observed in the medial crus of the left adrenal gland . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a focal ground-glass-like density increase in the anterior segment of the left lung upper lobe adjacent to the aortic arch . fibroatelectatic linear density increases are observed in the posterobasal segment . fibroatelectatic linear density increases are observed in the posterobasal segment of the lower lobe of the right lung . again there is a ground glass-like density increase in the inferior lingular segment . a calcific nodule of approximately 7x4 mm which was also observed in the previous examination is observed in the apicoposterior segment caudal of the upper lobe of the right lung . peribronchovascular sheath thickening is observed at the central level and in the lower zone of the left lung . no pathological size and configuration of lymph nodes were detected at both hilar levels . there are focal ground-glass-like density increases in the upper lobe anterior and posterior segments of the right lung . it was not detected in the previous examination . in the posterobasal segment of the lower lobe of the right lung an atelectatic lung segment is observed adjacent to the pleural effusion the thickness of which reaches 19 mm . airways when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum pulmonary trunk calibration is normal with 25 mm . there is a focal ground-glass-like density increase in the anterior segment of the left lung upper lobe adjacent to the aortic arch . the aortic arch was calibrated at 30 mm and was wider than normal . a solid well-circumscribed nodular lesion measuring mm is observed at the retrosternal level in the anterior mediastinum of the pulmonary trunk and anterior to the ascending aorta . cto is normal . calcific atheroma plaques are observed in the descending aorta in the coronary arteries in the right subclavian artery in the aortic arch . minimal reduction in size is observed mediastinal . it was measured as mm in his previous examination . millimetric sized lymph nodes are observed in the mediastinum . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the descending aorta in the coronary arteries in the right subclavian artery in the aortic arch . a solid well-circumscribed nodular lesion measuring mm is observed at the retrosternal level in the anterior mediastinum of the pulmonary trunk and anterior to the ascending aorta . osseous structures irregularity and hypodense areas are observed in the cortex which is considered compatible with bone involvement in rib structures on both sides . degenerative changes are observed in the bone structure . again there are occasional appearances secondary to the old fracture . solid nodular formations with an ap size of 18 and 17 mm are observed in the 7th rib neighborhood on the right and they are evident according to the previous examination considered to be compatible with . abdomen two nodular densities the largest of which is approximately 13 mm in diameter are lung parenchyma when examined in the lung parenchyma window dependent atelectasis fibrotic sequelae are present in the basal segments of the lower lobes of both lungs the left lung upper lobe the inferior lingula and the right lung middle lobe . at the basal level of the lower lobe of the right lung in series 2 image there is a finding consistent with a bulla measuring 20 mm in size . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum mediastinal hilar axillary supraclavicular short axis measured up to 10 mm showing a tendency to confluence with each other and suboptimal lymphadenopathies were observed . a venous catheter is observed in the superior vena cava . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . a degenerative change which does not differ is observed in the central part of the 6th vertebral body . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window . both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . nodules with a diameter of 5 mm in the subpleural and 4 mm in the lower lobe are observed in the middle lobe of the right lung serial 2 image . airways trachea both main bronchi are open . mediastinum no significant tumoral wall thickening was detected . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . there are calcific atheromatous plaques in the thoracic aorta and stent materials in the coronary arteries . thoracic esophagus calibration was normal . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures diffuse density reduction is present in the bone structures in the study area and hypertrophic osteophytic tapering in the vertebral corpus endplates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no significant tumoral wall thickening was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . there are calcific atheromatous plaques in the thoracic aorta and stent materials in the coronary arteries . lung parenchyma bronchiectasis thickening of the bronchial walls and band atelectasis are observed in the lower lobes and middle parts of both lung parenchyma . there is bilateral pleural effusion measuring 28 mm on the right and 14 mm on the left . airways there are prominences in the central bronchovascular structures . mediastinum as far as no filling defect was detected in the pulmonary arteries that could be compatible with thrombus . pulmonary trunk right pulmonary artery is ectatic 35 and 30 mm respectively . calcific atheroma plaques are observed in the aorta and coronary arteries . heart and great vessels pericardial effusion with a diameter of 28 mm is observed in its widest part . the heart is larger than normal . osseous structures there are extensive osteophyte formations in the vertebrae . abdomen calcific atheroma plaques are observed in the aorta and coronary arteries . the review is therefore suboptimal . perihepatic perisplenic free fluid is observed in the upper abdominal sections . lung parenchyma in the background of interstitial lung disease there are more prominent ground-glass appearances interlobular septal thickening and peribronchial thickness increases in the lower lobe basals of both lungs . when the lung parenchyma window is examined emphysematous changes are observed in both lungs . findings are consistent with honeycomb appearance and interstitial disease . however it is observed that a completely solid metastatic mass in the lingular segment of the left lung has a cavitary appearance . the described appearances were also present in the previous examination of the patient and no difference was found in the appearance . there is a consolidated view with air bronchograms in the upper lobe of the left lung apicoposterior segment and the upper lobe of the right lung in the superior segment . the findings were evaluated in favor of atypical pneumonia in the background of the interstitial lung and correlation with clinical and laboratory is recommended . in both lungs more prominent interlobular septal thickening interstitial thickening and multiple cysts are observed especially in the peripheral subpleural areas more prominent in the lower lobe basal segments . in the previous examination effusion in the right pleural space was not observed and it has recently emerged in the current examination . bilateral pleural effusion is observed . airways trachea and both main a bronchi are open . no obstructive pathology was detected . mediastinum calibration of mediastinal major vascular structures is natural . prevascular upper-lower paratracheal aortopulmonary hilar multiple lymph nodes the largest of which was 15x10 mm some reaching pathological dimensions were observed . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels there is minimal pericardial effusion . pericardial thickening was not detected . heart contour and size are normal . osseous structures vertebral corpus heights are natural within the sections . abdomen contour and size of the liver are normal as far as can be seen on non-contrast sections . two kidney stones were not observed in the sections . spleen pancreas both adrenal glands are normal . lung parenchyma sequelae changes are observed in the posterior segment of the upper lobe and are also present in the previous examination . prominence in the peribronchovascular sheath and mild bronchiectasis are observed especially in the lower zones . in the lower lobe posterobasal segment of the left lung interstitial scars are evident and ground-glass density increases accompanied by a faint bud branch appearance are observed which are more pronounced than in the previous examination . there are sequelae changes at this level . no pathological size and configuration of lymph nodes were detected at both hilar levels . sequelae changes are observed in the lingular segment of the left lung . a 2 mm diameter calcific nodule is observed in the area in the anterior segment of the right lung upper lobe . airways lumens are clear . prominence in the peribronchovascular sheath and mild bronchiectasis are observed especially in the lower zones . in the evaluation of the parenchymal window of both lungs the calibration of the trachea and main bronchi is normal . mediastinum according to the previous examination although there is a slight increase in size they are within normal limits . when the calibration of the mediastinal main vascular structures was evaluated the calibration of the aortic arch was 29 mm . calibration of other major vascular structures is natural . lymph nodes with a short axis not exceeding 1 cm are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum . cto is normal . the aortic arch is at the maximal physiological limit . millimetric-sized calcific atheroma plaques are observed in the coronary arteries of the descending aorta in the main branches of the aortic arch . heart and great vessels millimetric-sized calcific atheroma plaques are observed in the coronary arteries of the descending aorta in the main branches of the aortic arch . osseous structures degenerative changes are observed in the bone structure . abdomen according to the previous examination although there is a slight increase in size they are within normal limits . when the calibration of the mediastinal main vascular structures was evaluated the calibration of the aortic arch was 29 mm . calibration of other major vascular structures is natural . in sections passing through the upper abdomen the ap size of the spleen is 130 mm and is larger than normal . cto is normal . cysts with a diameter of approximately 39 mm are observed in the right kidney . the aortic arch is at the maximal physiological limit . millimetric-sized calcific atheroma plaques are observed in the coronary arteries of the descending aorta in the main branches of the aortic arch . lung parenchyma no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are nonspecific nodules in both lungs measuring 4 mm in diameter the largest in the left lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no metastatic mass was observed in the bone structures within the sections . abdomen it was primarily considered that this appearance was a normal finding in the patient who was known to have undergone surgery . no upper abdominal free fluid-collection was detected in the sections . upper abdominal diffuse free air was observed in the sections . however it is recommended that the patient be evaluated together with the physical examination findings . lung parenchyma there are diffuse ground-glass appearances and consolidations and interlobular septal thickenings accompanying ground-glass appearances in both lungs . when the patient was evaluated together with his previous examinations it was understood that the described findings were related to covid-19 pneumonia . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window there are minimal bronchiectasis at the central level in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures osteophytes extending anteriorly are observed in the vertebrae . a slight increase in kyphosis is observed in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma subsegmental atelectasis areas were observed in the residual right middle lobe of the lung . there are bronchiectatic changes in both lungs . subsegmental atelectasis areas in the inferior lingular segment of the left lung are noteworthy . in the current examination no lesion that can be evaluated in favor of cyst was detected . a few millimetric nonspecific pulmonary nodules were observed in both lungs . when both lung parenchyma windows are evaluated post-op changes in the lower lobe and post-op suture materials in the lower lobe bronchi were observed in the patient with a history of right lung lower lobectomy . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mri is recommended to thymic hyperplasia and remt thymus . no lymph node was detected in mediastinal pathological size and appearance . soft tissue was observed in the anterior mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination . heart and great vessels pericardial effusion-thickening was not observed . heart contour and size are natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen the of the colon loops between the liver and the diaphragm is observed in the upper abdominal sections in the examination area syndrome . accessory spleen with a diameter of 13 mm was observed at the level of the splenic hilum . lung parenchyma no active infiltration consolidation was detected in both lungs . linear subsegmental atelectasis is observed in the lower lobes of both lungs . emphysematous changes and thin-walled air cysts which are more prominent especially in the apical segments of the bilateral lungs are observed . when examined in the lung parenchyma window ventilation of both lungs is normal . pericardial-pleural effusion-thickening was not observed . airways there are minimal peribronchial thickness increases . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels mediastinal main vascular structures heart contour size are normal . osseous structures diffuse degenerative changes are observed in the bones . abdomen thoracic aorta diameter is normal . other upper abdominal organs included in the sections are normal . a hypodense appearance which may be compatible with a cyst in the left kidney is observed in the upper abdomen which is included in the examination and us examination is recommended if necessary . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma pleuroparenchymal sequelae density increases with calcification were observed in the left lung lower lobe superior segment . when both lungs are evaluated in the parenchyma window a calcified nonspecific parenchymal nodule with a diameter of 35 mm was observed at the fissure level in the anterobasal segment of the lower lobe of the right lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum minimal calcified atherosclerotic changes were observed in the wall of the abdominal aorta . a few calcified lymph nodes were observed in the upper-lower paratracheal area of the mediastinum the largest of which was 7 mm in the short axis . as far as can be observed minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta the wall of the abdominal artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen minimal calcified atherosclerotic changes were observed in the wall of the abdominal aorta . millimetric size parenchymal was observed in the spleen . as far as can be observed minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta the wall of the abdominal artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density is diffusely decreased in line with fatty deposits . lung parenchyma it is stable . in lung parenchyma evaluation 8 mm diameter ground glass nodule is observed in the apical segment of the upper lobe of the right lung . no pneumonic infiltration was detected in the lung parenchyma . no solid mass or nodular lesion was observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen the dimensions of the nodular lesion are stable in the fat density evaluated in favor of adenoma in the right adrenal gland . apart from this no features were detected in the upper abdominal sections . lung parenchyma in the evaluation of both lung parenchyma no nodule infiltration was detected in both lung parenchyma . subpleural nodules with a diameter of 45 mm in the right lung lower lobe laterobasal segment 47 mm in diameter in the left lung lower lobe posterobasal segment 35 mm in diameter in the left lung lower lobe laterobasal segment and 25 mm in diameter in the left lung superior lingular segment some of them subpleural are observed . pleural effusion-thickening was not observed in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic destructive lesion was observed in the bones . abdomen bilateral adrenal glands appear natural . no additional obvious pathology was detected in non-contrast abdominal ct scans . in sections passing through the upper part of the west a millimetric point calculus is observed in the gallbladder . lung parenchyma when examined in the lung parenchyma window linear atelectatic changes were observed in the left lung upper lobe inferior segment . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are partially included in the study . a small accessory spleen with a size of 10 mm is observed in the spleen hilum . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal emphysematous changes and occasional linear atelectasis in both lungs . the described findings involve only a few of the lobes . round-shaped ground-glass appearances were observed in the peripheral regions of both lungs . no mass was detected in both lungs . during the pandemic process these findings were evaluated in favor of covid-19 pneumonia . pleuroparenchymal sequelae changes were observed in both lung apex . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no relevant findings . abdomen there are atheromatous plaques in the aorta and coronary arteries . in the parenchyma density of the liver a decrease in density consistent with advanced fat was observed . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . there is a stable nodule with a diameter of 3 mm at the laterobasal level of the lower lobe of the right lung . there is a ground glass density increase secondary to osteophytic changes at the mediobasal level . sequelae changes are observed in the inferior lingular segment . there are sequelae changes at the posterobasal level . it is also observed in his previous review . a 3 mm diameter nodule is observed at the posterobasal level . ground glass-like density increments observed in the previous review were not detected in the current review . there is a 2 mm diameter nodule superposed on the fissure on the right . at the apical level there are mild sequelae changes in both lungs and a mild emphysema appearance . a 2 mm diameter nodule is observed in the anterior segment of the right lung upper lobe . significant pleural effusion and pneumothorax were not detected in both lungs . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum calibration of major vascular structures in the mediastinum is generally normal . however the calibration in the aortic arch is 32 mm . it is wider than normal . there are millimeter-sized lymph nodes . calcific atheroma plaques are observed . there is an increase in heterogeneous density in the distal segments that partially enter the image around the aorta . abdominal aorta calibration is natural . no pathological size and configured lymph node was detected in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . calibration of other vascular structures is natural . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen the central mesentery is dirty . it is wider than normal . however the calibration in the aortic arch is 32 mm . surrounding soft tissue plans are natural . grade ectasia and the upper end of the double catheter are observed in the right kidney . calcific atheroma plaques are observed . a nodular formation with a diameter of approximately 9 mm is observed in the adrenal genus . there is a decrease in density consistent with in the liver in the sections that through the upper abdomen including the sections . there is an increase in heterogeneous density in the distal segments that partially enter the image around the aorta . abdominal aorta calibration is natural . lung parenchyma however it may be compatible with pneumonia or viral pneumonia in the clinical preliminary diagnosis . minimal ground-glass appearances and interlobular septal thickenings are observed in both lungs especially in the upper lobes . these findings are nonspecific . no mass was detected in both lungs . in addition there are millimetric centriacinar nodules in small areas in both lungs . the described findings were not present in the previous examination of the patient . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no enlarged lymph nodes in pathological size and appearance . no pathologically enlarged lymph nodes were observed . there are millimetric lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there is also sclerosis in the l1 vertebral body . apart from these no lytic-destructive lesion or sclerotic bone lesion was observed in the bone structures within the sections . there are no lytic-destructive lesions in the bone structures within the sections . mixed lytic-sclerotic bone lesion is observed in the sternium . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma the outlook is in favor of viral pneumonia . similar appearances are observed in covid-19 pneumonia . when examined in the lung parenchyma window widespread and patchy ground-glass consolidation areas are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal organs including sections a stone that does not cause dilatation of the collecting system is observed in the right kidney . lung parenchyma in addition atelectasis which was also observed in the previous examination increased significantly in the left lung . except for atelectasis and atelectasis observed in the left lung the interstitial septa observed in the lung parenchyma are more prominent and the foci in which they are observed in alveolar ground glass density have recently developed . also available in previous review . the left lung has a near-total atelectasis appearance except for a small lung parenchyma in the anterior upper lobe and lingular segment of the left lung . according to the previous examination patchy central consolidations are observed in the upper and lower lobes of the right lung which are significantly increased . in the previous examination bilateral pleural effusions with a diameter of 3 cm in the thickest part and 3 cm in the left are observed . atelectasis is observed adjacent to the pleural effusion in the right lung . airways nasogastric tube is observed . tracheal tube is available . mediastinum a central venous catheter is observed . in non-contrast examination right upper and lower paratracheal lymph nodes with narrow diameters less than 1 cm which can be distinguished in the mediastinum are observed . heart and great vessels the cardiothoracic index increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in the bones . abdomen no significant pathology was observed in bilateral adrenal localizations . pulmonary edema liver size increased in sections passing through the upper abdomen . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . mild sequelae changes are observed at the apical level . pleural effusion-thickening was not detected . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum there are no pathologically sized and configured lymph nodes in the mediastinum and hilar level . calibration of major vascular structures in the mediastinum is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures mild degenerative changes are observed in the bone structure . abdomen other upper abdominal organs included in the sections are normal . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . the spleen entering the examination area has a full appearance . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels as far as can be observed mediastinal main vascular structures heart contour size is normal . pericardial effusion-thickening is not observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma bilateral millimetric nonspecific nodules are observed . no infiltrative lesion was detected in the lung parenchyma of both lungs . when examined in the lung parenchyma window emphysema is present in both lungs especially in the upper lobes . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there are millimetric lymph nodes at both hilar levels . when examined in the parenchyma window of both lungs both hemithorax are symmetrical . pleuroparenchymal sequelae and thickening of the peribronchial sheath are observed in the middle lobe of the right lung . focal consolidation appearances are observed in the superior segments of the lower lobes of both lungs . there is light fluid at the level of the interlobar fissure on the right . emphysematous changes are observed . at the basal level of the lower lobe branches with buds and pleuroparenchymal density increments are observed . sequelae changes are observed in the lingular segment of the left lung . there is a pleural effusion with a thickness of 15 mm on the right and 10 mm on the left in areas extending from the basal to the upper lobe in both pleural distances . airways it significantly the trachea and esophagus to the right . the trachea and esophagus appear to be displaced to the right and partially compressed due to the nodular lesions and increase in size of the changes described in the thyroid gland . there are thickenings of the peribronchial sheath . mediastinum in the case there are lymph nodes in the area the largest of which is mm in size . the thyroid gland extends into the thorax to the level of the aortic arch . multiple lymph nodes are observed in the aorticopulmonary window in the paratracheal areas in the mediastinum and the largest lymph nodes are mm in size . calibration of the main mediastinal vascular structures is natural . it significantly the trachea and esophagus to the right . the trachea and esophagus appear to be displaced to the right and partially compressed due to the nodular lesions and increase in size of the changes described in the thyroid gland . heart and great vessels in the case both atria are dilated . cto increased in favor of the heart . there are calcific densities at the level of the mitral valve . osseous structures degenerative changes in bone structure are evident in osteoporosis and dorsal kyphosis . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a density compatible with millimetric cholelithiasis is observed at the level of the gallbladder corpus . the thyroid gland extends into the thorax to the level of the aortic arch . there is contamination in the central mesentery . lung parenchyma when examined in the lung parenchyma window a millimetric nonspecific nodule is observed in the anterior segment of the lower lobe of the right lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma apart from this there are bronchiectatic changes and fibrotic band formations that cause structural distension . when examined in the lung parenchyma window widespread interlobar and interlobular septal thickness increases and fibrotic densities are observed in the apical segments of both lungs in the middle lobe of the right lung and in the lower lobe superior segment of the left lung . apart from this scattered ground glass densities are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . calibration of other mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures degenerative changes were observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . no feature was detected in the sections passing through the upper abdomen . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mild atelectatic changes in the left lung upper lobe inferior lingula are observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma widespread consolidative areas are observed in both lungs . a mild paraseptal emphysema appearance is observed in the upper lobe . in the right lung pneumothorax and thoracic tube are observed in the neighborhood of the upper and middle lobes . there is a pleural effusion that extends from the baseline to the apex in the left pleural distance reaching approximately 50 mm in its thickest part and was observed as 20 mm in the previous examination . there is a smear-like effusion in the right pleural space which was also observed in the previous examination . airways density compatible with possible mucus impaction is observed in the trachea . when examined in the lung parenchyma window calibration of trachea and main bronchi is natural . mediastinum both pulmonary artery calibrations are normal . in the evaluation of mediastinal main vascular structures the pulmonary trunk is at the maximal border . calibration of the aortic arch and other mediastinal major vascular structures is natural . multiple lymph nodes are observed in the window at the prevascular level in the paratracheal area in the mediastinum the largest of which was measured at the prevascular level and 14x9 mm in size . a catheter appearance is observed in the superior vena cava . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto increased in favor of the heart . osseous structures degenerative changes are observed in the bone structure . abdomen transplanted liver appearance is observed in the upper abdomen . the spleen is larger than normal . calibration of the aortic arch and other mediastinal major vascular structures is natural . both adrenal glands are normal . as far as the pancreas can be observed it is natural . gallbladder was not observed in the lodge . intense is observed in the spleen hilum . again consolidation areas are not followed in the previous review . the central mesentery is slightly soiled . the view of the catheter extending from the line to the central mesentery is observed . lung parenchyma no active infiltration or mass lesion was detected in both lungs . no newly developed pathology was detected . structural distortion adjacent to the right lung upper lobe apical segment and a stable lesion measuring approximately 13x10 mm in size and evaluated in favor of sequela fibrotic nodular formation accompanied by volume loss were observed . there are sequela parenchymal changes in both lung parenchyma more prominent on the right . there are minimal emphysematous changes in both lungs . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum calibration of mediastinal vascular structures heart contour and size are normal as far as can be observed . in the mediastinum no lymph nodes were observed in pathological size and appearance in both axillary regions . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of mediastinal vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window centrilobular paraseptal diffuse emphysematous changes are observed in both lungs . a few millimetric nonspecific nodules are observed in the middle lobe of the right lung . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma atelectatic changes were observed in both lungs more prominent in the left and the left lung volume was slightly decreased . when examined in the lung parenchyma window in the bilateral hemithorax an effusion extending to both major fissures and locating on the right was observed . interlobular septal thickening and ground glass areas were observed in both lungs . the outlook was evaluated in favor of pulmonary overload findings secondary to heart failure . there are subsegmental atelectatic changes in the lung areas adjacent to the effusion in the posterobasal segments of the lower lobes of both lungs . calcified pleural plaques were observed in the left hemithorax . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum changes are observed in the walls of the thoracic aorta and coronary arteries . calibration of mediastinal major vascular structures is natural . there are incision scars in the anterior thoracic wall changes in the sternum and anterior mediastinum secondary to previous bypass surgery . no pathological lymph node was detected . prevascular right upper-lower paratracheal subcarinal aortopulmonary lymph nodes measuring 10 mm were observed in the short axis of the largest . mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . changes are observed in the walls of the thoracic aorta and coronary arteries . osseous structures there are bridging syndesmophytes on the anterior surfaces of the vertebrae at the middle and lower thoracic levels . mild rotoscoliosis was observed at the thoracic level and vertebral corpus heights were normal . there are incision scars in the anterior thoracic wall changes in the sternum and anterior mediastinum secondary to previous bypass surgery . abdomen changes are observed in the walls of the thoracic aorta and coronary arteries . no lymph node was detected in intraabdominal and bilateral inguinal pathological size and appearance . liver gallbladder spleen pancreas and both adrenal glands are normal as far as can be seen on non-contrast images . no intraabdominal free-loculated fluid was detected . a stone with a diameter of mm was observed in the lower pole calyces of the left kidney . no stone was observed in the right kidney . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma it was mm in the previous examination . when examined in the lung parenchyma window in the previous examination the size of the mass lesion with irregular contours which was most evident in the left lung lingular segment increased significantly . in addition there are newly emerging multiple metastatic nodules in both lung parenchyma . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . right upper-lower paratracheal aortopulmonary mediastinal lymphadenomegaly with a narrow diameter of less than 1 cm is observed . no pathological lap was detected in the mediastinum . paraaortic multiple size and increasing number of laps are observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no relevant findings . abdomen effusion perihepatic implants which are more prominent in the perihepatic area multiple omental implants in the anterior abdominal wall perisplenic and perigastric localizations lymphadenopathies with paraaortic pathological size and appearance are observed . splenic vein width is normal . no space-occupying solid or cystic mass lesion is observed . the contour size localization parenchymal thickness parenchymal staining and pelvicalyceal structures of the left kidney are normal . hepatic and portal venous systems are normal . the right adrenal gland is operated . the contour size parenchyma density of the pancreas is natural . no solid or cystic mass lesion was detected in the parenchyma of the liver . the right kidney was not observed operated . the left adrenal gland is thick and nodular in appearance . no enlargement was detected in the main pancreatic duct . the contour size and parenchymal density of the spleen are normal . intra and extrahepatic bile ducts gall bladder are not observed operated . paraaortic multiple size and increasing number of laps are observed . no space-occupying solid or cystic mass lesion was detected . lung parenchyma the described lesion was also observed in the previous examination and no significant change was detected . there is a minimal ground glass appearance around the described lesion . in addition a ground-glass-like density increase was observed in the lower lobe of the right lung in which a small nodule was observed in the newly emerged central part in the current examination . it was thought to be compatible with fungal infection . nodules and ground glass areas are observed in the posterior segment of the right lung upper lobe . in addition tree appearances with buds at this level attention . no mass was detected in both lungs . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . a nodular lesion with irregular borders is observed in the lower lobe of the right lung in the posterobasal segment . mild volume loss and distortion are observed in this localization . sequelae changes were observed in both lungs . according to the previous examination stable millimetric parenchymal nodules were observed in both lungs . formations were observed in the apical right lung . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . benign lymph nodes with mediastinal hilar fatty hilus were observed no lymph nodes were detected in pathological size and appearance . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected in the examination borders . sliding type hiatal hernia was observed . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no relevant findings . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . lung parenchyma when examined in the lung parenchyma window there are pleuroparenchymal sequelae densities in both upper lobe apicoposterior segments of both lungs . there are several nodules smaller than 5 mm in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in both lungs there are linear densities compatible with band consolidative areas including air bronchograms in the middle-lower parts . there was no finding compatible with pneumonia in both lungs . when examined in the lung parenchyma window there are several nodules in the right lung the largest of which is calcific with a diameter of 7 mm in the inferior of the upper lobe . pleural effusion pneumothorax were not observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thymic tissue with trigonal configuration is observed in the anterior mediastinum which does not show any mass effect . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . lung parenchyma ground glass opacities are observed in the paraspinal area in the posterior segment of the left lung lower lobe . there are ground-glass opacities in the subpleural areas of both lungs that on the pleura in a nodular fashion . when examined in the lung parenchyma window nodular opacities are observed in both lungs which are located subpleural and on the pleural base . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window fibrotic recessions and linear atelectatic changes are observed in the posterobasal segment of the lower lobe of the left lung and at the apical level of the upper lobe . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum there are several small lymph nodes in the mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are calcific atheromatous plaques in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures there is a diffuse density decrease in the bone structures in the examination area . hypertrophic osteophytic taperings are observed in the vertebral corpus end plates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass or infiltration was detected in both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mild sequelae changes are observed at the apical level . one or two millimetric air cysts are observed in the left lung . active infiltration pleural effusion or pneumothorax was not detected in both lungs . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum cto is within normal limits . in the mediastinum the aortic arch calibration is 35 mm wider than normal . no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . millimetric calcific atheroma plaques are observed in the aortic arch and descending aorta . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structure . abdomen in the sections passing through the right upper lobe there is a hypodense lesion with a diameter of approximately 9 mm in the middle part of the right kidney cortical cyst . surrounding soft tissues are normal . cto is within normal limits . in the mediastinum the aortic arch calibration is 35 mm wider than normal . millimetric calcific atheroma plaques are observed in the aortic arch and descending aorta . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying was detected in the lung parenchyma . no pleural effusion was observed . airways trachea both main bronchi lobar and segmental bronchi air passage is open . mediastinum no lymph node in pathological size and appearance was observed in the axilla and mediastinum . calibrations of mediastinal major vascular structures are natural . no radiologically distinguishable increase in esophageal wall thickness was observed . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen in the upper abdominal sections included in the image there is a 14 mm diameter calculus in the gallbladder lumen . lung parenchyma there is a mosaic atteniation pattern in both lungs small airway disease small vessel disease more prominent in the right lung lower lobe . sequela parenchymal changes are observed in the upper lingular segment and lower lobe of the left lung and the posterobasal segment and middle lobe of the right lung lower lobe . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum at mediastinal lymph node stations no lymph nodes in pathological size and appearance are observed in both axillary region and supraclavicular fossa . mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels as far as can be seen the contours of the vascular structures are natural and the heart dimensions are natural . mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image no solid mass was detected . the right lobe of the liver is not observed secondary to the operation . lung parenchyma when examined in the lung parenchyma window there are mild paraseptal emphysematous changes at the apical levels . no infiltrative lesion was detected in both lung parenchyma . a millimetric calcific nodule is observed in the posterior upper lobe of the right lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pleural effusion was detected . when examined in the lung parenchyma window there is a subpleural new non-specific nodule in the lower lobe of the right lung in the posterior series 2 image . no mass infiltration was detected in both lung parenchyma . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma there are band atelectasis in the lower lobes of both lungs . millimetric calcific nodules are observed in both lung parenchyma . when examined in the lung parenchyma window there is minimal subpleural consolidation in the anterior upper lobe of the right lung and ground glass densities around it . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . millimetric lymph nodes not exceeding 1 cm in the short axis of the mediastinum are observed . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the vertebrae in the bone structures in the study area . abdomen an increase in the size of the liver entering the cross-sectional area and a diffuse decrease in its density are observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . the spleen was increased in size mm . lung parenchyma there is an area of consolidation in the ground glass density observed in the current examination which was not clearly selected in previous examinations in the anterior segment of the left lung upper lobe . the consolidation which was observed in the immediate vicinity of this consolidation in the previous review has regressed in the current review . the ground glass density observed in the upper lobe anterior segment and middle lobe in the right lung in previous examinations decreased in consolidations . peripheral ground glass density was observed in the previous examination and no significant difference was found with the previous examination . pleuroparenchymal densities and subsegmental atelectasis are observed in the right lung upper lobe apicoposterior segment and lower lobe superior segment . in the evaluation of both lung parenchyma in the right lung upper lobe anterior segment approximately 16x8 mm consolidation is observed in the peripheral lung parenchyma which was also present in the previous examination . in addition the area of possible pneumonic consolidation in the posterobasal segment of the lower lobe of the right lung in which air bronchograms were observed in the previous examination regressed in the current examination . according to the previous examination a significant increase in the amount of pleural effusion is observed . in the current examination pleural effusion measuring 45 cm in its thickest part which shows widespread loculation in the left hemithorax and passive atelectasis in the lower lobe of the right lung adjacent to the effusion are observed . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . right upper-bilateral lower paratracheal aortopulmonary lymph nodes in millimetric size are observed . the diameter of the ascending aorta is 4 cm the diameter of the descending aorta is 3 cm and it is wider than normal . heart and great vessels pericardial smear effusion is observed . the cardiothoracic index increased in favor of the heart . osseous structures osteopenic appearance is observed . suture materials secondary to bypass surgery in the sternum are observed . no lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the diameter of the ascending aorta is 4 cm the diameter of the descending aorta is 3 cm and it is wider than normal . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific nodules present in the right lung middle lobe and left lower lobe laterobasal are stable . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the described appearance may be compatible with viral pneumonia . when examined in the lung parenchyma window focal ground-glass-like density increases were observed in the peripheral subpleural area in the right lung lower lobe superior and lower lobe posterobasal segment . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in the evaluation of both lung parenchyma no mass nodule-infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum millimetric sized calcific plaque is observed in the aortic arch . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures there are degenerative changes in the vertebrae in bone structures . no lytic-destructive lesion was detected . abdomen no significant pathology was detected in the abdominal sections . millimetric sized calcific plaque is observed in the aortic arch . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma sequelae changes are observed at the level of the lower lobe in the middle lobe of the right lung . sequelae changes are observed at the posterobasal level in the left lung . when examined in the lung parenchyma window both hemithorax are symmetrical . no bilateral pleural effusion or pneumothorax was detected . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum thoracic aorta diameter is normal . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . mediastinal main vascular structures are normal . hiatal hernia is observed in the case . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures mild degenerative changes are observed in the bone structure . the case has an appearance compatible with dish . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are findings consistent with paraseptal emphysema especially in the apical areas of both lungs . however in the eccentric examination which was to system it was thought that there were two separate examinations . no evidence of mass formation or active infiltration was observed in both lungs . however the of all of them is as . consolidation observed in the right lung lower lobe superior segment subpleural area in the first examination and consolidation observed in the right lung middle lobe lateral segment in the examination were not observed in the current examination . in the current examination when the lung parenchyma is examined in the window thickness increases in focal interlobular septa and changes in pleuroparenchymal sequelae extending to the pleura are observed in the area more prominently on the right in the superior segments of the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum as far as can be evaluated in the non-contrast series calibrations of mediastinal major vascular structures are normal . there is marked in the thoracic aorta . mediastinal bilateral hilar axillary multiple lymph nodes the largest in the right axilla short diameter 13 mm most of which have a central fatty hilus are observed . sliding type small hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels no relevant findings . osseous structures height losses reaching approximately 50 in the t2 vertebral body approximately 25 in the t5 vertebral body 20 in the t7 vertebral body and approximately 20 in the t10 are observed . there is a marked increase in thoracic kyphosis . due to collapse fractures in the superior and inferior end plateaus of the l1 vertebral body a loss of height reaching 90 in the center has occurred . in the thoracic vertebrae some of them have taken the form of vertebrae and there are height losses belonging to multiple old impression fractures . all of the described fractures were considered to be old and no findings were found in favor of acute fracture . when the bone is examined in the window a pronounced osteoporotic appearance is observed in all bone structures with an increase in thoracic kyphosis . abdomen there is a 1 mm diameter stone in the gallbladder lumen . in the upper abdominal organs included in the study area liver is natural . there is marked in the thoracic aorta . pancreas gland with both is natural . spleen dimensions have increased by mm and is observed in light contours . lung parenchyma in almost all zones there are ground-glass-like density increases that significantly lung aeration and interstitial scars are evident on this background . in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . no pathological size and configured lymph nodes were detected at both hilar levels . no nodular or infiltrative lesion is detected in both lung parenchyma . pleural effusion pneumothorax were not detected . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum calibration of other vascular structures in the mediastinum is natural . the aortic arch calibration is 31 mm . calcific atheroma plaques are observed in the coronary arteries in the aortic arch descending and ascending aorta . lymph nodes are observed in the mediastinum . cto is within normal limits . the largest was measured in the subcarinal area with its short axis measuring approximately 11 mm . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the coronary arteries in the aortic arch descending and ascending aorta . the ascending aorta calibration is 41 mm . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch calibration is 31 mm . calcific atheroma plaques are observed in the coronary arteries in the aortic arch descending and ascending aorta . upper abdominal organs included in the sections are normal . cto is within normal limits . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in both lungs there are nonspecific nodules measuring 4 mm in size the largest of which is in the anterior upper lobe of the right lung . there are pleuroparenchymal sequelae bands at the bilateral apex . when examined in the lung parenchyma window active infiltration or mass lesion is not observed in both lungs . pleural pericardial effusion or thickness increase is not observed . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast of the heart examination . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast of the heart examination . calibration of vascular structures heart contour size is natural . osseous structures vertebral corpus heights are preserved . no lytic-destructive lesion was observed in the bone structures included in the study area . abdomen in the upper abdomen sections within the image solid organs cannot be evaluated optimally within the borders of non-contrast ct and no solid mass has been detected as far as can be observed . lung parenchyma dependent atelectasis areas are observed . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . pleural effusion is not observed . airways the air passages of the trachea lobar and segmental bronchi of both main bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . paraaortic and paratracheal nonspecific milimetric lymph nodes are observed in the mediastinum . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . focal calcific atherosclerotic plaque is observed proximal to the artery . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen it is partially cut through . nodular lesion with a diameter of 15 mm in the left adrenal gland in the upper abdominal sections was evaluated in favor of adenoma . lung parenchyma in both lungs there are two nodules with a diameter of 45 mm the largest of which is superposed on the right major fissure located in the fissure intrapulmonary lymph node . more prominent centrilobular emphysema is observed in the upper lobes of both lungs . no mass or infiltrative lesion was observed in both lungs . there are areas of linear atelectasis in both lungs . a few millimetric lymph nodes are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . several nodules some of which are calcific are observed in both lungs the largest of which is 3 mm in diameter in the medial segment of the lower lobe of the right lung . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . a few millimetric lymph nodes are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma the volume of the ventilated lung parenchyma is decreased . no significant infiltration was observed . when examined in the lung parenchyma window there is an effusion reaching a diameter of 26 mm in the widest part of the bilateral hemithorax . mosaic density differences linear atelectasis and fibrotic densities are seen in both lungs . airways central bronchovascular structures are prominent . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the heart is larger than normal . osseous structures bone structures in the study area are natural . vertebrae are degenerative . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma a few nonspecific nodules the largest of which is 3 mm in size are observed in the anterior upper lobe of the right lung . in the evaluation made in the lung parenchyma window active infiltration or mass lesion is not observed in both lungs and there are smooth interlobular septal thickness increases and peripheral pleuroparenchymal sequelae bands in the lower lobes . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are no pathological lymph nodes in the mediastinum bilateral axillary region and supraclavicular level . mediastinal vascular structures and heart could not be evaluated optimally because the examination was without contrast and the pulmonary conus was 33 mm wider than normal . there is no pathological increase in wall thickness in the thoracic esophagus and there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels the heart contour and size are natural . an increase in the cardiothoracic ratio in favor of the heart is observed . mediastinal vascular structures and heart could not be evaluated optimally because the examination was without contrast and the pulmonary conus was 33 mm wider than normal . osseous structures vertebral corpus heights are preserved . osteophytic degenerative changes which tend to coalesce more clearly in the right anterolateral vertebral corpus corners in the bony structures within the image and reticular density increases in the vertebral bodies which are considered secondary to osteopenia are observed . no lytic or destructive lesion was detected . abdomen apart from this no pathology was detected . in the upper abdomen sections within the image there is a prominent hypodense appearance secondary to hepatosteatosis in liver parenchyma density . lung parenchyma ventilation of both lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . when examined in the lung parenchyma window a small patchy ground glass density is observed at the apical level of the right lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . linear atelectasis areas are observed in both lungs . no pleural-pericardial effusion or thickening was detected . there is a 3 mm diameter nonspecific nodule in the subpleural area in the lateral segment of the left lung lower lobe . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . in the thoracic region left-facing scoliosis is observed . abdomen within the limits of non-contrast bt there is no discernible mass in the upper abdominal organs . lung parenchyma there are ground-glass appearances in the central and peripheral parts of both lungs more prominent on the left . millimetric nodules were observed in both lungs . there are linear atelectasis in both lungs . in both lungs there are atelectasis in the lower lobes more prominently adjacent to the effusion . in addition findings evaluated in favor of sequelae changes in both lungs were also observed . no mass was detected in both lungs . however covid 19 pneumonia which is stated in the clinical preliminary diagnosis of the patient may cause this appearance . ground glass appearances are not specific . the pleural effusion is more prominent at the level of the lower lung lobes and measures 40 mm at its thickest point . bilateral pleural effusion was observed . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum atheroma plaques are observed in the aorta and coronary arteries . the main pulmonary artery diameter was 34 mm and wider than normal . the diameters of the aortic arch and descending aorta are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels the ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal . as far as can be observed the heart is minimally larger than normal . no pericardial effusion or thickening was detected . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen liver contours are irregular . the diameters of the aortic arch and descending aorta are normal . it is recommended that the patient be evaluated for liver parenchymal disease . no enlarged lymph nodes in pathological dimensions were observed . no upper abdominal free fluid-collection was detected in the sections . the left lobe of the liver is hypertrophied . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there are subsegmental atelectasis in the right lung middle lobe left lung upper lobe lingula and bilateral lower lung lobes . both lung parenchyma are emphysematous in the upper lobes . when examined in the lung parenchyma window there are mild pleuroparenchymal sequelae densities in both upper lobe apicoposterior segments of both lungs . there is a subpleural nodule smaller than 5 mm located in the apicoposterior segment of the left lung upper lobe . airways in both lungs the bronchi are seen as dilated . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . images of possible stents are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . there is a decrease in liver parenchyma density consistent with moderate to severe adiposity . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when both lung parenchyma windows are evaluated no mass-nodule-infiltration was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . other upper abdominal organs entering the section area are normal . millimetric parenchymal calcification was observed in the right lobe of the liver in the upper abdominal organs included in the sections . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . a solitary pulmonary nodule was observed in the anterior subpleural area in the middle lobe of the right lung . when examined in the lung parenchyma window focal sequela thickening and ground glass densities were observed in the pleura adjacent to the left lung inferior lingular segment . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequelae changes are observed in the linguistic segment . there was no finding compatible with pneumonia . no pathological size and configuration of lymph nodes were detected at both hilar levels . focal consolidative density is observed in the middle lobe . there is a calcific nodule of approximately 5 mm in diameter in the posterior segment of the right lung upper lobe . bilateral pleural effusion or pneumothorax is not observed . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum it is at the upper limit of normal . no lymph node with pathological size and configuration was detected in the mediastinum . the aortic arch calibration is 29 mm . cto is normal . calibration of other mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . the aortic arch calibration is 29 mm . it is at the upper limit of normal . cto is normal . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window millimetric nonspecific parenchymal nodules were observed in both lungs . minimal peribronchial thickening was observed in both lungs . linear pleuroparenchymal sequelae changes were observed in the medial segment of the right lung middle lobe . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures osteodegenerative changes were observed in the bone structure . abdomen millimetric stones were observed in the gallbladder lumen . bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections liver parenchyma density is diffusely decreased consistent with hepatosteatosis . lung parenchyma no mass lesion was observed in both lungs . apart from this there are a few millimeter-sized nonspecific nodules in both lung parenchyma . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are occasional sequela parenchymal changes and a mosaic attenuation pattern in both lungs small airway disease small vessel disease . no pericardial or pleural effusion was observed . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum there are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are normal . no lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . there is a sliding type hiatal hernia at the lower end . heart and great vessels due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . abdomen in the upper abdominal organs included in the sections intraabdominal free fluid-loculated collection was not detected within the limits of non-contrast ct . there are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . no lymph node was observed in intra-abdominal pathological size and appearance . lung parenchyma a more prominent mosaic pattern was noted in the upper lobes of both lungs . multiple peripherally located nonspecific nodules are observed in both lungs the largest of which is 5 mm in diameter in the posterobasal segment of the left lung lower lobe . no active infiltration consolidation or space-occupying lesion was detected . when evaluated in the lung parenchyma window centriacinar emphysematous changes are observed in both lungs especially in the apical segments . airways trachea is in the midline both main bronchi are open . mediastinum as far as can be observed calcific atheroma plaques are observed in the mediastinal window in the aorta and in the aortic walls . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size and contour are normal . pericardial thickness increase is not detected . osseous structures no relevant findings . abdomen as far as can be observed calcific atheroma plaques are observed in the mediastinal window in the aorta and in the aortic walls . when the upper abdominal organs included in the examination are evaluated the left renal collecting system appears dilated as far as it enters the imaging area and the cortex thickness has decreased . as far as it is included in the imaging area the gallbladder wall has thickened to be compatible with edema and contamination is observed in the mesenteric fatty planes adjacent to the gallbladder . as far as it was included in the examination no gallstones were detected in the lumen . lung parenchyma there is a millimetric calcific nodule in the right lung . there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . atelectasis is observed in the inferior subsegment of the left lung upper lobe lingular segment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen there are two millimetric stones in the middle part of the right kidney . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window widespread nodular irregularly circumscribed ground glass densities are observed in both lung parenchyma more prominently in the right lung upper lobe posterior . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are seen in the aorta and coronary arteries . thoracic aorta diameter is normal . other mediastinal major vascular structures heart contour size are normal . there are lymph nodes with a short axis not exceeding 10 mm in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal major vascular structures heart contour size are normal . osseous structures vertebrae are slightly degenerative . abdomen calcific atheroma plaques are seen in the aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . in the left lung lower lobe posterobasal in the right lung at the posterobasal level anterobasal mediobasal level faint nonspecific ground-glass-like density increases are observed . there is a millimetric air cyst in the anterior segment of the upper lobe . however early stage infective processes cannot be excluded . the described findings are nonspecific . in the evaluation of both lungs in the parenchyma window mild sequelae changes are observed at the apical level . a superposed 2 mm diameter nodule is observed on the minor fissure . a nonspecific nodule with a diameter of 2 mm is observed in the lateral peripheral area of the left lung upper lobe apicoposterior segment . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen it is recommended to be evaluated together with clinical and laboratory findings . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma bilateral peribronchial thickening is noted . significant mosaic attenuation areas were observed in the lower lobes of both lungs . a pulmonary nodule with a diameter of 55 mm was observed in the posterobasal segment of the lower lobe of the right lung . pleural effusion-thickening was not detected . when examined in the lung parenchyma window nodular calcified plaque with a diameter of 95 mm with a pleural base in the anterior mediastinum in the middle lobe of the right lung and also nodular - diffuse pleural thickenings showing linear calcification in the basal segments of the lower lobes of both lungs . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . the diameter of the ascending aorta was 38 mm the diameter of the aortic arch was 31 mm and the diameter of the descending aorta was 24 mm and it showed slight fusiform . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected in the non-contrast examination margins . heart and great vessels pericardial effusion-thickening was not observed . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . the diameter of the ascending aorta was 38 mm the diameter of the aortic arch was 31 mm and the diameter of the descending aorta was 24 mm and it showed slight fusiform . heart size has increased . osseous structures degenerative changes were observed in the bone structures in the examination area and no lytic-destructive lesion was detected . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . the diameter of the ascending aorta was 38 mm the diameter of the aortic arch was 31 mm and the diameter of the descending aorta was 24 mm and it showed slight fusiform . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . upper abdominal organs included in the sections are normal . there is a hypodense lesion with a diameter of 9 mm at the level of liver segment 4a which enters the cross-sectional area and cannot be clearly characterized since the scan with faint borders is uncontrasted . lung parenchyma in the evaluation of both lung parenchyma no suspicious nodule mass or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures rotoscoliotic changes were observed in the vertebral column . and transpeduncular screws were applied . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the evaluation of both lung parenchyma several nodules the largest of which is 75 mm were observed in the medial segment of the right lung middle lobe . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . paraseptal emphysema and subpleural blebs were seen in both lungs . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma a similar appearance is also observed in the lingular segment of the left lung . there are stable parenchymal nodules the largest of which is 6 mm in diameter which was also observed in the previous examination adjacent to bronchiectasis at the apex . the size of the nodule observed in the posterobasal segment was 75 mm in the previous examination and 4 mm in the current examination and its size has decreased . in the evaluation of both lung parenchyma pleuroparenchymal sequelae and paracicatricial cystic bronchiectasis accompanied by mild volume loss in the left lung apex are observed . in addition diaphragmatic nodules located in the basal segment of the left lung lower lobe and subpleural located in the costal pleura which were also selected in the previous examination are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . a millimetric calcific nodule was observed in the inferior lingular segment of the left lung upper lobe . when examined in the lung parenchyma window passive atelectatic changes were observed in the medial segment of the right lung middle lobe . linear subsegmentary atelectatic changes were observed in the posterobasal segment of the left lung lower lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are subsegmental atelectasis in the right lung middle lobe left lung upper lobe lingula and bilateral lower lung lobes . thickening is observed in bilateral lower lobe posterobasal segments of the lung and interlobar septa . clinical evaluation and radiological follow-up are recommended . there are several nodules smaller than 5 mm in both lungs . there are focal consolidations in the lower lobes of the bilateral lung the upper and middle lobes of the right lung and occasionally in the air bronchograms . there are right lower paratracheal and right hilar calcified lymph nodes . there is focal consolidation observed in cavitation in the anterior upper lobe of the left lung findings that may be compatible with infection in the first plan . when examined in the lung parenchyma window there are bilateral minimal-moderate pleural effusions extending into the fissure on the right and passive atelectasis in the adjacent lung parenchyma . airways examination is suboptimal because of motion artifacts . trachea both main bronchi are open . mediastinum there are wall calcifications in the aorta and coronary arteries . the diameter of the pulmonary conus is 34 mm and it has a dilated appearance . thoracic aorta diameter is normal . mediastinal main vascular structures are normal . there are several aortopulmonary lymph nodes the largest of which is mm in size . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cardiothoracic index increased in favor of the heart cardiomegaly . osseous structures the bone structure in the examination area has a porotic appearance and there are widespread degenerative changes . abdomen the gallbladder was not observed operated . thoracic aorta diameter is normal . there are wall calcifications in the aorta and coronary arteries . in the sections passing through the upper part of the west free air images are observed in the intrahepatic bile ducts . lung parenchyma in the examination made in the lung parenchyma window active infiltration or mass lesion is not observed in both lung parenchyma . solid mass is not observed . there is an effusion measuring in the deepest part of the right pleural area . left pleural effusion is not observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calibration of mediastinal vascular structures heart contour and size are natural . the mediastinal main vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination . in mediastinal lymph node stations no lymph nodes in pathological size and appearance were detected in both axillary regions . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels minimal effusion measured in size 12 is observed in the deepest part of the pericardial area . the mediastinal main vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination . calibration of mediastinal vascular structures heart contour and size are natural . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . abdomen no free fluid loculated collection was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma in the middle lobe of the right lung and in the posterobasal segment of the lower lobe ground-glass densities with tree appearance are observed in places and infectious pathologies are considered in the etiology . there are paraseptal emphysematous changes in the upper lobes of both lungs more prominent in the apexes and pleuroparenchymal sequelae bands in the apexes . no mass lesions were detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . in the examination made in the lung parenchyma window diffuse mild peribronchial thickness increases are observed in the bronchial structures in both lungs and the sequelae are interpreted in favor of a change . mediastinum due to the lack of contrast in the examination the mediastinal main vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures and the heart contour and size are natural . in mediastinal lymph node stations lymph nodes with a fusiform configuration are observed the largest of which is in the right paratracheal area with a short diameter of 85 mm and a fatty hilus . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels due to the lack of contrast in the examination the mediastinal main vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures and the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen upper abdominal organs included in the sections are normal . no solid mass was detected within the borders of non-contrast ct in the abdominal sections within the image . lung parenchyma numerous nodules of nonspecific millimetric size 5 mm were observed in both lungs . the radiological findings were evaluated as compatible with the involvement of the lung parenchyma with covid infection . ground glass density nodular atypical infiltration areas are observed in the upper middle and lower zones of both lungs . airways no relevant findings . mediastinum a few nonspecific lymph nodes are observed in the mediastinum . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen retroperitoneal suture materials are available . in the upper abdominal sections there is advanced in liver parenchyma density . it is recommended to question the history of the previous operation . lung parenchyma minimal peribronchial thickening is observed in both lungs . in the upper lobe of the right lung a density increase of 6 mm is observed in the posterior segment adjacent to the fissure at its thickest point . there are minimal uniform interlobular septal thickenings in both lungs . the described appearance was primarily thought to be the fluid within the fissure . a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . there are sometimes linear atelectasis in both lungs . when evaluated together with pleural effusion this appearance was thought to be primarily due to a cardiac pathology . pleural thickening is not observed . no pleural effusion was detected on the left . the pleural effusion measured 55 mm at its thickest point . pleural effusion is observed on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is no pericardial effusion . osseous structures there are osteophytes in the vertebral corpus corners . it is recommended that the patient be evaluated together with their medical history . the described appearance may be due to bone involvement of a disease or it may be due to a diffuse metastatic disease . the described appearances cause heterogeneous appearance in bone structures . sclerotic bone lesions are observed in the bone structures within the sections . vertebral corpus heights and alignments within the sections are normal . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . in the upper abdominal organs within the sections no mass with discernible borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there was no significant difference in the budding tree landscapes at the basal level in both lungs . however in all lobes there are newly developing ground-glass densities in the upper lobe anterior on the right upper lobe anterior on the left and central level both lower lobes anterior and left lower lobe superior . airways no relevant findings . mediastinum the cystic lesion present in the anterior mediastinum is stable . on the right there is a catheter placed from the jugular and ending in the superior vena cava . heart and great vessels no relevant findings . osseous structures vertebral end plate changes are stable . abdomen diffuse hepatosteatosis is observed in the liver . apart from this no significant difference was found between the examinations . lung parenchyma sequela parenchymal changes are observed . no active infiltration or mass lesion was detected in both ventilated lung parenchyma . in the evaluation made in the lung parenchyma window in both lung parenchyma there is an area of increase in density consistent with consolidation in which air bronchograms are also observed which is evaluated in favor of compressive atelectasis adjacent to the effusion . in the bilateral pleural space an effusion of 90 mm in the deepest part on the right and up to 80 mm in the deepest part on the left is observed . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . the ascending aorta is 43 mm in diameter and the descending aorta is larger than normal with 31 mm in diameter . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels pericardial effusion was not detected . an increase in heart size is observed . osseous structures there are degenerative changes . surgical suture materials were observed in the sternum in the bone structures within the image . no lytic or destructive lesion was detected . abdomen no free liqu- ulated collection is observed in the upper abdominal sections within the image . the ascending aorta is 43 mm in diameter and the descending aorta is larger than normal with 31 mm in diameter . no lymph node was detected in intraabdominal pathological size and appearance . there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . lung parenchyma there are several millimetric nonspecific nodules in the left lung . there is no mass or infiltrative lesion in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection was observed in the sections . although the described lesion could not be characterized because no contrast agent was given it was thought to be a cyst when evaluated together with its density . there is a hypodense lesion measuring 20 mm in diameter in the posterior aspect of the right kidney in the upper pole . lung parenchyma there is no mass or infiltrative lesion in both lungs . these appearances are also present in the previous examination of the patient and no difference was detected . in addition a focal ground-glass area is observed in the left lung upper lobe apicoposterior apical subsegment . there are millimetric nodules in the posterobasal segment of the lower lobe of the right lung and the anterior segment of the upper lobe of the left lung . minimal pleuroparenchymal sequelae changes are observed in both lung apex . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen a few millimetric stones were also observed in the right kidney . no upper abdominal free fluid-collection was detected in the sections . there are stones in the upper and lower poles of the left kidney the largest measuring about 15 mm in diameter . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the evaluation of both lung parenchyma peripheral patchy ground glass densities are observed in both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . right upper-bilateral lower paratracheal aortopulmonary narrow lymph nodes less than 1 cm in diameter are observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma millimetric ground glass nodules are observed in a focal area in the posterior segment of the right lung upper lobe adjacent to the fissure . no consolidation area was detected in the lung parenchyma . covid infection was evaluated suspiciously in favor of early parenchymal involvement . airways the lumens of the trachea both main bronchi lobar and segmental bronchi are . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is normal . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no suspicious mass or nodular space-occupying lesion was observed . when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there is an area of segmental atelectasis in the left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . there is a linear atelectasis area in both lungs . no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . mosaic attenuation pattern is observed in both lung lobes small airway disease small vessel disease . airways the presence of lesion cannot be excluded . on the posterior wall of the upper trachea there is an appearance of soft tissue density approximately mm in size with a broad base possibly location and extension series 2 section 10 . mediastinum the diameter of the pulmonary trunk was 32 mm and increased . diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels the cardiothoracic ratio increased in favor of the heart . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . thoracic kyphosis is increased . in the thoracic vertebrae an increase in trabeculation consistent with and a vacuum phenomenon secondary to degeneration in the intervertebral disc space are observed . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . an accessory spleen with a diameter of 45 mm is observed in the anterior neighborhood of the spleen . as far as it can be evaluated within the limits of non-contrast ct there is no mass with distinguishable borders in the upper abdominal organs . lung parenchyma a few millimetric nonspecific nodules were observed in the left lung . there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . thoracic vertebral corpus heights alignments and densities are normal . disc protrusions accompanied by osteophytes are observed in and t11-t12 intervertebral discs . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma dependent atelectatic changes are present in both lung lower lobe basal segments more prominent on the right . no nodular or infiltrative lesion was detected in the lung parenchyma . when examined in the lung parenchyma window there is a small amount of effusion in both lungs more on the right . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the coronary arteries in the aortic arch and in the abdominal aorta . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries in the aortic arch and in the abdominal aorta . mediastinal main vascular structures heart contour size are normal . osseous structures there are mild hypertrophic osteophytic degenerative taperings in the vertebral corpus endplates . there is a diffuse density decrease in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the coronary arteries in the aortic arch and in the abdominal aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs were included in the study partially and were evaluated as suboptimal . lung parenchyma in the evaluation of both lung parenchyma there is an increase in the consolidations observed in the basal segments of both lung lower lobes in previous examinations . mosaic attenuation pattern is observed in both lungs pattern compatible with small airway-small vessel line is also present in this examination . it is also accompanied by pleuroparenchymal recessions . subsegmental atelectasis is observed in the middle lobe of the right lung . consolidations observed in the posterior segment of the right lung upper lobe in the previous examination on the other persist although slightly regressed . no pleural effusion was detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the ap diameter of the ascending aorta is 4 cm and the ap diameter of the descending aorta is 3 cm and it is wider than normal . no pathological lymph nodes were observed in the mediastinum . heart and great vessels the cardiothoracic index increased in favor of the heart . there is pericardial effusion in the form of thin smears . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands are thick . the ap diameter of the ascending aorta is 4 cm and the ap diameter of the descending aorta is 3 cm and it is wider than normal . the view is also available in previous reviews . lung parenchyma the appearances described during the pandemic process were thought to be compatible with covid-19 pneumonia . clearly ground glass areas are observed in both lungs more prominently in the lower lobe of the right lung and in the peripheral region . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma right upper-bilateral lower paratracheal aortopulmonary millimetric lymph node is observed . apart from this no mass nodule-infiltration was detected in both lungs . in the evaluation of both lung parenchyma a calcified nodule is observed in the right lung lower lobe laterobasal segment . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . millimetric sized calcific plaques are observed in the aortic arch and coronary arteries . heart and great vessels millimetric sized calcific plaques are observed in the aortic arch and coronary arteries . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . it contains millimetric calcification in its neighborhood . a hyperdense benign nodular lesion with a diameter of cm is observed adjacent to the stomach and pancreatic tail . millimetric sized calcific plaques are observed in the aortic arch and coronary arteries . bilateral adrenal glands appear natural . partial gastrectomy and secondary suture materials are observed in the sections passing through the upper part of the abdomen . lung parenchyma chest placed in the subxiphoid region and ending in the medial part of the upper lobe of the right lung and ending in the lateral part of the lower lobe of the left lung are observed . no mass or infiltrative lesion was detected in both lungs . atelectasis is observed in both lungs adjacent to the effusion . there is bilateral minimal pleural effusion . airways no relevant findings . mediastinum the widths of the mediastinal main vascular structures are normal . heart and great vessels it is understood that the patient underwent mitral valve surgery . in addition minimal pericardial effusion is also observed . heart contour and size are normal . osseous structures no separation was detected at the sternotomy ends . median sternotomy is observed . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window diffuse patchy ground glass densities enlargement of vascular structures consolidation in the lower lobe of the left lung are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are multiple lymph nodes measuring up to 10 mm in size in the mediastinum . mediastinal main vascular structures heart contour are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial thickening was not observed . mild pericardial effusion is observed . mediastinal main vascular structures heart contour are normal . heart size has increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures an islet of sclerotic bone with a size of 9 mm is observed anterior to the vertebral . no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window in the parenchyma of both lungs multilobar mostly peripherally located areas of indeterminate limited consolidation and ground glass density are observed and the etiology of the findings is viral pneumonia covid-19 pneumonia . pericardial-pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . in the mediastinum no lymph node is observed in pathological size and appearance in both axillary regions . no pathological increase in wall thickness is observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . there are osteophytic degenerative changes in the vertebral corpus corners that tend to merge in the right anterolateral . abdomen in the midzone of the spleen there is a hypodense lesion of 8 mm in size that cannot be characterized within the limits of unenhanced ct . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections there is a diffuse hypodense appearance secondary to hepatosteatosis in the liver parenchyma density . no intraabdominal free fluid or loculated collection is observed . lung parenchyma when examined in the lung parenchyma window no mass nodule infiltration was detected in both lung parenchyma . pleural thickening-effusion was not detected . airways no obstructive pathology was detected in the lumen of the trachea and both main bronchi . as far as can be seen trachea lumen of both main bronchi are open . mediastinum lymph nodes with a short axis smaller than 1 cm were observed in the upper-lower paratracheal prevascular precarinal subcarinal localization . in the anterior mediastinum soft tissue density in a triangular fashion without significant mass effect was observed remt thymus . no lymph node was detected in pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in the bone structures included in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the lower lobe of the right lung there is a nodule measuring 8 mm in series 2 image . there is a nodule measuring 4 mm in series 2 in the superior lower lobe of the left lung and in image 185 . upper abdominal organs included in the sections are normal . when examined in the lung parenchyma window a few millimetric subpleural calcifications are observed in the upper lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window right lung volume was markedly decreased . findings may be consistent with viral pneumonias superimposed on previous infection . density increases were observed in the right lung upper lobe posterior lower lobe superior and basal segments and in the left lung upper lobe apicoposterior segment consistent with consolidation in which air bronchograms were observed . focal nodular consolidation areas were also observed in the left lung lingular segment . diffuse patchy ground glass densities were observed in both lungs . areas of nodular consolidation in the left upper lobe upper lobe apicoposterior segment and lingular segment and patchy ground-glass densities in both lungs have only recently emerged in the current review . in the etiology of the described findings primarily infectious pathologies were considered . a bilateral smear-like pleural effusion was observed . right . a drainage tube extending from the intercostal space to the pleural space was observed . free air images were observed between the fascia and muscle planes in the right pleural space and right lateral chest wall . airways trachea and both main bronchi were open and no obstructive pathology was observed in the lumen . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . on the right the port chamber on the anterior chest wall and the anterior surface of the pectoral muscle and the image of the catheter extending to the superior vena cava-right atrium junction are observed . in mediastinal lymph node stations no lymph node is observed in pathological size and appearance . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels effusion reaching 14 mm was observed in the pericardial space 51 mm in the previous examination . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion is observed in the bone structures within the image and the vertebral corpus heights are normal . abdomen thoracic aorta diameter is normal . no free fluid loculated collection or solid mass were observed in the sections passing through the upper abdomen within the image . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma peripherally located confluent areas in both lungs are occasionally ground-glass-like density increases and there are thickenings in the interlobular septa on this background . when evaluated together with the anamnesis in terms of covid pneumonia it is compatible with covid pneumonia . no pathological size and configuration lymph nodes were detected at both hilar levels . bilateral pleural effusion pneumothorax were not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum pulmonary trunk calibration is at the maximal physiological limit . no lymph node was detected in the mediastinum in pathological size and configuration . the aortic arch calibration is 31 mm . it is slightly above normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calibration of other major vascular structures is natural . cto increased in favor of the heart . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch calibration is 31 mm . it is slightly above normal . it is larger than normal . spleen ap size was measured as 145 mm . nodular density which may be compatible with the accessory spleen is observed in the spleen hilum . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there was no evidence of active infiltration in the lung parenchyma . several calcified nonspecific parenchymal nodules were observed in both lungs the largest of which was 5 mm in diameter in the superior segment of the left lung lower lobe . when examined in the lung parenchyma window segmentary atelectasis was observed in the medial segment of the right lung middle lobe . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . short lymph nodes up to 5 mm in diameter were observed in the mediastinal prevascular area and paratracheal area . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the ascending aorta measures 40 mm in diameter and is slightly dilated . the heart is normal . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . pericardial effusion-thickening was not observed . osseous structures there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no significant pathology was detected in the evaluation of the upper abdominal organs included in the sections . lung parenchyma no mass or infiltrative lesion was detected in both lungs . depandant densities are observed in the posterior parts of both lungs . a few millimetric nonspecific nodules were observed in both lungs . in particular the basal segments of the lower lobes of both lungs could not be evaluated clearly . emphysematous changes are observed in both lungs . since the patient is not breathing properly during the examination both lung parenchyma cannot be evaluated optimally in terms of focal lesion . no pleural effusion or thickening was observed . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . the diameters of the aortic arch and descending aorta are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . the main pulmonary artery diameter was 30mm and wider than normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels pericardial thickening was not detected . as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . the anterior-posterior diameter of the ascending aorta is and wider than normal . it is understood that the patient underwent coronary by-pass surgery . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen as far as it can be observed within the limits of unenhanced ct there is no mass with distinguishable borders in the upper abdominal organs within the sections . the diameters of the aortic arch and descending aorta are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected within the sections . no pathologically enlarged lymph node was observed . lung parenchyma in the current examination no signs of active infiltration were observed in both lungs . the ground glass densities and consolidation areas observed in the left lung lower lobe and upper lobe lingular segments in the previous examination completely disappeared . no nodules were observed in both lungs . in the examination pleural effusion was not detected in both hemithorax . total resorption is observed in the pleural effusion observed in the left hemithorax . airways no relevant findings . mediastinum the widths of the mediastinal main vascular structures were observed as normal as far as they could be evaluated in the non-contrast examination . heart and great vessels heart contour size is normal . the pericardial effusion observed in the previous examination showed great resorption and in the current examination there is a pericardial effusion reaching 5 mm in its part . osseous structures when the bone was examined in the window no lytic destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax . abdomen no difference was found in the upper abdominal organs included in the study area . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . well-circumscribed parenchymal nodule was observed in the laterobasal segment of the lower lobe of the right lung . no mass-infiltration was detected in both lung parenchyma . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a mm sized . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window calcified plaques were observed in the costal pleura in both lungs . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . a well-circumscribed millimetric sclerotic lesion was observed in the t5 vertebra . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . it is recommended to evaluate and follow-up together with previous examinations if any . lung parenchyma in addition there are interlobular septal thickenings in the localizations described in the right lung . budding tree appearances and ground glass areas are observed in the right lung upper lobe posterior segment middle lobe and lower lobe central part and left lung lower lobe superior segment and upper lobe anterior and lingular segments . the views described are not specific . no mass was detected in both lungs . however when these appearances were evaluated together with the clinical preliminary diagnosis they were thought to belong to infective pathology . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were detected . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is lymphadenopathy with a short diameter of 18 mm in the subcarinal area . there are also short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen there is no upper abdominal free fluid-collection within the sections . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a few parenchymal air cysts were observed in the right lung middle and lower lobe basal segment . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen accessory spleen with a diameter of 12 mm was observed in the medial neighborhood of the lower pole of the spleen . liver gall bladder spleen pancreas and both adrenal glands are normal as far as can be observed in the non-contrast examination . no stones were observed in both kidneys within the sections . lung parenchyma some calcific millimetric lymph nodes were observed in the mediastinum and at the right hilar level . when examined in the lung parenchyma window ground-glass densities accompanied by fibrotic densities are observed in both lungs most prominently in the lower lobe posterobasal . nodules up to 5 mm in diameter are observed in both lungs . these findings are mainly . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . some calcific millimetric lymph nodes were observed in the mediastinum and at the right hilar level . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . ectasia is observed in the ascending aorta . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal organs including sections in the liver hypodense lesions reaching 15 mm in diameter were observed in segments 4 and 8 . a low-density nodular lesion with a diameter of mm in the left adrenal gland genus and 13 mm in the right adrenal gland is observed . lung parenchyma uniform interlobular septal thickenings are observed in both lungs . when the described findings were evaluated together interlobular septal thickening observed in both lungs was primarily thought to be due to cardiac pathology . there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there is bilateral minimal pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum aorta diameter is normal . atheroma plaques are present in the aorta and coronary arteries . the diameter of the pulmonary artery was 29 mm and was minimally wider than normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . there are calcific atheromatous plaques in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is also minimal pericardial effusion . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen atheroma plaques are present in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . aorta diameter is normal . there are calcific atheromatous plaques in the aorta and coronary arteries . lung parenchyma there are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . apart from these both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . cortical scar is observed in the upper pole of the left kidney . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . thoracic vertebral corpus heights alignments and densities within the sections are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced ct . lung parenchyma there are frosted glass densities around the consolidation areas . the radiological pattern can also be seen in the lung parenchyma involvement of covid infection but the presence of bacterial infection could not be excluded . radiological findings are compatible with pneumonic infiltration . nodular consolidation areas with bilateral diffuse asymmetric confluence are observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is natural . heart and great vessels heart sizes are natural . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass or infiltration was detected in both lungs . a nodule with a diameter of 4 mm was observed in the medial segment of the right lung middle lobe . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral alignment and densities are normal . lower thoracic vertebral corpus heights were minimally decreased . no lytic-destructive lesions were detected in the bone structures within the sections . intervertebral disc distances are narrowed at lower thoracic disc levels . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are narrowed . vertebral anteroposterior diameters are normal . osteophytes were observed in the vertebral corpus corners within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass in both lungs and infiltrative lesion in the right lung were detected . peripheral and central consolidations minimal ground-glass appearances and centracinar nodules are observed in the upper lobe of the left lung . the described appearances were evaluated in favor of infective pathology . these views are not specific . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma thin-walled bullae formation of 7 mm in size is observed in the anterobasal segment of the left lung lower lobe . in the fissure localization in the middle lobe of the right lung 2-3 mm in diameter nodules with a nonspecific appearance which was also selected in the previous examination are observed . in the evaluation of both lung parenchyma in the evaluation of both lung parenchyma and upper lobes of both lungs pleuroparenchymal sequelae and panacinar emphysematous areas are observed . in addition nodules with a diameter of 35 mm which were not observed in the previous examination are observed in the posterobasal segment of the left lung lower lobe . a nodule with a diameter of 4 mm in the anterior segment of the upper lobe of the right lung and a diameter of 3 mm in the anterobasal segment of the lower lobe of the right lung which was not selected in the previous examination is observed . mild alveolar interstitial density increases are selected in the paramediastinal area in the upper lobe of the right lung . there is pleuroparenchymal sequelae and subsegmental atelectasis in the left lung inferior lingular segment . a nodule with a diameter of 3 mm is observed in the inferior lingular segment of the left lung which was not selected in the previous examination . pleural effusion-thickening was not detected in both hemithorax . a subpleural nodule of 4 mm is observed in the superior segment of the right lung lower lobe and its presence could not be clearly evaluated in the previous examination due to effusion in the pleura in the previous examination . airways trachea and main bronchi are open . tracheostomy tube is observed . mediastinum right upper-bilateral lower paratracheal and a few prevascular millimetric lymph nodes are observed . millimetric sized calcific plaques are also observed in the aortic arch and coronary arteries . soft tissue density compatible with lymphadenomegaly measuring 13 mm in the part of the subcarinal area is observed . heart and great vessels millimetric sized calcific plaques are also observed in the aortic arch and coronary arteries . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen millimetric sized calcific plaques are also observed in the aortic arch and coronary arteries . lung parenchyma no mass lesion-active infiltration was detected in both lungs . when examined in the lung parenchyma window pleuroparenchymal sequela fibroatelectatic changes were observed in the right lung middle lobe left upper lobe lingular and both lung lower lobe basal segments . airways a tracheal diverticulum measuring mm was observed in the right posterolateral aspect of the trachea at the mediastinal . trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atherosclerosis plaques were observed in the lad and circumflex artery . as far as can be seen mediastinal main vascular structures heart contour size are normal . mediastinal main vascular structures heart contour size are normal . osseous structures hemangiomatous focus was observed in the t5 vertebra corpus . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-pneumonic infiltration with distinguishable borders was observed in the lung parenchyma . millimetric nonspecific nodules are observed in the posterobasal segment of the left lung lower lobe and nonspecific nodules with a diameter of 35 mm are observed in the laterobasal segment . the appearance may be compatible with early lung involvement of . it is recommended to be evaluated together with clinical and laboratory . when examined in the lung parenchyma window in the peripheral subpleural areas of the lower lobe basal segment of both lungs slightly more prominent ground glass areas and are observed on the left . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative schmorl nodule impressions were observed in the lower thoracic inferior end plates . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis was observed in both lungs . segmental-subsegmental peribronchial thickening was observed in both lungs . it is stable . no mass lesion with distinguishable borders was detected in the lung parenchyma . millimetric parenchymal nodules were observed in both lungs . a consolidation area extending from the central to the periphery was observed along the peribronchial area in the basal segment of the lower lobe of the left lung and it was evaluated in favor of pneumonic infiltration . sequelae thickening was observed in the pleura on the right . when examined in the lung parenchyma window bilateral pleural effusion was observed in the previous examination of the patient . the pleural effusion on the right appears to be totally resorbed . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . calcific atheroma plaques were observed in the aortic arch . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial minimal effusion was observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calcific atheroma plaques were observed in the aortic arch . lung parenchyma some of the described ground glass areas contain enlarged vascular structures . it is recommended to evaluate the patient together with laboratory findings . there is minimal bronchiectasis in the central parts of both lungs . in the lower lobes of both lungs ground-glass appearances in the peripheral areas and consolidations halo sign with ground-glass appearances are observed around them . no mass was detected in both lungs . when evaluated together with the pandemic process it was primarily thought that these appearances were compatible with covid-19 pneumonia . there is no pleural or pericardial effusion . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no mass lesion-active infiltration was detected in both lungs . when examined in the lung parenchyma window interlobular-intralobar septal thickenings were observed in both lungs . peribronchial sheath thickening and accompanying ground glass densities were observed in both lungs . a pleural effusion with a diameter of 28 mm on the right and 17 mm on the left was observed in both . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be observed the anterior-posterior diameter of the ascending aorta was 40 mm and the anterior-posterior diameter of the descending aorta was 26 mm . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of pulmonary arteries is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . findings are consistent with cardiac stasis . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be observed the anterior-posterior diameter of the ascending aorta was 40 mm and the anterior-posterior diameter of the descending aorta was 26 mm . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window there are several millimetric nonspecific nodules in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen there is a decrease in signal evaluated in favor of hepatosteatosis in the liver parenchyma . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma there was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs . it is recommended to follow the described nodule . it is recommended that the patient be evaluated together with previous examinations and tissue diagnosis if indicated . there are linear atelectasis in the middle lobe of the right lung and the lingular segment of the upper lobe of the left lung and the lower lobe of the left lung . there is a mass measuring approximately mm in the peripheral area in the posterobasal segment of the lower lobe of the left lung . in the central part of the left upper lobe of the left lung series 2 section there is a nodule measuring 4 mm in diameter with a ground glass area around it . it was learned from the clinical knowledge of the patient that he had covid-19 pneumonia and this finding was thought to be a sequela . a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were detected . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are millimetric atheroma plaques in the aorta . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are narrowed . abdomen there are millimetric atheroma plaques in the aorta . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no mass lesion was detected . in the evaluation made in the lung parenchyma window a ground-glass density area of approximately mm in the posterobasal segment of the lower lobe of the right lung and enlargement of the vascular structures at this level are observed . apart from this there are sequela fibrotic structures in both lung parenchyma . no pericardial and pleural effusion or increased thickness was detected . airways no relevant findings . mediastinum since it was done without contrast material mediastinal main vascular structures heart upper abdominal solid organs within the image could not be evaluated optimally and as far as can be observed calibration of mediastinal vascular structures and heart contour and size are natural . there were no lymph nodes in pathological size and appearance in both axillary regions bilateral supraclavicular level and mediastinum . calcified atheroma plaques are observed in the wall of the aortic arch . no pathological increase in wall thickness is observed in the thoracic esophagus and a sliding type hiatal hernia is observed in the lower end of the esophagus . heart and great vessels since it was done without contrast material mediastinal main vascular structures heart upper abdominal solid organs within the image could not be evaluated optimally and as far as can be observed calibration of mediastinal vascular structures and heart contour and size are natural . iv . osseous structures there is an increase in thoracic kyphosis . no lytic-destructive lesions are detected in the bone structures within the image degenerative changes are observed . left-facing scoliosis is observed in the thoracic vertebral column . abdomen since it was done without contrast material mediastinal main vascular structures heart upper abdominal solid organs within the image could not be evaluated optimally and as far as can be observed calibration of mediastinal vascular structures and heart contour and size are natural . calcified atheroma plaques are observed in the wall of the aortic arch . within the image a hyperdense stone of 8 mm in size is observed in the gallbladder lumen in the upper abdominal sections . lung parenchyma peripheral irregularly circumscribed nodular consolidation area is observed in the superior segment of the left lung lower lobe and it is suspicious for early-stage covid-19 pneumonia . when examined in the lung parenchyma window focal air trapping areas were observed in the lower lobes of both lungs it is recommended to be evaluated together with clinical and laboratory in terms of small airway diseases . apart from this no mass lesion with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with clinical and laboratory . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen in the sections stone densities with diameters below 3 mm were observed in the upper and middle poles of the right kidney and the middle pole of the left kidney . lung parenchyma when examined in the lung parenchyma window one or two millimetric nonspecific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass-nodule was detected in both lung parenchyma . minimal pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung . clinical and laboratory correlation is recommended . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . the outlook may be observed in the early phase of covid-19 pneumonia but is not specific . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . focal millimetric size nodular ground glass density increase is observed in the right lung lower lobe mediobasal segment . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . minimal calcific atherosclerotic changes are observed in the wall of the abdominal aorta . minimal calcific atherosclerotic changes are observed in the wall of the aorta and coronary artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels minimal calcific atherosclerotic changes are observed in the wall of the aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . as far as can be seen the ascending aorta measures 41 mm in diameter and shows fusiform dilatation . osseous structures degenerative changes are observed in bone structures . no lytic-destructive lesion was detected . abdomen minimal calcific atherosclerotic changes are observed in the wall of the abdominal aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . minimal calcific atherosclerotic changes are observed in the wall of the aorta and coronary artery . lung parenchyma pleural effusion-thickening was not detected . when examined in the lung parenchyma window there are widespread ground glass densities showing a tendency to merge in the subpleural area in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . on upper abdominal sections the spleen is mm and larger than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma diffuse emphysema is observed in both lungs . when the described appearances were evaluated together with clinical information they were primarily evaluated in favor of infective pathology . no mass was detected in both lungs . ground glass areas are observed in the middle lobe and lower lobe of the right lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . the largest of the lymph nodes is observed in the subcarinal area and its short diameter is 12 mm . there are lymph nodes in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were observed . atheroma plaques are observed in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma atelectasis was observed in the lingular segment of the left lung and the middle lobe of the right lung . infiltration areas and density increases in ground glass density were observed in the right lung upper lobe anterior segment left lung lower lobe posterobasal segment and right lung laterobasal segment . when examined in the lung parenchyma window there are bronchiectatic changes in both lungs . in addition there are subsegmental atelectasis in the lower lobes of both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels minimal effusion was observed in the pericardial area . the ascending aorta is dilated with a diameter of 40 mm . left heart dimensions have increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in both lungs almost all segments and lower lobes show ground glass areas with more prominent confluence in places . more prominent emphysematous changes are present in the upper lobe apical segments of both lungs . findings are consistent with viral pneumonia . no mass was detected in both lungs . several lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the lower right paratracheal area . no pleural-pericardial effusion or thickening was detected . airways bilateral tubular bronchiectasis is observed . no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum several lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the lower right paratracheal area . the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . sliding type hiatal hernia is observed at the esophagogastric junction . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels calcific atheroma plaques are observed in the aorta and coronary arteries . heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . calcific atheroma plaques are observed in the aorta and coronary arteries . as far as can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . nodular thickness increase up to 13 mm is observed in the left adrenal gland corpus . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the outlook can be traced in the early of covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . when examined in the lung parenchyma window minimal subpleural consolidation areas were observed in the lower lobe segment of both lungs . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in the hilum of the left lung the lesion area of the soft tissue density which causes minimal narrowing of the left main bronchus and its branches is observed . when examined in the lung parenchyma window pleuroparenchymal linear densities are observed in the apical segment and anterior-posterior segments in the upper lobe of the left lung . in addition to these findings there are nodular ground-glass opacities from the apical segment to the lingular segment in the upper lobe of the left lung covid-19 pneumonia . airways the trachea is in the aorta line and both main bronchi are open . mediastinum evaluation of mediastinal structures in which the examination is unenhanced is suboptimal . numerous lymphadenopathies are observed in the aortopulmonary space pretracheal space paravascular area and subcarinal region and supraclavicular area . the described show conglomeration and could not be distinguished from each other . the largest one was observed in the area and its short axis was measured 15 mm previous 22 mm . since the examination was without contrast its borders could not be clearly defined . the largest area of lymphadenopathy was measured at 22 mm in diameter at the aortopulmonary window measured as 32 mm in the previous examination . heart and great vessels minimal effusion is observed in the pericardial space . as far as it can be examined heart sizes are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are many hypodense lesions consistent with liver metastases . the largest one was observed in the area and its short axis was measured 15 mm previous 22 mm . both adrenal glands were evaluated as normal . apart from these lymphadenopathies lymphadenopathies are also observed in the upper abdominal sections included in the imaging . lung parenchyma when examined in the lung parenchyma window minimal sequela fibrotic changes are seen in the upper lobe apex of both lungs . in both lungs nonspecific millimetric nodules reaching 4 mm in diameter were observed in the posterobasal region of the left lower lobe . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are thickenings of interlobular septa at basal levels of both lung lower lobes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma fine reticular density increases in the parenchyma in the paravertebral area in the lower lobe of the right lung accompanied by minimal traction bronchiectasis at this level were observed . when the lung parenchyma window is examined there are minimal emphysematous changes in both lungs . subsegmental atelectasis was observed in the left lung lingular segment inferior . pericardial-pleural effusion-thickness increase was not detected . nodules with a diameter of 5 mm were observed in both lungs the largest of which were scattered in the right lung lower lobe anteromedial 4 mm in the right lung lower lobe posterior basal and 3 mm in diameter located close to the pleura in the left lung upper lobe anterior . airways trachea both are open . the bronchial structures are slightly ectatic in the central part of both lungs . mediastinum a few millimetric lymph nodes with a short axis diameter not exceeding 1 cm were observed in the pre-paratracheal and aorticopulmonary window in the mediastinum . no lymph node was detected in pathological size and appearance . there are widespread calcific atheroma plaques at the level of the thoracic aorta and coronary arteries . abdominal aorta and its branches have calcific atheroma plaques . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size increased . osseous structures hemangiomatous lesions were observed in t1 and t2 vertebrae . osteophytic degenerative changes with extensive bridging were observed in the vertebral corpus corners . vertebra corpus heights and alignments are natural . there is rotoscoliosis with the dorsal vertebral opening facing left . abdomen abdominal aorta and its branches have calcific atheroma plaques . millimetric calcifications were observed in the parenchyma in the left lobe of the liver . there are widespread calcific atheroma plaques at the level of the thoracic aorta and coronary arteries . abdominal solid organs are normal in sections passing through the upper abdomen . lung parenchyma there are densities of postoperative suture materials at the right hilus level . no mass-infiltration was detected in both lung parenchyma . right lung lower lobe anterobasal segment is not observed due to post-op changes . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . branch appearances observed in the upper lobe of the right lung in the previous examination were not detected in the current examination . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum the aortic arch calibration was measured at 37 mm . the diameter of the ascending aorta was 42 mm and the diameter of the descending aorta was 47 mm and increased . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in pathological size and appearance . according to the previous examination lymph nodes with stable central fatty hilus were observed in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . calcifications are present in the mitral valve . osseous structures there are postoperative contour irregularities in the right 5th and 6th ribs . no lytic-destructive lesion was detected in bone structures . metallic suture densities of sternotomy were observed in the sternum . abdomen the aortic arch calibration was measured at 37 mm . the diameter of the ascending aorta was 42 mm and the diameter of the descending aorta was 47 mm and increased . a 9 mm diameter calculi was observed in the upper pole of the left kidney . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . apart from this no free-loculated fluid was detected in the upper abdominal sections that entered the examination area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no distinguishable mass lesion was detected in the lung parenchyma in this examination . nodular ground glass density areas are observed in the upper lobes in favor of active inflammation and infection . segmental atelectasis areas are observed in the anterobasal segment on the left and in the posterobasal segment on the right in the lower lobes of both lungs . clinical follow-up would be appropriate . in the lung parenchyma alveolar infiltration areas are observed in ground glass density predomitly located in the subpleural region which becomes prominent towards the lower lobes in both lungs . in the lower lobes subpleural linear density increases are observed which may belong to the findings of the recovery period of the infection in the subpleural areas . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . there are milimetric sized lymph nodes located bilaterally in the mediastinum in the lower paratracheal and subcarinal regions . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections there is a 55 cm diameter cyst partially cut into the left kidney . lung parenchyma there are smooth interlobular septal thickness increases in the lower lobes of both lungs . when examined in the lung parenchyma window active infiltration or mass lesion is not observed in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open . mediastinum no lymph node was detected in the mediastinum in pathological size and appearance . there is no pathological increase in wall thickness in the thoracic esophagus and there is a sliding type hiatal hernia at the lower end . heart and great vessels calcified atheroma plaques are observed on the wall of the coronary vascular structures . there is an increase in the cardiothoracic ratio in favor of the heart . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . right-facing scoliosis is observed in the thoracic vertebral column . abdomen although the examination could not be characterized clearly in this examination due to the lack of contrast it was primarily evaluated in favor of a cyst . in the upper abdomen sections within the image no lymph node intra-abdominal free fluid was detected in pathological size and appearance . in the middle zone of the left kidney a hypodense lesion with a fluid density of mm with cortical localized exophytic extension was observed . lung parenchyma a nonspecific millimetric nodule with a diameter of 2 mm is observed in the middle lobe of the right lung . no pathological size and configuration lymph nodes were detected at both hilar levels . a 2 mm diameter nodule is observed in the lingular segment . a nodule with a diameter of 2 mm is observed in the laterobasal segment of the lower lobe of the left lung . there was no finding consistent with bilateral pleural effusion pneumothorax pneumonia . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . there is thymic tissue in the anterior mediastinum where hypodense areas compatible with fatty involution in trigonal configuration which do not show mass effect are observed . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen when the upper abdominal organs included in the sections were evaluated spleen both kidneys pancreas are natural . left adrenal medial crus is observed as full . the right adrenal gland locus is normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal emphysematous changes in both lungs and blep formation in the posterior segment of the lower lobe of the right lung . there is an area of atelectasis that causes shrinkage in the fissure in the medial segment of the middle lobe of the right lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . in both lungs several millimetric nonspecific nodules with a diameter of 4 mm are observed in the subpleural area the largest of which is in the posterior segment of the right lung upper lobe . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . thoracic kyphosis has increased and millimetric osteophytes are present in the anterior corners of the thoracic vertebral corpus . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma subsegmentary atelectatic changes were observed in the left lung inferior lingular segment . a few millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window in the superior segment of the lower lobe of the right lung a thick-walled irregularly circumscribed cavitary lesion with a size of approximately mm with opacities is observed . the described findings may be compatible with infectious processes . however maligcy cannot be excluded . consolidative areas and peribronchial thickenings accompany the mass . in addition acinar infiltration areas were observed in the anterobasal segment of the lower lobe of the right lung . post-treatment control is recommended . a free pleural effusion measuring 1 cm in thickness was observed between the pleural leaves on the right . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calibration of other mediastinal major vascular structures is natural . minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . mediastinal lower paratracheal right hilar localization upper-lower paratracheal lymph nodes measuring 10 mm on the short axis of the largest were observed . aberrant right subclavian artery anomaly was observed in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen the diameter of the ascending aorta was 41 mm and showed fusiform dilatation . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . a lesion with a fat density of 8 mm with a hu value of was observed in the left adrenal gland myelolipoma . lung parenchyma when examined in the lung parenchyma window one millimetric non-specific nodule is observed in the right lung . centrilobular paraseptal emphysematous changes are observed at the apical levels of both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few millimetric nonspecific nodules were observed in both lungs . there is linear atelectasis in the lingular segment of the left lung upper lobe . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen liver parenchyma density decreased in line with moderate to severe adiposity . no upper abdominal free fluid-collection and pathologically enlarged lymph nodes were observed in the sections . lung parenchyma a millimetric nodule was observed in the lateral aspect of the right lung middle lobe . when examined in the lung parenchyma window there is minimal mosaic density in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures an with a diameter of 15 mm was observed extending towards the lung parenchyma near the costovertebral junction on the 9th rib on the left . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal organs including sections spleen size increased mm . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma millimetric nonspecific nodules were observed in both lungs . there is minimal bronchiectasis and minimal peribronchial thickening in the central segments of both lungs . no mass or lesion compatible with pneumonic infiltration was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . there are millimetric stones in the middle part of the left kidney . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window paraseptal emphysematous changes are observed in the apex of both lungs . no active infiltration or mass lesion was detected in both lungs . sequela parenchymal changes are observed in the basal segments of the lower lobes of both lungs and in the apex of both lungs . pleural effusion-thickening was not detected . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of mediastinal vascular structures heart contour and size are natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there is no lymph node in the mediastinum in pathological size and appearance . there is a slight sliding type hiatal hernia at the lower end of the esophagus . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of mediastinal vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesion was observed in the bone structures within the image . abdomen lymph node is observed in intraabdominal pathological size and appearance . there are hypodense nodular lesions in the liver parenchyma the largest of which is 6 mm in size in the left lobe lateral segment segment 2 within the borders of unenhanced ct which cannot be clearly characterized . gall bladder is not observed in the upper abdominal sections within the image and there is suture material secondary to the operation in its lodge . a diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density . no collection was detected . lung parenchyma it is in one focus . no mass or nodular suspicious space-occupying lesion was observed in the lung parenchyma . although the presence of early infection cannot be excluded the finding is nonspecific . therefore it could not be characterized . clinical follow-up would be appropriate . in the evaluation of the lung parenchyma a subpleural focal ground glass density area is observed in the posterobasal segment of the left lung lower lobe . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no feature was detected in the upper abdomen sections included in the image . lung parenchyma no active infiltration mass or nodular lesion was detected in both lungs . in the right lung middle lobe lateral segment an area of increase in density consistent with subsegmental atelectasis which causes structural distortion loss of volume and sequelae ectasia in bronchial structures is observed . in addition there is an increase in density consistent with linear atelectasis in the lateral segment of the right lung middle lobe . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . when examined in the lung parenchyma window minimal ectasia was observed in the central bronchial structures . mediastinum no lymph nodes were observed in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . calibration of mediastinal main vascular structures heart contour and size are natural . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of mediastinal main vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma clinic and lab . viral pneumonia may be in the etiology of the described findings . in the lower and middle lobes of the right lung there are areas of increase in density consistent with consolidation with ground glass densities in the periphery showing a tendency to patchy . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . verification is recommended . lung parenchyma when both lung parenchyma windows are evaluated millimetric nonspecific parenchymal nodules were observed in both lungs . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . bilateral pleural thickening-effusion was not detected . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar pathological dimensions were detected . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . multiple lymph nodes with a central fatty hilum with a short axis smaller than 1 cm were observed in both axillary regions . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes were observed in the bone structure . no lytic-destructive lesion was detected . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no gallbladder was observed in the upper abdomen sections included in the examination area cholecystectomized . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are extensive ground glass densities and nodules around the consolidation . when examined in the lung parenchyma window in the axial plane extending from the right lung central to the upper lobe anterior segment a wide consolidation area measuring mm is observed at its widest point . stable number and size of parenchymal nodules are observed in both lungs the largest of which is 7 mm in diameter in the right lung middle lobe lateral segment . it was newly in the current review and was evaluated in favor of pneumonia . correlation with clinical and laboratory is recommended . prominent bronchovascular signs and mosaic attenuation pattern are observed in both lungs . it is compatible with copd stated in clinical preliminary diagnosis . a smear-like effusion in the right pleural space diffuse fibroatelectatic changes in both lungs and ground glass densities are observed . airways although the mediastinum cannot be evaluated optimally in non-contrast examination trachea both main bronchi are open . no occlusive pathology was detected in the lumen . mediastinum prevascular right upper bilateral lower paratracheal aorta pulmonary and subcarinal multiple lymph nodes the largest of which is 18x12 mm some of which reach pathological dimensions are observed . the diameter of the ascending aorta increased by 43 mm and the diameter of the descending aorta by 34 mm . the diameters of the pulmonary trunk right and left pulmonary arteries were measured as and respectively and increased . the patterned aorta has a tortuous and elongated appearance . there are calcific atheroma plaques in the aortic arch coronary arteries and abdominal aorta . mediastinal major vascular structures and heart are deviated to the left . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . mediastinal major vascular structures and heart are deviated to the left . osseous structures there are degenerative vacuum phenomena in the intervertebral disc spaces . a more significant decrease in vertebral corpus heights in the lower thoracic vertebrae draws attention and it is most prominently observed in the 7th and 12th thoracic vertebrae . on the right . old fracture sequelae are observed in the costa . no pathological lymph nodes were observed in the bilateral supraclavicular and axillary regions . there is . there is thoracic kyphosis in the bone structures in the study area . abdomen as far as can be seen on non-contrast sections no pathology was detected in the upper abdominal organs . the diameter of the ascending aorta increased by 43 mm and the diameter of the descending aorta by 34 mm . the patterned aorta has a tortuous and elongated appearance . there are calcific atheroma plaques in the aortic arch coronary arteries and abdominal aorta . lung parenchyma no infiltrative lesion was detected in both lung parenchyma . when examined in the lung parenchyma window mild fibrotic sequela changes are observed at the apical levels of both lungs . pleural effusion-thickening was not detected . a few millimetric nonspecific subpleural nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . tapering and bridging tendencies are observed in the vertebral corpus end plates . bone structures have a diffuse osteopenic appearance . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a mild mosaic attenuation pattern was observed in the lower lobe segments of both lungs small airway disease small vessel disease . when examined in the lung parenchyma window no finding compatible with pneumonia was detected in both lungs . pleural effusion pneumothorax was not observed . airways calibration of trachea both main bronchi is normal . mediastinum there is an appearance compatible with the mediastinum of pneumonia in the mediastinal segments starting from the aortic arch level and extending to the right hilum along the ascending aorta and the right contour of the heart . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there is an appearance compatible with the mediastinum of pneumonia in the mediastinal segments starting from the aortic arch level and extending to the right hilum along the ascending aorta and the right contour of the heart . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there is an accessory spleen adjacent to the spleen . hepatosteatosis is present in the liver entering the cross-sectional area . upper abdominal organs included in the sections are normal . an area protected from fat is observed in the vicinity of the gallbladder . lung parenchyma the appearances described during the pandemic process were evaluated in favor of covid-19 pneumonia . no mass was detected in both lungs . consolidations and ground glass areas are observed in both lungs being more prominent in the peripheral regions . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen there is a decrease in liver parenchyma density consistent with minimal to moderate adiposity . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma typical findings for covid-19 pneumonia are observed . in the evaluation of both lung parenchyma consolidation areas are observed in the peripheral lung parenchyma in both lungs . widespread subpleural striations and subsegmental atelectasis are observed in the anterior segment of the upper lobe of the right lung the superior and laterobasal segments of the lower lobe and the lower lobe of the left lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . bilateral adrenal glands appear natural . in the sections passing through the upper part of the abdomen the density of the liver parenchyma decreased in line with hepatosteatosis . bilateral renal hypodense probable cysts are observed in non-contrast examination . lung parenchyma the described findings were evaluated in favor of viral pneumonia . ground glass areas and minimal interlobular septal thickening are observed in both lungs especially in the peripheral areas . no mass was detected in both lungs . no pleural or pericardial was detected . in addition linear parenchymal bands and atelectasis are observed in the subpleural areas especially in the lower lobes of both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta . there is slight lobulation in the liver contours . the left lobe of the liver is hypertrophied . it is recommended that the patient be evaluated for liver parenchymal disease . lung parenchyma much of the appearance is mass lesion and much is postobstructive atelectasis cannot be evaluated in this examination . nodular lesions are observed in the left lung the largest in the lower lobe superior segment and 17x12 mm in size . findings consistent with emphysema and a mosaic attenuation pattern are observed in both lungs . sequelae changes at the apical level in the upper lobe of the right lung and the appearance of multiple nodules which are smaller in size than the left are also observed in the previous examination . it increased on the right and appeared on the left . both hilar levels cannot be evaluated clearly . although the number is according to the previous examination there is a progression in the dimensions of the largest sized lesion . also available in old review . when examined in the lung parenchyma window the left lung upper lobe anterior segment bronchus is cut . in the upper lobe of the left lung aeration secondary to possible air trapping is observed . according to the previous examination no significant difference was found in the dimensions of this lesion . linear density consistent with band changes is observed in the lower lobe . distal to this level there is a soft tissue appearance in the mediastinum which extends to the pleura and cannot be distinguished from the left pulmonary artery whose borders cannot be . there is bilateral pleural effusion reaching 40 mm on the right and 25 mm on the left in its thickest part . airways peribronchial sheath thickening and band atelectasis are observed . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . there are calcific millimetric atheroma plaques at the level of the aortic arch . pulmonary trunk and both pulmonary artery calibrations are normal . calibration of other major vascular structures in the mediastinum is also natural . at the right pectoral level a venous port and a catheter in the superior vena cava are observed . heart and great vessels cto is within the normal range . pericardial effusion is present . osseous structures there is metastatic widespread involvement in the bone structures in the examination area mild in and approximately 50 height loss in d7 . abdomen there are calcific millimetric atheroma plaques at the level of the aortic arch . lung parenchyma centriacinar emphysematous changes are observed in the superior segments of both upper and lower lobes of both lungs and atelectatic changes are observed in the lower lobes of both lungs . when examined in the lung parenchyma window the dimensions of the cavitary lesion observed in the right lung apex are stable and a decrease in the wall thickness is observed . the longest diameter of the major fissure-based cavitary lesion in the apicoposterior segment of the left lung upper lobe was 22 mm in the current examination and it was 27 mm in the previous examination . significant ground-glass appearances in the upper lobes of both lungs are markedly regressed in current examination . in the bilateral hemithorax minimal thickening is observed in the posterior costal pleura consistent with sequelae . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum calcific atheroma plaques are observed in the aortic arch supraaortic branches and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the ascending aorta is wider than normal with an anterior posterior diameter of 40 mm . other mediastinal vascular structures heart contour size are normal . calcific atheroma plaques are observed in the aortic arch supraaortic branches and coronary arteries . osseous structures syndesmophytes bridging each other compatible with dish were observed at the mid-dorsal level . it is stable . a fracture causing minimal height loss was observed in the l1 vertebra superior end plateau . abdomen calcific atheroma plaques are observed in the aortic arch supraaortic branches and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a band atelectatic change was observed in the inferior lingular segment of the left lung . in the right lung lower lobe anterobasal segment a focal ground glass area adjacent to the major fissure and centriacinar ground glass nodules were observed at this level . when examined in the lung parenchyma window tubular bronchiectasis which became prominent in the center of both lungs was observed . appearance is nonspecific . apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with clinical and laboratory in terms of possible viral pneumonias . airways a tracheal diverticulum measuring mm was observed in the right posterolateral aspect of the trachea . trachea was in the midline of both main bronchi and no obstructive parotology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are occasional sequela parenchymal changes in both lungs . no active infiltration or mass lesion was detected in both lungs . no newly developed nodules were detected . there are nodules in millimeter sizes . the number and dimensions are stable in the comparative evaluation with the previous ct examination . airways no relevant findings . mediastinum no newly developed pathology was detected in the current examination . in the mediastinum there are lymph nodes that are not pathological in size and appearance in both axillary regions . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window thickening of the bronchial walls is observed in the lower lobes of both lung parenchyma . reticulonodular budding tree views are observed in the upper lobe posterior and bilateral lower lobe posteriors on the right . there are several nodules up to 6 mm in diameter the largest of which is located subpleural in the posterobasal right lower lobe . airways trachea both main bronchi are open . mediastinum there are lymph nodes in the mediastinum that are not in millimetric pathological size and appearance . calcific plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes in the vertebrae . anterior osteophytes are observed . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma in the evaluation of both lung parenchyma minimal ground glass appearances are observed in the upper lobe of the right lung the middle lobe and lower lobes the lingular segment of the left lung and the lower lobe . it is nonspecific . pleural effusion measuring 17 mm is observed in the thickest part of the left hemithorax . airways trachea and main bronchi are open . mediastinum there are 1-2 millimetric calcific atherosclerotic plaques in the aortic arch . right upper paratracheal and subcarinal narrow lymphadenomegaly reaching 1 cm in diameter is observed . the ap diameter of the ascending aorta is 43 cm and is above normal . nodular appearances that may belong to varicose veins in paraesophageal localization draw attention . heart and great vessels the review is without contrast . osseous structures no lytic-destructive lesion was observed in bone structures . there are degenerative changes in the vertebrae . abdomen it was evaluated as compatible with chronic liver parenchymal disease . there are 1-2 millimetric calcific atherosclerotic plaques in the aortic arch . is observed in the abdomen . the ap diameter of the ascending aorta is 43 cm and is above normal . in the sections passing through the upper abdomen the ratio of the left lobe to the right lobe of the liver increased in favor of the left lobe . liver parenchyma contours are lobulated . lung parenchyma when examined in the lung parenchyma window the volume of the upper lobe of the right lung has decreased and bronchiectatic changes and increases in peribronchial thickness are observed especially in the bronchi of the right lung leading to the upper lobe . in this area fibrotic bands that create traction from time to time have attention . no signs of acute infiltration were detected . peripheral nonspecific sequela milimetric nodules showing calcification are observed in both lungs . there is a mosaic atteniation pattern in the central parts of the bilateral lungs . emphysematous changes are observed in both lungs . in the anterior segment of the right lung upper lobe there is a minimal consolidation area which is interpreted in favor of atelectasis including air bronchograms within the pericardiac location . airways trachea and both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size increased . osseous structures osteophytic changes were observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are no pathologically sized and configured lymph nodes in the mediastinum and at the left hilar level . at the anterior-posterior segment transition in the upper lobe of the right lung ground-glass-like density increases are observed in the area which tends to merge . there are findings consistent with emphysema more prominent in the upper-middle zones of both lungs . there is an increase in sequela pleuroparenchymal density in the middle lobe of the right lung . although it is atypical for covid pneumonia it is recommended to be evaluated together with clinical and laboratory findings during the pandemic process . calcific millimetric nodules are observed in the anterior segment of the left lung upper lobe . sequelae changes are observed at the apical level . there is a 3 mm diameter nodule in the in the inferior lingular segment of the left lung . there are lymph nodes superposed on each other at the right hilar level and the largest one is 12x10 mm in size . no pleural effusion or pneumothorax was detected . a little more superiorly there is a subpleural nodule with a diameter of 3 mm . a subpleural nodule with a diameter of 3 mm is observed in the superior segment of the right lung lower lobe . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum thoracic aorta diameter is normal . there are no pathologically sized and configured lymph nodes in the mediastinum and at the left hilar level . calibration of major vascular structures in the mediastinum is natural . mediastinal main vascular structures heart contour size are normal . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . a millimetric calcific nodule is observed in the lateral segment of the left lung lower lobe . there are areas of linear atelectasis in both lungs . no mass or infiltrative lesion or findings were detected in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . heart and great vessels heart contour and size are normal . osseous structures the patient with a history of has hyperdense lesions consistent with a hematoma measuring mm in the widest part of the left anterior and muscles at the level of the . no lytic-destructive lesions or fracture lines were detected in the bone structures within the sections . abdomen as far as it can be evaluated within the limits of non-contrast ct in the upper abdominal organs no visible mass or parenchymal was observed . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . there are osteophytes in the vertebral corpus corners with the lumbar vertebra being more prominent . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma no mass or infiltrative lesion was detected in both lungs . nonspecific density increases are observed in both lung apexes and they are evaluated in favor of pleuroparenchymal sequelae changes . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in lung parenchyma evaluation aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma active infiltration or mass lesion is not observed in both lungs and sequelae changes are observed . airways trachea both main bronchi are open . mediastinum lymph node in pathological size and appearance is observed in the mediastinum . widespread calcified atheroma plaques are observed on the wall of mediastinal vascular structures . heart and great vessels the ascending aorta shows aneurysmatic dilatation with 43 millimeters . the cardiothoracic ratio increased minimally in favor of the heart . osseous structures there is a hypodense lesion cyst there is no lytic or destructive lesion in the bone structures and there are degenerative changes . abdomen no relevant findings . lung parenchyma as far as can be observed small ground-glass opacities with faint borders located centrally in the upper lobe of the left lung are observed . subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular right lung upper lobe anterior and both lung lower lobe basal segments . the outlook may be compatible with early covid-19 pneumonia or other viral pneumonias . no mass lesion with distinguishable borders was detected in both lungs . lung parenchyma secondary to motion artifacts could not be optimally evaluated . it is recommended to be evaluated together with the clinic and laboratory . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures in the right anterolateral corner of the thoracic vertebral corpus bridging spur formations were observed . abdomen the gallbladder was not observed operated . bilateral adrenal glands were normal and no space-occupying lesion was detected . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . the spleen pancreas and both kidneys are normal . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . significant thickening of the peribronchovascular interstitium and interlobular-intralobar septal thickening more common in the upper lobes were observed in both lungs . it measures 4 cm at its thickest point on the right and 57 cm at its thickest point on the left . when examined in the lung parenchyma window pleural effusion was observed in both hemithorax which entered the major fissure on the right and formed a loculation . airways no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . calcified atheroma plaques were observed in the aortic arch and lad . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . heart size increased . findings are consistent with cardiac stasis . osseous structures osteodegenerative changes were observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . sequelae coarse calcification was observed in the upper pole of the spleen . calcified atheroma plaques were observed in the aortic arch and lad . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma peribronchial thickenings are observed in the lingular segment of the left lung nodular densities with irregular contours the largest of which is 7 mm in diameter in the paramediastinal localization and ground glass appearances are observed around them . in the upper lobe anterior segment air is prominent in the center of the nodular lesion with irregular contours . bilateral pleural effusion entering the fissure reaching 36 cm in the right hemithorax and 5 cm in the left hemithorax and passive atelectasis in the lung parenchyma adjacent to the effusion are observed . in the evaluation of both lung parenchyma the apex of the right lung is 4 mm in diameter approximately 13x9 mm in size on the pleural face in the upper lobe and mm in the upper lobe anterior segment with irregular contoured densities . bilateral pleural effusion was newly developed according to the previous examination . airways millimetric calcifications are observed in the bilateral main bronchial walls . trachea and main bronchi are open . mediastinum atherosclerotic plaques are observed in the aortic arch descending aorta coronary arteries and abdominal arteries . the ap diameter of the ascending aorta is 4 cm and slightly increased . no pathological lap was detected in the mediastinum . heart and great vessels pericardial thin smear effusion is observed . osseous structures no obvious pathology was detected in bone structures . abdomen atherosclerotic plaques are observed in the aortic arch descending aorta coronary arteries and abdominal arteries . the ap diameter of the ascending aorta is 4 cm and slightly increased . in the sections passing through the upper part of the abdomen the size of the spleen partially entering the examination area appears to have increased . no significant pathology was observed in the bilateral adrenal sites . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it showed progression on the left . no distinguishable lymph nodes from vascular structures were detected in both hilar-level non-contrast examinations . it is recommended to evaluate the case with clinical and laboratory findings in terms of infective processes . in both lungs consolidation area including airbronchograms is observed at levels extending from lower lobe superior segments to posterior mediobasal and newly developed on the right . when examined in the lung parenchyma window both hemithorax are symmetrical . bilateral pleural effusion pneumothorax were not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum lymph nodes are observed in the mediastinum the largest of which is observed in the right upper paratracheal area and is approximately 15x8 mm in size . according to his previous examination there is a 20 progression in the short axis . calibration of mediastinal major vascular structures is natural . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures there is left-facing scoliosis in the thoracic region . degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs including sections there is a decrease in density consistent with hepatosteatosis in the liver . lung parenchyma linear atelectasis areas are observed in the middle lobe of the right lung and the lingula inferior segment of the left lung . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion is observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . widespread calcified atheroma plaques are observed in the abdominal aorta and its branches . heart and great vessels stent materials and calcified atheroma plaques of coronary arteries are observed in lad . there is a pacemaker . osseous structures it has benign radiological features . there is a calcified solid soft tissue lesion with a diameter of 23 mm under the skin adjacent to the right scapula . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . widespread calcified atheroma plaques are observed in the abdominal aorta and its branches . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . there are several nodules with a diameter of 5 mm in both lungs the largest of which is in the lingular segment of the left lung upper lobe . no pleural-pericardial effusion or thickening was detected . there are faint ground glass areas and linear atelectasis in the subpleural areas of the right lung lower lobe superior segment and posterior segment . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the limits of non-contrast ct there is a hypodense cystic lesion with a diameter of 3 cm with coarse calcification in the upper pole of the left kidney . lung parenchyma in the described localizations areas of consolidation were observed in the previous examination and the findings were evaluated in favor of regression secondary to treatment . there are emphysematous changes and local atelectasis in both lungs . according to the previous examination stable parenchymal nodules were observed in both lungs . ground-glass-like density increases were observed in both lung parenchyma showing diffuse nodular configuration . when both lung parenchyma windows are evaluated in the central part of the right lung soft tissue area extending along the peribronchial area and structural distortion and volume bronchiectasis are observed at this level . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be observed mediastinal main vascular structures heart contour size are normal . according to the previous examination stable millimetric lymph nodes are present in the mediastinal upper-lower paratracheal subcarinal and right hilar regions . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no degenerative changes were detected in bone structures . abdomen according to the previous examination a stable 7 cm diameter cortical cyst was observed on the left . thoracic aorta diameter is normal . the right adrenal gland locus is normal and no space-occupying lesion was detected . upper abdominal organs included in the examination area are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the described findings were evaluated in favor of sequelae . apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . a parenchymal nodule of 57 mm in diameter adjacent to the minor fissure in the medial segment of the right lung middle lobe and 32 mm in diameter in the anteromediobasal segment of the left lung lower lobe was observed . it is recommended to be evaluated together with previous examinations if any . when examined in the lung parenchyma window widespread sequelae of reticulonodular density increases in the apex of both lungs in the pleura and accompanying paraseptal emphysema areas were observed . airways trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a coarse reticulonodular appearance in the right lung upper lobe posterior segment mid-section and caudal . it is recommended to be evaluated together with the clinic in terms of infective processes . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . it was not detected in the previous review . no significant difference was detected . pleuroparenchymal sequelae changes are observed in the lingular segment . there is a nodule with a diameter of approximately . there is a pleural effusion with a thickness of 19 mm in the posterobasal segment of the lower lobe of the left lung . no bilateral pleural effusion or pneumothorax was detected . airways lumens are clear . at this level thickening of the peribronchial sheath and band atelectasis are observed and are also present in the previous examination . calibration of the trachea and main bronchi is normal . mediastinum calibration of the aortic arch and other mediastinal vascular structures is natural . in the case a catheter appearance is observed in the superior vena cava . no pathologically sized and configured lymph nodes were detected at either level . millimetric lymph nodes are observed in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . pericardial mild effusion is observed . cto is normal . osseous structures degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . there is a stable nodular appearance with a diameter of approximately 13 mm in the left adrenal genus . the spleen has a full appearance and nodular formation is observed in the spleen hilum which may be compatible with the accessory spleen . the right adrenal gland locus is normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . calibration of the aortic arch and other mediastinal vascular structures is natural . lung parenchyma the outlook is not specific for covid-19 pneumonia . however early-stage covid-19 pneumonia may have a similar appearance . when examined in the lung parenchyma window 1 cm diameter nodular ground glass density was observed in the posterior right lung upper lobe . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum a few benign lymph nodes were observed in the upper-lower paratracheal subcarinal area the largest of which was 5 mm in the short axis . no lymph node was detected in mediastinal pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be seen there is soft tissue density in the anterior mediastinum which may be compatible with the thymus tissue which does not cause a significant mass effect . no dilatation was detected in the thoracic aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen thoracic aorta diameter is normal . no pathology was detected in the upper abdominal sections included in the sections . lung parenchyma small airway disease small vessel disease no mass-infiltration was detected in both lungs . pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . mosaic attenuation pattern was observed in both lungs . when examined in the lung parenchyma window several parenchymal nodules in different localizations measuring 6 mm in diameter were observed in both lungs the largest of which was located subpleural in the middle lobe of the right lung . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum lymph nodes with a short axis smaller than 7 m are observed at the mediastinal upper-lower paratracheal and aorticopulmonary level . calcified atherosclerotic changes were observed in the wall of the thoracic aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is normal . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . calcified atherosclerotic changes were observed in the wall of the thoracic aorta . upper abdominal sections entering the examination area are natural . lung parenchyma mild pneumothorax appearances are observed in the upper lobe anterior segment lateral and posterior parts of the left lung . several lymph nodes are observed at the right hilar level the largest of which is 13x8 mm in size . there are thickenings of the peribronchial sheath in the superior segment of the lower lobe in both lungs . pleuroparenchymal densities are observed in the lingular segment of the left lung . there are densities compatible with pleuroparenchymal sequelae at the posterobasal and laterobasal levels . also available in old review . the upper lobe extends into the apicoposterior segment . it is also observed in the old review . no significant difference was detected . there is focal consolidation with air bronchograms in the superior segment of the left lung lower lobe . density reduction compatible with emphysema is observed in the case . there is a smear-like effusion in the right pleural space and mild atelectasis in its vicinity . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . peribronchial sheath thickening is observed . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calcific atheroma plaques are observed in the aortic arch descending aorta ascending aorta its main branches and coronary arteries . calibration of mediastinal major vascular structures is normal . there is emphysema in the anterior mediastinum and in the retrosternal area . aerial views are available at the anterior and middle mediastinum level . compatible with pneumomediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the inside of the catheter is monitored from place to place . there is a calcific atheroma plaque at the level of the mitral valve . calcific atheroma plaques are observed in the aortic arch descending aorta ascending aorta its main branches and coronary arteries . cto is within the normal range . postoperative changes are observed at the pericardial level . osseous structures there are findings compatible with dish . degenerative changes are observed in the bone structure . changes secondary to sternotomy are observed . on the left there is emphysema in soft tissue planes in the area extending towards the sternum at the pectoral level . abdomen soft tissue appearance is observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aortic arch descending aorta ascending aorta its main branches and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma on the right mm oval-shaped nodular density increase intrapulmonary lymph node over the minor fissure . in the lower lobe anterobasal segment of the right lung 38 mm diameter slightly irregularly circumscribed pulmonary nodules with a diameter of 51 mm were observed in the lower lobe laterobasal segment with bronchiectatic changes around it . reticular sequela fibrotic density increases were observed in both lung apexes . no mass lesion with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with clinical and laboratory . when examined in the lung parenchyma window in both lungs multilobar multisegmental more common crazy paving pattern in the lower lobe basal segments and patchy ground glass consolidations showing signs of vascular enlargement were observed and the appearance is compatible with covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures scoliosis with left thoracic opening was observed . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a 2 mm diameter calculus was observed in the lower pole of the left kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window millimetric sized few sequelae calcific nodules and areas of linear subsegmentary atelectasis and minimal emphysematous changes are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ventilation of both lungs is natural . there are a few nonspecific nodules in millimetric sizes . when examined in the lung parenchyma window no active infiltration or mass lesion was observed in both lung parenchyma . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures vertebral corpus heights are preserved . no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was observed as far as it can be observed within the borders of non-contrast ct . lung parenchyma no nodules were detected in both lung parenchyma . when examined in the lung parenchyma window diffuse ground glass densities subpleural reticular density increases traction bronchiectasis emphysematous appearance and mosaic density differences are observed in both lungs . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are present in the mediastinum aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . pulmonary artery is ectatic 36 mm . there is a hiatal hernia . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are present in the mediastinum aorta and coronary arteries . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . there are diffuse degenerative changes in the vertebrae . abdomen calcific atheroma plaques are present in the mediastinum aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections the gallbladder is operated . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are emphysematous changes in both lungs . suspicious nodular ground glass densities were observed in the left lung lower lobe basal and right lung lower lobe posterobasal segment . it is recommended to be evaluated together with clinical and laboratory in terms of covid-19 pneumonia . linear atelectasis were observed in the left lung upper lobe lingular and right lung anterobasal and posterobasal segments . millimetric nonspecific nodules some of which are calcific were observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum as far as can be seen surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . in the mediastinum nodules with short axes below 1 cm that did not reach pathological dimensions were observed . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . in the non-contrast examination the mediastinum was not evaluated optimally . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . diffuse atherosclerotic wall calcifications were observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures there are osteophytes in the vertebral corpus corners . as far as can be seen surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . the neural foramina are narrowed . bone structures in the study area are natural . intervertebral disc distances are narrowed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen on non-contrast sections the upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook is consistent with typical-probable covid-19 pneumonia . pleural effusion-thickening was not detected . when examined in the lung parenchyma window subpleural patchy ground glass opacities are observed in both lungs more prominently in the lower lobes . airways both main bronchi are open . trachea both main bronchi are open . mediastinum no pathologically sized lymph nodes were detected in the paravascular subcarinal hilar and axillary regions . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased . no pericardial effusion or increased thickness was detected . heart contours are normal . cardiac main vascular structures are in natural appearance . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window sequela calcific pulmonary nodule in the medial part of the middle lobe of the right lung and linear subsegmental atelectasis in both lungs are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . several nodules with a diameter of 2 mm are observed in both lungs the largest of which is in the lateral segment of the right lung middle lobe . it could not be characterized in the non-contrast examination . a low density mean lesion is observed in the medial segment of the right lung middle lobe with a broad base of approximately mm in size with lobulated contours in places . pleural-pericardial effusion was not detected . calcific pleural plaques are observed in the anterior segment of the right lung upper lobe . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . no pathological increase in wall thickness was detected in the esophagus . heart and great vessels however it was evaluated primarily in favor of benign pathologies pericardial cyst . heart contour and size are normal . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in addition the mosaic perfusion and ground glass density increases observed in the previous examination in the lower lobe of the left lung have completely disappeared . when examined in the lung parenchyma window in the previous examination the ground-glass appearance accompanied by air bronchograms observed in the medial segment of the right lung middle lobe and the inferior lingular segment of the left lung lower lobe completely disappeared . slight linear sequelae changes and slight ground-glass density increases are observed only in the right lung middle lobe medial segment . there are some calcific parenchymal nodules the largest of which is observed in the posterobasal segment of the left lung lower lobe in both lungs . no pleural effusion or thickening was observed . airways no occlusive pathology was detected in the lumen . trachea and both main bronchi are open . mediastinum mediastinal major vascular structures and heart dimensions are normal . thoracic aortic diameter is normal . no pre-paratracheal subcarinal bilateral hilar or axillary lymph nodes were detected in pathological size or appearance . thoracic esophagus is observed in its normal calibration and no pathological wall thickness increase was detected . heart and great vessels pericardial effusion was not observed . mediastinal major vascular structures and heart dimensions are normal . osseous structures when the bone was examined in the window no lytic-destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax . a sclerotic bone lesion with a diameter of 1 cm is observed in the posterior of the 2nd rib on the left . abdomen there is a decrease in density consistent with hepatosteatosis in the liver . in the upper abdominal organs included in the study area spleen gallbladder pancreas are normal . thoracic aortic diameter is normal . lung parenchyma again on the left there are faint ground glass-like density increments adjacent to the interlobar fissure . a calcific nodule with a diameter of 3 mm is observed in the anterior segment of the upper lobe of the left lung . emphysematous changes are present in both lungs . there are sequelae changes at the apical level . in the right lung there are ground-glass-like density increases that have formed confluence at the posterobasal and laterobasal levels at the basal . findings were not detected in the previous review . it is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes including covid . there are ground-glass-like density increases at the laterobasal level of the left lung . sequelae changes are observed in the segment in the left lung . airways mild density increases are observed in the peribronchial sheath . mediastinum millimetric calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . no pathologically sized and configured lymph nodes were detected in the mediastinum and in both hilar regions . calibration of other major vascular structures is natural . cto is normal . the aortic arch calibration is 32 mm wider than normal . hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . millimetric calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . osseous structures degenerative changes are observed in the bone structure . abdomen hiatal hernia is observed . millimetric calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . a defect of approximately 16 mm is observed between the rectus at the epigastric level in the midline of the abdomen and it is observed that the fatty planes herniate under the skin . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . calibration of other major vascular structures is natural . at the level of the central mesentery metallic clip appearances are observed around the celiac trunk . cto is normal . in the spleen hilum a millimetric-sized density which may be compatible with the accessory spleen is observed . there is a decrease in density consistent with steatosis in the liver entering the cross-sectional area . the aortic arch calibration is 32 mm wider than normal . lung parenchyma mild peribronchial thickness increases are observed in the lower lobes of both lungs . at the level of both lung hilum lymph nodes some of which have sequelae calcification but which cannot be distinguished from vascular structures and from each other are observed due to the lack of contrast in the examination . the largest of these lymph nodes are observed at the level of the right lung hilum and their short axis is approximately 7 mm . similarly there are linear opacities in the lower lobes of the lungs that are evaluated in favor of sequelae change . a mosaic lung pattern is observed in the lower lobes of both lungs small airway small vessel disease . when examined in the lung parenchyma window sequelae fibrotic densities which are more prominent in the right lung are observed in the apical segments of both lungs . pulmonary nodules with slight ground glass opacity are observed in the apicoposterior segment and anterior segment of the right lung infective process . airways trachea both main bronchi are open . mediastinum in addition lymph nodes are observed in both axillae and retropectoral regions . mediastinal main vascular structures are normal . the diameter of the largest of these lymph nodes located in the left axilla was measured as 8 mm and the described lymph node with a diameter of 8 mm has a round appearance . atheroma plaques are observed in the aorta and coronary arteries . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures widespread degenerative changes are observed in the bone structures in the study area . abdomen widespread contamination and lymph nodes are observed adjacent to the pancreas in mesenteric fatty planes . in addition multiple lymph nodes are observed in the paraaortic area adjacent to the lesser curvature of the stomach in the upper abdomen images included in the examination . the largest of these lymph nodes is observed in the left paraaortic area adjacent to the lesser curvature of the stomach and its short axis is 13 mm . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma in the right lung middle lobe lateral segment adjacent to the fissure in the 15 cm segment parenchymal ground-glass density containing nodular consolidation area in the central part is observed . atypical pneumonic infiltration was primarily considered in the differential diagnosis due to imaging findings and location and it is consistent with the parenchymal involvement findings of covid . post-treatment follow-up imaging would be appropriate . it is monitored in a single focus . nodular pleural thickness increases are observed in the upper lobe of the right lung sequelae . airways no relevant findings . mediastinum in the section no lymph node in pathological size and appearance was observed in the supraclavicular fossa axilla and mediastinum . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no feature was observed in the upper abdomen sections . no features were detected in the upper abdomen sections . lung parenchyma a calcified nodule is observed in the anterior segment of the right lung upper lobe . in the evaluation of both lung parenchyma no mass nodule-infiltration was observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper-bilateral lower paratracheal aortopulmonary lymph nodes surrounding the hilar fat are observed . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels calcifications are observed in the walls of the coronary artery . the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the non-contrast examination of the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum in the supraclavicular fossa axilla and mediastinum no lymph node was observed in pathological size and appearance as far as can be observed in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs included in the sections are normal . lung parenchyma when the clinical information of the patient was evaluated it was learned that there was a mass in this localization on pet-ct . no infiltrative lesion was observed . the upper lobe of the left lung is total atelectatic . the upper lobe bronchus of the left lung is obliterated in its proximal part . no mass with discernible borders was detected in the right lung and the aerated left lung lower lobe . in this examination no mass with distinguishable borders was detected in this localization . it is understood that the pleural effusion has just appeared . pleural effusion is observed on the left . no pleural effusion was detected on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . the largest of the lymphadenopathies is observed in the paratracheal region and its short diameter is approximately 16 mm . no pathologically enlarged lymph nodes were observed . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . there are masses in both adrenal glands and were evaluated in favor of metastases . lung parenchyma it is recommended that the patient be evaluated for viral pneumonias . several lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area . peripherally located nodular consolidation areas are observed in the upper lobes of both lungs prominent on the left . in the lower lobes of both lungs there are consolidation areas in which air bronchograms are observed accompanied by ground glass areas and subsegmental atelectasis in the periphery . no pleural thickening or effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the diameter of the pulmonary trunk was measured 31 mm and increased . several lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels the cardiothoracic ratio increased in favor of the heart . pericardial minimal effusion is observed . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen as far as can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma during the pandemic process these findings were evaluated in favor of covid-19 pneumonia . some of these findings are round in shape . no mass was detected in both lungs . peripheral and central consolidation and ground glass appearances are observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type minimal hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . liver parenchyma density was minimally decreased in line with fatty deposits . lung parenchyma there are subsegmental areas of atelectasis in the medial segment of the right lung middle lobe and linear atelectasis in the lower lobes of both lungs . there are several nonspecific nodules in both lungs with a short diameter of less than 3 mm . no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no mass or infiltrative lesion was observed in both lungs . a mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesion was observed . there are extensive osteophytes bridging in the anterior corners of the thoracic vertebral corpus within the sections . abdomen there is a low density mean 6 hu hypodense lesion adenoma of mm in the corpus of the left adrenal gland with a fat density in it . sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the non-contrast ct limits coarse calcification is observed in liver segment . there is a 2 cm diameter low-density hypodense lesion in the lower pole of the left kidney cyst . calcific atheroma plaques are observed in the aorta and coronary arteries . two hyperdense stones with a diameter of 55 mm are observed in the left kidney the largest of which is in the upper pole . lung parenchyma when examined in the lung parenchyma window there are mild atelectatic changes in the left lung upper lobe inferior lingula . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a few millimetric nonspecific nodules are observed in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window consolidation and patchy ground-glass densities are observed in both lungs with diffuse patchy subpleural localized air bronchogram sign and expansion in vascular structures . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen there are changes in favor of steatosis in the liver parenchyma . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma the outlook was evaluated in favor of interstitial fibrosis . mosaic attenuation pattern is remarkable in both lungs . the most common patchy pattern of ground glass density increases in the previous review show regression in the current review . clinical evaluation is recommended . tubular bronchiectasis areas and peribronchial thickening were observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the described appearances are most evident in the right lung upper lobe posterior and lower lobe superior segment . there is a honeycomb appearance in both lungs especially in the peripheral subpleural areas . when examined in the lung parenchyma window bilateral pleural effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be observed the central venous catheter which was observed in the previous examination is not detected in the current examination . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcified atherosclerotic changes were observed in the wall of the coronary artery in the thoracic aorta and abdominal aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures there are degenerative changes in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the coronary artery in the thoracic aorta and abdominal aorta . no significant pathology was detected in the non-contrast examination of the upper abdominal sections that entered the examination area . lung parenchyma apart from this a few millimetric nonspecific nodules were observed in both lungs . linear atelectasis is observed in the left lung upper lobe lingular segment and lower lobe . no mass lesion-active infiltration was detected in both lungs within the sections . emphysematous changes were observed in both lungs . a nodule measuring 9 mm in diameter at its widest point was observed in the peripheral subpleural area in the left lung upper lobe apicoposterior segment posterior subsegment . bilateral pleural effusion-thickening was not observed . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum calibration of the aortic arch is normal . aneurysmatic enlargement was not detected in the graft . the mediastinum could not be evaluated optimally in the non-contrast examination . aortic graft extending from the descending thoracic aorta to the abdominal aorta is observed . sliding hiatal hernia was observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed the transverse diameter of the ascending aorta was 43 mm and was stable . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . aortic graft extending from the descending thoracic aorta to the abdominal aorta is observed . calibration of the aortic arch is normal . upper abdominal organs included in the sections are normal . aneurysmatic enlargement was not detected in the graft . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion is not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . old fracture lines are observed in the right 7th and 8th ribs . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window respiratory artifacts are observed in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures anterior corner osteophytes are present in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window a calcified parenchymal nodule with a diameter of 4 mm located subpleural in the apical right lung was observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . in the anterior mediastinum triangular soft tissue density was observed which was evaluated primarily in favor of remt thymus tissue . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections within the study area hypodense lesions measuring 47 mm in diameter are observed in both kidneys the largest of which is in the left kidney upper pole . lung parenchyma in lung parenchyma evaluation bilateral asymmetric peribronchial ground glass density and consolidation areas are observed in both lungs . there is a covid pneumonia compatible pattern . it is newly developed in the process . no suspicious nodular or mass lesion is observed in the lung parenchyma . radiological findings were primarily evaluated in favor of infective process and atypical pneumonia . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . wall calcifications are observed in the aortic arch and thoracic aorta . heart and great vessels heart size increased . pericardial effusion was not detected . there is stent material in the lad . osseous structures there is osteoporosis in bone structures . abdomen wall calcifications are observed in the aortic arch and thoracic aorta . no feature was detected in the upper abdomen sections included in the image . it was understood that he had a gallbladder operation . lung parenchyma when examined in the lung parenchyma window several nodules are observed in both lungs the largest of which reaches 35 mm in size on the right . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels effusion with an ap diameter of 23 mm is observed which in the posterior inferior in the pericardial area . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the upper abdominal organs including sections spleen size is 130 mm . lung parenchyma pneumonic infiltration was not observed . no suspicious mass or nodular space-occupying lesion was detected in both lung parenchyma . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no distinction can be made in this examination . in the upper abdomen sections nodular lesions with a diameter of 17 mm in the right adrenal gland corpus and 16 mm in diameter in the lateral crus of the left adrenal gland were evaluated as compatible with adenoma . it may belong to a hemorrhagic cyst or solid lesion . lung parenchyma in lung parenchyma evaluation aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . liver parenchymal density is diffusely decreased consistent with hepatosteatosis . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was observed in both lungs . ventilation of both lungs is natural . locally sequel pleuroparenchymal fibrotic bands were observed in both lungs . there are areas of increased ground glass density in both lung lower lobe basal segments primarily considered secondary to the dependent effect . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no lymph node was detected in the mediastinum in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window there are a few nonspecific nodules scattered in both lungs some of which have calcification . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are occasional atelectasis in both lungs . there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . pleural effusion is observed on the right . the pleural effusion measured 50 mm at its thickest point . there is no obvious pleural effusion on the left . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum atheroma plaques are observed in the aorta and coronary arteries . there are lymph nodes in the mediastinum and hilar regions . the main pulmonary artery diameter was 35 mm and wider than normal . the shortest diameter of the largest of these lymph nodes was 10 mm . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . sliding type hiatal hernia is observed at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . pericardial thickening was not detected . there is a pericardial effusion measuring 30 mm in its thickest part . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . a decrease in density consistent with osteopenia was observed in the bone structures within the sections . the neural foramina are narrowed . intervertebral disc distances are narrowed . minimal height loss was observed in places in the thoracic vertebrae . abdomen no upper abdominal free fluid-collection was detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there are fibrotic bands in the bilateral lung basals . the appearance of an air cyst with a diameter of 1 cm in the lower lobar anteromedial basal segment of the left lung and 5 mm in the posterobasal segment of the lower lobe of the right lung was observed . atelectasis is observed in the lateral segment of the right lung middle lobe . control is recommended . in the evaluation of both lung parenchyma in both lungs an increase in aeration consistent with panlobular and centrilobular emphysema was observed . focal pleural thickening with a diameter of 6 mm was considered adjacent to the posterobasal segment of the lower lobe of the right lung . airways islet of compact bone trachea and main bronchi are open . mediastinum in the mediastinum appearances of calcified lymph nodes some of which were thought to have not reached the pathological dimension were observed . heart and great vessels the heart is in natural appearance . calcific atheroma plaques were observed in the main vascular structures and coronary arteries . osseous structures fusion was considered in the intervertebral disc spaces at the upper thoracic level . contains coarse calcifications . degenerative osteophytes and formations were observed in the vertebra corpus corners . diffuse of the vertebrae was considered osteoporosis . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there is a mosaic attenuation pattern in the lower lobes of both lungs small airway disease small vessel disease . no active infiltration or mass lesion was detected in both lungs . there are sequela parenchymal changes in the left lung upper lobe inferior lingular segment and lower lobe superior segment and sequela parenchymal changes in the right lung lower lobe posterobasal segment . there is subcentimetric minimal effusion in the bilateral pleural space . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node was detected in the mediastinum in pathological size and appearance . calcified atheroma plaques are observed in the wall of the aortic arch . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . pericardial effusion was not detected . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen as far as can be seen within the limits of non-contrast ct in the upper abdominal sections within the image there is a low-density nodular lesion with a diameter of 10 mm in the corpus of the left adrenal gland . no lymph node was observed in pathological size and appearance . no intraabdominal free fluid loculated collection was detected . it was evaluated in favor of adenoma . calcified atheroma plaques are observed in the wall of the aortic arch . lung parenchyma a superposed millimetric nodular lesion area was observed on the minor fissure on the left intrapulmonary lymph node . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window multilobar multisegmental central-peripheral nodular ground glass opacities forming crazy paving pattern were observed in both lungs and the appearance is compatible with covid-19 pneumonia . it is recommended to be evaluated together with clinical and laboratory . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are linear subsegmental atelectasis areas in both lungs especially in the lower lobes and sequela fibrotic densities in the vicinity of the left lung lower lobe fissure . no active infiltration-consolidation or space-occupying lesion was detected in both lungs . subpleural localized nonspecific pulmonary nodules not exceeding 5 mm in diameter are observed in both lungs . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are present in the aorta and coronary arteries . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels sequela calcific changes are observed in the pericardial area . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . calcific atheroma plaques are present in the aorta and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several millimetric nonspecific nodules in both lungs . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are calcific lymph nodes in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are no enlarged lymph nodes in pathological dimensions . no enlarged lymph nodes in pathological dimensions were detected . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window mild emphysematous changes are observed in the lung . sequelae changes are observed in the left lung inferior segment . bilateral pleural effusion was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen neighboring the spleen the spleen and isodense nodular formation which is considered to be compatible with the accessory spleen are observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is a decrease in density consistent with hepatosteatosis in the liver entering the cross-sectional area . lung parenchyma in both lungs 1-2 ground-glass-like nonspecific nodules with a diameter of approximately 3 mm are observed at the central level of the lower lobe the largest of which is on the left . there was no finding compatible with pneumonia in both lungs . when examined in the lung parenchyma window there is a mild emphysematous appearance in the lung . no pathological lymph nodes with pathological size and configuration were observed at both hilar levels . no pleural effusion or pneumothorax was observed . airways no relevant findings . mediastinum no pathologically sized and configured lymph nodes were detected in other mediastinal compartments . within this area there is a nodular appearance with a diameter of approximately 6 mm lymph node . thymic tissue with trigonal configuration is observed in the anterior mediastinum which does not show any mass effect . heart and great vessels no relevant findings . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is minimal bronchiectasis in the central parts of both lungs . emphysematous changes are observed in both lungs more prominently in the upper lobes . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . atheroma plaques are observed in the aorta and coronary arteries . no pathologically enlarged lymph nodes were observed . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed the heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures in addition the bone structures are heterogeneous . no lytic-destructive lesions were detected in the bone structures within the sections . in the described appearances it can be observed in the previous examination of the patient and no difference was detected . low density is observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the first stage the onset of infectious processes was evaluated in favor of pneumonia in the case who was known to have had an pneumonia cyst before . clinical and laboratory correlation and follow-up are recommended . when examined in the lung parenchyma window a space-occupying consolidation area measuring up to mm is observed extending from the right hilar region to the right lung middle lobe anteriorly adjacent to the fissure . ground-glass density increases are observed in both lungs especially peripherally located more prominently in the left and reticulonodular density increases in the lower lobe and middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . calcific atheroma plaques are observed in the coronary arteries in the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the coronary arteries in the aortic arch . pericardial smear-like effusion is present . pericardial thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures there is a decrease in density in bone structures and degenerative changes in the vertebral corpus end plates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed in the coronary arteries in the aortic arch . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . motion artifacts were observed in the lower lobes . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . millimetric calculus is observed in the left kidney which partially enters the examination area . a hypodense lesion with a diameter of approximately 2 cm is observed posterior to the spleen parenchyma cyst . lung parenchyma close follow-up of clinical laboratory correlation of findings in terms of viral pneumonia covid-19 is recommended . when examined in the lung parenchyma window in the lower lobes of both lungs more prominent on the right subpleural peripherally located patchy ground glass densities and mild bronchiectasis are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook can be traced to covid-19 pneumonia but is not specific . clinical laboratory correlation is recommended . when examined in the lung parenchyma window large consolidation area including air bronchogram in the lower lobe of the left lung and focal nodular consolidation glass density increases were observed in the upper lobe of the left lung . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels minimal calcific atherosclerotic changes were observed in the coronary artery wall . the ascending aorta measures 38 mm in diameter and shows minimal dilatation . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen hypodense lesions of 29 mm in diameter and 14 mm in diameter were observed in the upper pole of the left kidney cortical cyst . in the upper abdominal sections in the examination area calculi with a diameter of 46 mm in the upper pole of the right kidney and 4 mm in the lower pole were observed . other upper abdominal organs are normal . lung parenchyma ventilation of both lung parenchyma is normal and there is no active infiltration consolidation or space-occupying lesion in the bilateral lungs . when the lung parenchyma is examined in the window 4 mm nodular density sitting on the pleura is observed in the right lung middle lobe lateral segment and it is primarily considered in favor of sequelae . no pericardial-pleural effusion or thickening was observed . airways trachea both main bronchi mediastinal main vascular structures heart contour size are normal . mediastinum trachea both main bronchi mediastinal main vascular structures heart contour size are normal . heart and great vessels trachea both main bronchi mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen upper abdominal organs included in the examination area are normal . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . pleuroparenchymal fibroatelectasis sequelae accompanied by traction bronchiectasis were observed in the inferior lingular segment of the left lung upper lobe . both lungs are emphysematous . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways no obstructive pathology was observed in the lumen of the trachea and both main bronchi . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the spleen is full . as far as can be observed in the sections the liver parenchyma density has decreased diffusely consistent with hepatosteatosis . lung parenchyma when examined in the lung parenchyma window in both lungs there are nodular ground glass densities which are diffusely located in a patchy manner and enlargement is also observed in the vascular structures with a halo sign around peripheral nodular . the findings were evaluated in favor of covid-19 viral pneumonia . clinical laboratory correlation and close follow-up are recommended . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are atelectasis in the lower lobe of both lungs the middle lobe of the right lung and the lingular segment of the left lung upper lobe . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there are stones in the gallbladder about 1 cm in diameter . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no relevant findings . airways trachea both main bronchi are open . mediastinum mediastinal examination is suboptimal due to lack of contrast . thoracic aorta diameter is normal . in the mediastinum several lymph nodes with a short axis reaching 13 mm are observed in the right paratracheal area . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures on the ribs chronic fracture lines are observed laterally . bone structures in the study area are natural . 4-5 on the right . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma and there is another 35 x 2 cm infiltration area in the apical segment of the right lung upper lobe . in the lingular segment of the left lung a consolidation area of 7 x 6 cm at its widest point including air bronchograms was observed . pneumonic infiltration appropriate post-treatment control is recommended . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . a carinal 14 x 11 mm lymph node and millimetric lymph nodes at other levels were observed in the mediastinum . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no relevant findings . abdomen accessory spleen with a diameter of 13 mm was observed . is recommended . a millimetric hyperdense appearance was observed in the neck of the gallbladder . lung parenchyma there is a bilateral effusion measuring 29 mm in thickness on the right and 20 mm in thickness on the left . diffuse mosaic attenuation patterns are observed in both lungs especially in the lower lobes . when examined in the lung parenchyma window there are thickenings in the interlobular septa especially in the lower lobes bronchiectasis and peribronchial sheathing . there are pleural calcifications in the subdiaphragmatic area on the left side . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures diffuse density reduction in structures hypertrophic osteophytic tapering in the anteriors of the vertebral corpus endplates are present . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . diffuse density reduction in structures hypertrophic osteophytic tapering in the anteriors of the vertebral corpus endplates are present . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are emphysematous changes in both lungs . in both lungs bronchovascular structures are evident at the central level and peribronchial atelectasis is observed . pleural effusion measuring 55 mm on the right and 43 mm on the left in the bilateral hemithorax and parenchymal atelectasis adjacent to the effusion are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . calcific atheroma plaques are observed in the aorta and coronary arteries . there are lymph nodes with short axes not exceeding 10 mm in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the heart size has increased . osseous structures scoliosis was observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma millimetric nodular ground glass density was observed located peripherally in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment and in the right lung lower lobe mediobasal and laterobasal segments . however due to the pandemic ultra-early covid-19 pneumonia could not be excluded . no mass lesion with distinguishable borders was detected in both lungs . appearance is nonspecific . when examined in the lung parenchyma window linear pleuroparenchymal fibrotic density increases were observed in the right lung middle lobe left lung upper lobe inferior lingular and left lung lower lobe basal segment . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum the thoracic aorta is elongated and tortoised . the mediastinum could not be evaluated optimally in the non-contrast examination . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen calibration of mediastinal major vascular structures is natural . hiatal hernia was observed in the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart sizes are slightly increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the thoracic aorta is elongated and tortoised . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . as far as can be observed in the sections the gallbladder was not observed operated . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma the outlook was evaluated in accordance with the frequently reported imaging features of covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . when examined in the lung parenchyma window in both lungs ground-glass-like density increases were observed in the lower lobes which were observed as consolidation in the lower lobes . airways as far as can be seen trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . no lytic-destructive lesion was observed in the bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window both hemithorax are symmetrical . in the case which was learned to have had covid pneumonia scattered and peripherally located ground-glass-like density increases are observed in both lungs and there are interstitial scars on this ground from time to time . radiological findings are compatible with clinical diagnosis . no bilateral pleural effusion or pneumothorax was detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . in the anterior mediastinum thymic tissue is observed in configuration without mass effect . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures mild degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the upper abdominal organs including sections a decrease in density consistent with steatosis is observed in the liver . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there are linear atelectasis in the upper lobe of the right lung the medial segment of the middle lobe and the lingular segment of the upper lobe of the left lung . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma active infiltration or mass lesion is observed in both lung parenchyma and there are emphysematous changes . in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . there are linear atelectasis and sequelae pleuraparenchymal bands in left lung inferior lingular segment and lower lobe posterobasal segment right lung middle lobe lower lobe posterobasal segment and lateral segments . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no relevant findings . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a few millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was not contracted . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window atelectasis consolidation area and air bronchogram signs are observed in the basal parts of the lower lobe of the left lung . volume loss is observed in the lower lobe of the left lung . mosaic pattern attenuation is also observed in the lower lobe of the right lung . mild interlobular septal thickenings are present in both lungs . bilateral hilar-axillary lymph node enlarged in pathological dimensions was not detected . no nodular or infiltrative lesion was detected in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . a few millimeter-sized oval lymph nodes are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures significant height loss in the t10 vertebral body mild degenerative and mild height losses are observed in the l1 vertebral body . abdomen thoracic aorta diameter is normal . there is a small accessory spleen 10 mm in size adjacent to the spleen . upper abdominal organs are partially included in the study and were evaluated as subopotimal . lung parenchyma when examined in the lung parenchyma window central-peripheral ground-glass nodular density increases are observed in the upper and lower lobes of the left lung and the appearance is highly suspicious for covid-19 pneumonia . no mass lesion with distinguishable borders was detected in both lung parenchyma . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinum was not evaluated optimally . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be observed in the non-contrast examination the upper abdominal organs are normal . thoracic aorta diameter is normal . the gallbladder was not observed secondary to the operation . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis is observed in the left lung . there is minimal peribronchial thickening in both lungs and centriacinar nodules in both lungs some of which have the appearance of budding trees . these appearances were evaluated primarily in favor of infective pathology . no mass was detected in both lungs . there are minimal emphysematous changes in both lungs . minimal pleural effusion is observed on the left . there is a pleural drainage catheter on the left . no pleural effusion was detected on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are millimetric atheroma plaques in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . as far as can be seen there is a central venous catheter on the right . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels the venous catheter terminates in the right atrium . pericardial effusion was not detected . heart contour and size are normal . osseous structures there is a widespread lack of density consistent with in the bone structures within the sections . the neural foramina are narrowed . there are occasional height losses in the vertebral corpuscles . intervertebral disc distances are narrowed . abdomen there are millimetric atheroma plaques in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window series 2 in the paravertebral area in the right lower lobe nodular density measuring 6 mm in image is observed in a faint nature . due to the current pandemic suspected early infectious process nonspecific nodule of faint nature evaluated in its favour . clinical laboratory correlation and close follow-up are recommended . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings in the vertebral corpus end plates of the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . an accessory spleen with a diameter of 95 mm was observed anterior to the spleen . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion is detected and there are sequelae changes and a few millimeter-sized nonspecific nodules . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . in the mediastinum lymph nodes with a fusiform configuration are observed the largest of which is at the lower right paratracheal level with a short diameter of 11 mm with a fatty hilus . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . calibration of vascular structures is natural to heart contour size . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no free fluid or loculated collection is observed . as far as it can be seen within the limits of non-contrast ct in the upper abdominal sections within the image no solid mass was detected . lung parenchyma in the presence of primary disease these nodules were thought to be metastases . the described appearance may be consolidation or soft tissue mass . there are millimetric nodules in both lungs . emphysematous changes and atelectesis are observed in the right lung which is ventilated in the left lung . the right upper lobe of the lung is not observed operated . there is an appearance of centrally located soft tissue density in the central and lower lobe central part of the right lung . this distinction cannot be made in this examination . a pleural drainage catheter is observed at the level of the lower lobe of the lung in the right hemithorax . there is no pleural effusion on the left . pleural effusion is observed on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels the port catheter terminates in the right atrium . pericardial effusion was not detected . heart contour and size are normal . osseous structures metastases may be present in these views . sclerotic bone lesions are observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures mild scoliosis with left opening was observed at the thoracic level . abdomen liver gallbladder spleen pancreas both adrenal glands and both kidneys are normal as far as can be observed in the sections . a 5 mm diameter nodular lesion area in which macroscopic fat is observed was observed in the left kidney mid-section lateral . compatible with angiomyolipoma . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the upper lobe of the right lung in the basal segments of the lower lobe in the lower lobe basal in the left lung there are peripherally located ground-glass-like density increases in the anterior segment caudal of the upper lobe . densities compatible with pleuroparenchymal sequelae are observed in the inferior lingular segment . on the right a 4x2 mm nodule superposed on the minor fissure is observed . no bilateral pleural effusion or pneumothorax was detected . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma bronchiectasis is observed in both lungs . bronchiectasis is most prominently observed in the lower lobe of the left lung . there is diffuse emphysema in both lungs . since the patient is not breathing properly during the examination both lung parenchyma cannot be evaluated optimally especially in terms of focal lesion . there are appearances evaluated in favor of secretion within the bronchiectatic ducts in the lower lobe of the left lung . there are budding tree appearances in both lungs especially in the lower lobe of the left lung . no mass was detected in both lungs . the described manifestations were primarily evaluated in favor of infective pathology . right lung middle lobe is total atelectatic . there are pleuroparenchymal sequelae changes in both lung apex . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . thoracic vertebral corpus heights alignments and densities are normal . there are millimetric osteophytes at the vertebral corpus corners . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma in the evaluation of both lung parenchyma peripheral ground glass density and consolidations were observed in the posterior segment of the right lung upper lobe . viral pneumonia includes air views . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . calcific atheroma plaques were observed in the main vascular structures . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes were observed in the bone structure in the examination area . abdomen the gallbladder was not observed operated . upper abdominal organs included in the sections are normal . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lung parenchyma . when examined in the lung parenchyma window pleuroparenchymal linear fibroatelectasis sequelae changes were observed in the right lung upper lobe anterior and both lung lower lobe basal segments . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . millimetric calcific atheroma plaque was observed in lad . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures diffuse degenerative changes were observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it was evaluated as compatible with covid pneumonia in the first place during the pandemic process . clinical laboratory verification is recommended . when examined in the lung parenchyma window scattered and some faint focal ground-glass-like density increases are observed in both lungs . bilateral pleural effusion-pneumothorax was not detected . airways no relevant findings . mediastinum thoracic aorta diameter is normal . no pathological size and configuration lymph nodes were detected in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is natural . there is thymic tissue in the anterior mediastinum in trigonal configuration without mass effect . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the spleen is full . thoracic aorta diameter is normal . in the sections passing through the upper abdomen there is a decrease in density consistent with steatosis in the liver . a nonspecific formation with faint borders is observed in the vicinity of the falciform ligament . the bilateral adrenal glands are normal . lung parenchyma there was no finding compatible with significant pneumonia . there is a 2 mm diameter nodule superposed on the major fissure on the right . no pleural effusion or pneumothorax was observed . when examined in the lung parenchyma window a subpleural 2 mm diameter nodule is observed in the posterior segment of the right lung upper lobe . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . thymic tissue with trigonal configuration is observed in the anterior mediastinum which does not show any mass effect . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are peribronchial point budding densities in all lobes of both lungs . there are millimetric nonspecific nodules in the upper and lower lobes of the left lung . when examined in the lung parenchyma window there is minimal emphysematous appearance in both lungs . parenchymal consolidation is observed in the middle lobe of the right lung and densities in the form of ground glass are observed around it . follow-up examination is recommended after treatment . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass - infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window subsegmental atelectasis areas were observed in the lower lobes of both lungs . there are prominent peribronchial thickenings in the bilateral lower lobes and bronchiectatic changes prominent in the central . pleural thickening-effusion was not observed . subpleural located 8 mm in the right lung lower lobe laterobasal segment 5 mm subpleural located in the same localization on the left 35 mm in the fissure level in the left lung upper lobe apicoposterior segment 2 mm in the inferior lingular segment 2 mm in the left lung lingular segment right in the upper lobe posterior segment of the lung nonspecific pulmonary nodules with a diameter of . no newly emerging nodular lesion was detected in the current examination . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum the diameter of the aortic arch was 31 mm and it shows dilatation . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . mediastinal bilateral hilar and axillary lymph nodes were not detected in pathological size and appearance . heart and great vessels pericardial thickening - effusion was not detected . the diameter of the ascending aorta was 34 mm . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . heart contour and size are natural . osseous structures there is a fracture line in which millimetric bone fragments are observed in the adjacent soft tissues showing and slight angulation in the corpus sternium . pathological fracture cannot be excluded in this examination . abdomen the diameter of the aortic arch was 31 mm and it shows dilatation . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma metastasis should be considered in the differential diagnosis in a patient whose primary is . the largest of the nodules described was 9 mm in diameter in the upper lobe apicoposterior in the left lobe and mm in diameter in the lower pole laterobasal segment in the right lobe . multiple parenchymal nodules were observed in different localizations in both lungs . when both lungs are evaluated in the parenchyma window a mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . bilateral pleural thickening-effusion was not detected . airways diffuse nodular calcifications were observed in the trachea and both main bronchial walls osteochondroplastica . trachea and lumen of both main bronchi are open . mediastinum diffuse calcifications were observed in the thoracic aorta and coronary artery walls . no lymph node was detected in mediastinal pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the diameter of the ascending aorta was 48 mm and showed fusiform dilatation . as far as can be observed cto increased in favor of the heart . stent material was observed in the coronary arteries . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen no gall bladder was observed in the upper abdominal sections that entered the examination area . diffuse calcifications were observed in the thoracic aorta and coronary artery walls . hypodense lesions measuring 27 mm in diameter were observed in the right kidney cyst . a well-circumscribed 21 mm diameter hypodense lesion with a hu value of 22 was observed in the right adrenal gland . lung parenchyma air cysts with a diameter of 20 mm were observed in the anterobasal segment of the lower lobe of the left lung . an air cyst with a diameter of 15 mm was observed in the middle lobe of the right lung . mild emphysematous changes were observed in both lungs . when examined in the lung parenchyma window mild bronchiectatic changes are observed bilaterally centrally . two nonspecific parenchymal nodules measuring 35 mm in diameter were observed in the lower lobe of the left lung . subsegmental atelectasis areas were observed in both lung lower lobes . pleural thickening-effusion was not detected . airways no relevant findings . mediastinum mediastinal structures were evaluated as suboptimal because the examination was unenhanced . as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels heart sizes are natural . as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . the ascending aorta measures 39 mm in diameter and shows slight dilatation . osseous structures partial compression which causes loss of height was observed in the upper end plate of the t12 vertebra . no lytic-destructive lesion was detected in bone structures . abdomen liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . lung parenchyma there are minimal emphysematous changes in both lungs . there are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . minimal bronchiectasis is observed in the central parts of both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . a few short axis lymph nodes measuring up to 3 mm are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma minimal atelectatic changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the upper lobe of the left lung . when examined in the lung parenchyma window tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs . a few millimetric nonspecific parenchymal nodules were observed in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . in the mediastinum calcified lymph nodes with short axes less than 1 cm in millimeter size were observed . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . mediastinal main vascular structures heart contour size are normal . osseous structures increased trabeculation and minimal degenerative changes were observed in the thoracic vertebrae . abdomen thoracic aorta diameter is normal . lung parenchyma there are millimetric nodules in both lungs . there is also peribronchial thickening less pronounced on the right . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are emphysematous changes in both lungs . significant volume loss is observed in the upper lobe of the left lung especially in the apical subsegment of the apicoposterior segment . density increases structural distortion and volume loss which are evaluated in favor of pleuroparenchymal sequela fibrotic changes are observed in both lungs more prominently on the left . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures could not be evaluated optimally because no contrast agent was given . atheroma plaques are observed in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen atheroma plaques are observed in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma there are minimal emphysematous changes in both lungs . there are millimetric nonspecific nodules some of which are calcific in both lungs . no mass or infiltrative lesion was detected in both lungs . occasionally linear atelectasis was observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . atheroma plaques are observed in the aorta and coronary arteries . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures surgical filling materials are observed in the vertebrae . the neural foramina are open . vertebral corpus heights have decreased . widespread low density consistent with osteopenia is observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma a calcified nodule with a diameter of approximately 25 mm was observed in the posterior segment of the left lung upper lobe . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . in addition a parenchymal nodule with a diameter of approximately 5 mm was observed in the left lung lingula superior segment . when examined in the lung parenchyma window there are atelectatic changes in the medial segment of the right lung middle lobe . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea and both main bronchi are open . mediastinum thoracic aorta diameter is normal . lymph nodes with a short diameter of up to 1 cm in places with hypodense hiluses were observed in the mediastinal prevascular area and paratracheal area . no obvious pathology was detected . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no pathological wall thickening was observed . the thoracic esophagus is in normal calibration . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . osseous structures there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . other findings are stable . sequelae changes are also present in the basal segments of the lower lobe of the left lung . it was in a more consolidated form in the previous examination in the linguistic segment and its density has decreased in the current examination . pleuroparenchymal fibroatelectasis sequelae causing volume loss and structural distortion were observed in the right lung upper lobe lingular segment . centrilobular acinar nodules observed in the previous examination are almost completely regressed in the current examination . focal ground glass areas were also observed in the paramediastinal area of the upper lobe of the left lung the lingular segment and the posterobasal segment of the lower lobe and were present in the patients previous examination . secondary changes to were observed in the pleura at the posterior costal level in the left hemithorax and an effusion reaching 33 mm in thickness was observed in the pleural space . pleural effusion observed in the right hemithorax in the previous examination is almost completely resorbed in the current examination . airways peribronchial thickness increase was observed in segmental-subsegmental bronchi in both lungs . mediastinum the effusion is also present in the previous examination and measured 73 cm at its thickest point and regressed . the described lymph node measured mm in the previous examination . lymph nodes with short axes less than 1 cm were observed in the mediastinum and the largest were measured in the right lower paratracheal area measuring approximately mm . in the non-contrast examination the mediastinum was not evaluated optimally . heart and great vessels as far as can be seen an effusion locating in the pericardial space was observed and it was measured about 67 cm thick at its widest point . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no mass-infiltration was detected in both lung parenchyma . mild emphysematous changes are present in both lungs apical . when examined in the lung parenchyma window a band-like subsegmental atelectasis area was observed in the inferior lingular segment of the left lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . lung parenchyma when examined in the lung parenchyma window several nonspecific nodules are observed within the parenchyma of both lungs the largest of which is in the apical segment of the left lung upper lobe 3 mm . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . pleuroparenchymal sequelae changes are observed in the left lung lingular segments . pleural effusion-thickening was not detected . there is a 5mm diameter calcific in the subpleural area in the superior segment of the left lung lower lobe . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea both main bronchi are open . mediastinum pre-paratracheal several lymph nodes the largest of which is 7 mm in short diameter are observed . evaluation of mediastinal structures is suboptimal since the examination is unenhanced . calcific plaque formations are observed in the aortic arch and the descending aortic wall . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are schmorl nodules in the superior and inferior end plateaus of the vertebral bodies . when the bone is examined in the window multisegmental degenerative changes are observed in the thoracic vertebral column with a significant increase in thoracic kyphosis . no lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax . abdomen gallbladder was not observed in the lodge . no space-occupying lesion was detected in the bilateral adrenal glands . pre-paratracheal several lymph nodes the largest of which is 7 mm in short diameter are observed . there are metallic suture materials in the gallbladder lodge . upper abdominal organs included in the sections are normal . calcific plaque formations are observed in the aortic arch and the descending aortic wall . the pancreas is normal . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window mosaic density differences are seen in both lung parenchyma . a few nonspecific nodules some of them calcific millimetric were observed in both lung parenchyma . there are occasionally faintly limited ground glass densities most prominently in the left lower lobe posterobasal . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures sclerotic changes are observed in the bone structures in the study area . there is height loss in the t7 vertebral body . abdomen both kidneys are atrophic . a 95 mm isodense solid nodular lesion located in the cortical region of the upper pole of the right kidney and a stone density of 45 mm in the upper pole of the calyx are observed . in the upper abdominal organs included in the sections the gallbladder is operated . there is a 3 mm calcification appearance in the upper pole of the left kidney . calcific atheroma plaques are observed in the aorta . lung parenchyma diffuse emphysema is observed in both lungs . there is a pure calcified parenchymal nodule in the right lung middle lobe lateral segment . plaque-like pleural calcification is observed in the right lung lower lobe superior segment pleura . airways the air column is observed open . the diameter increase in the trachea is secondary to the loss of in the lung parenchyma . trachea diameter increased . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . the main pulmonary artery diameter is 35 mm and it is observed wider than the aorta . heart and great vessels calcified atheroma plaques are observed in lad . osseous structures mild height loss due to osteoporosis and signs of degenerative spondylosis are observed . there is sclerosis in the end plateaus adjacent to the disc . there are osteophyte formations at the vertebra corpus corners . the disc distance is narrowed . in both supraclavicular fossas no lymph node in pathological size and appearance was observed in the cross-section . osteoporotic appearance is observed in bone structures . abdomen no feature was detected in the upper abdomen sections entering the image area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there are nonspecific nodular millimeters in both lungs . there are atelectatic changes in bilateral apex right middle lobe medial segment left inferior lingular segment and lower lobes . paraseptal emphysematous changes are observed in the upper lobes of both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . diffuse calcified atheromatous plaques are present on the wall of mediastinal vascular structures . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . thoracic kyphosis has increased and osteophytic degenerative changes are observed in the corners of the scoliosis vertebral corpus whose opening is facing left in the thoracic vertebral column . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma symmetrical consolidation areas including air bronchogram observed in both lungs in the previous increases in ground glass density and thickening of interlobular septa completely regressed in the current examination . there are sequelae fibrotic changes in the apical parts of both lungs in the middle lobe of the right lung and in the lingular segment of the left lung . mosaic attenuation is present in both lungs secondary to small airway disease secondary to small vessel disease . when examined in the lung parenchyma window there are mild bronchiectatic changes in both lungs . in the lower lobe of the right lung cavitary nodules are observed in the periphery the largest of which is 7 mm in diameter with densities of ground glass density . mild changes are present in both lungs . a large number of laps mm in size were observed in the paratracheal prevascular subcarinal bilateral hilar regions paracardiac fatty planes and the largest in the paracardiac area . pleural effusion observed in his previous examination was not detected in the current examination . airways trachea lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum a large number of laps mm in size were observed in the paratracheal prevascular subcarinal bilateral hilar regions paracardiac fatty planes and the largest in the paracardiac area . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal sections in the study area the size of the liver and spleen increased . there is minimal free fluid in the perihepatic perisplenic space . hypodense areas are observed in the upper pole of the spleen . intraabdominal multiple lap is observed . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window minimal atelectatic changes were observed in the basal segments of the lower lobes of both lungs . bilateral pleural effusion-thickening was not observed . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum mediastinal main vascular structures could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed the heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen it is recommended to be evaluated for liver parenchymal disease . was observed in the abdomen . in the upper abdominal organs including sections liver contours are slightly irregular . the caudate lobe is hypertrophied . gallbladder spleen both kidneys are natural . lung parenchyma pleuroparenchymal linear density increases and focal parenchymal calcification focus in the right lung upper lobe posterior segment are consistent with sequelae change . linear atelectasis areas are observed in the left lung lingular segment adjacent to the paracardiac fat pad . no pneumonic infiltration or consolidation area is detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . pleural effusion was not observed . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa in the axilla and mediastinum in the cross-section in pathological size and appearance . there are paratracheal bilateral hilar and subcarinal millimetric nonspecific lymph nodes in the mediastinum . calibration of mediastinal major vascular structures is normal . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen in the upper abdomen sections no feature was detected within the section . lung parenchyma when examined in the lung parenchyma window a few small emphysematous changes are observed in both lungs . airways trachea both main bronchi are open . mediastinum there are calcific crescentic atheroma plaques in the dorsal aorta in the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . small hiatal hernia was observed . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are osteophytic tapering in the degenerative endplates and narrowing in the intervertebral disc spaces in the bone structures in the study area especially in the cervical vertebrae . vertebral corpus heights are preserved and there are lytic appearances in the cervical vertebral corpuscles . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . there are calcific crescentic atheroma plaques in the dorsal aorta in the aortic arch . in the area there are wall thickenings that extend to the gastric cardia at the distal level and cause narrowing of the lumen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window widespread ground glass densities are observed in both lung parenchyma showing a tendency to central and peripheral fusion . a 5 mm calcific nodule was observed in the posterobasal region of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum millimetric lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaques are present in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . osteodegenerative changes are observed in the vertebrae . abdomen a millimetric hypodense lesion was observed in segment 2 of the liver in the upper abdominal organs included in the sections . lung parenchyma when examined in the lung parenchyma window in the middle lobe of the right lung several air cysts were observed the largest of which was mm in size slightly thick-walled with fibroatelectasis recessions which caused structural distortion and volume loss in the surrounding parenchyma . the outlook was evaluated in favor of sequelae . traction bronchiectasis accompanies the air cyst . apart from this no active infiltration was detected in a mass lesion with distinguishable borders in both lungs . in addition linear fibroatelectasis sequela changes were observed in the posterobasal segment of the lower lobe of the right lung . paraseptal emphysema area is observed in the posterobasal segment of the left lung lower lobe . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structures in the study area . abdomen metallic sutures were observed in the operation site . as far as can be observed in the sections the gallbladder was not observed operated . the liver spleen pancreas both kidneys and both adrenal glands entering the section area are normal . lung parenchyma when examined in the lung parenchyma window in the evaluation of both lung parenchyma no infiltrative involvement or consolidation area was observed . there is a focal millimetric nodular density increase in the right lung upper lobe posterior segment adjacent to the fissure and it is nonspecific . airways no relevant findings . mediastinum wall calcifications and calcified atheroma plaques were observed in the thoracic aorta and abdominal aorta . no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels heart size increased . pericardial effusion was not detected . calcified atheroma plaques are observed in the coronary arteries . osseous structures no lytic-destructive lesions were detected in bone structures . in the supraclavicular fossa no lymph node was observed in the axilla in pathological size and appearance . abdomen no space-occupying lesion was detected in a massive structure . wall calcifications and calcified atheroma plaques were observed in the thoracic aorta and abdominal aorta . no additional pathology was detected in the upper abdominal organs including the section . in the evaluation of upper abdominal sections there is a cortical cyst of 3 cm in diameter in the left kidney . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is minimal peribronchial thickening in both lungs . a few millimetric nonspecific nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . in the liver parenchyma density a decrease in density is observed which is compatible with minimal-moderate adiposity . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced ct . lung parenchyma there is also a 48 mm calcific nodule in the posterobasal segment series 202 image in the lower lobe of the left lung . breath artifacts are present in both lung lower lobe basal segments . millimetric calcific foci are observed in the left hilar region and paraesophageal area . when examined in the lung parenchyma window atelectatic changes are observed in the left lung lingula inferior . there are calcific fibrotic changes at the apical level in the upper lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen apart from this the upper abdominal organs included in the sections are natural . the left kidney in the examination area is atrophic . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . no mass or infiltrative lesion was detected in both lungs . there are areas of linear atelectasis in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen splenomegaly is present and perisplenic and perigastric are observed . within the limits of non-contrast bt liver contours show microlobulation chronic liver parenchymal disease . a hyperdense stone with a diameter of 2 mm is observed in the right kidney . lung parenchyma centriacinar nodular and ground glass areas some of which have the appearance of budding trees are observed in the lateral segment of the right lung middle lobe . there are millimetric nodules in both lungs . the described appearance was primarily evaluated in favor of infective pathology . no mass was detected in both lungs . these findings are not common findings in covid-19 pneumonia . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum pulmonary artery diameters are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . the diameters of the aortic arch and descending aorta are normal . there are lymph nodes in the mediastinum and hilar regions the largest measuring 10 mm in short diameter . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . the diameters of the aortic arch and descending aorta are normal . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . minimal pleuroparenchymal sequelae changes were observed in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum aberrant right subclavian artery is observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . the diameters of the aortic arch and descending aorta and pulmonary artery are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the anterior-posterior diameter of the ascending aorta is 41 mm and wider than normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . the diameters of the aortic arch and descending aorta and pulmonary artery are normal . lung parenchyma the findings were evaluated for covid-19 viral pneumonia . when examined in the lung parenchyma window there are ground glass densities with halo marks around it in more than one patchy style in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . clinical laboratory correlation is recommended postoperative changes are observed in the left kidney . lung parenchyma when examined in the lung parenchyma window dependent density increases were observed in the lower lobes of both lungs and were evaluated . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . diffuse density reduction is observed in the liver which is consistent with hepatosteatosis . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma radiological findings were evaluated in favor of atypical pneumonia covid pneumonia . nonspecific . there are nodular focal density increases with low density and no mass in both lungs they are less than 5 mm in diameter . in the parenchyma evaluation there is increased aeration in both lungs . infiltration areas in the form of subpleural ground-glass opacity and mild septal thickenings are observed in both upper lobes and lower lobes of both lungs . airways no relevant findings . mediastinum wall calcifications are observed in the aortic arch . there are several nonspecific lymph nodes in the mediastinum . calibration of mediastinal major vascular structures is natural . heart and great vessels there are calcified atheroma plaques in the coronary arteries . pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures there is osteoporosis in bone structures . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesion was detected . abdomen wall calcifications are observed in the aortic arch . lung parenchyma when examined in the lung parenchyma window sequelae changes are observed at the apical level . there is a slight ground-glass-like density increase in the lower lobe of the right lung . the outlook is not typical for covid pneumonia . however early stage pneumonia could not be excluded . pleural effusion pneumothorax were not detected . airways tracheal diverticulum is observed on the right posterolateral at the level of the thoracic inlet . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window no pneumonic infiltration or consolidation area was detected in the lung parenchyma . linear atelectasis are observed in the anterobasal segment of the lower lobe of the left lung . no suspicious nodular or mass-occupying lesion was observed in the lung parenchyma . no pleural effusion was detected . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibration diameters of mediastinal main vascular structures are normal . there is a sliding type hiatal hernia . heart and great vessels calcific atherosclerotic plaques are observed in the coronary arteries . heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . no lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance . abdomen in the upper abdomen sections no feature was detected within the section . lung parenchyma the regressed ground glass densities present in the old examination also decreased in the new examination and can be detected with . when examined in the lung parenchyma window there is an emphysematous appearance in the upper lobes of the lung . they are seen as fibrotic density in the form of sequelae . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebrae are degenerative . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are appearances evaluated primarily in favor of atelectasis in the lower lobe of the left lung . in addition consolidated areas were observed in the basal segments of the lower lobe of the left lung and the inferior subsegment of the lingular segment of the left lung upper lobe . uniform interlobular septal thickening was observed in the lower lobe of the right lung . although the described appearances cannot be clearly characterized in this examination the presence of volume loss suggests primarily atelectasis . there are millimetric nodules in both lungs . there was no finding that could be evaluated in favor of a mass or pneumonic infiltrative in both lungs . the effusion measured approximately 85 mm on the left at its thickest point . there are emphysematous changes in both lungs . bilateral pleural effusion was observed . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the diameters of the aortic arch and descending aorta are normal . numerous lymphadenopathies were observed in the mediastinum and hilar regions . the largest of these lymphadenopathies are observed in the prevascular region and subcarinal area and their short diameter is 18 mm . mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery diameter was 32 mm and wider than normal . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels there is a pericardial effusion measuring approximately 35 mm in its thickest part . pericardial effusion is observed as minimally hyperdense and may be hemorrhagic or with high content . the anterior-posterior diameter of the ascending aorta was 44 mm . pericardial thickening was not detected . as far as can be observed heart contour and size are normal . when evaluated together with other findings this appearance was thought to be due to cardiac pathology . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . the diameters of the aortic arch and descending aorta are normal . lung parenchyma apart from this no active infiltration consolidation or space-occupying lesion was detected in both lungs . a pulmonary nodule with a diameter of 4 mm is observed in the lateral segment of the left lung lower lobe . when examined in the lung parenchyma window calcification compatible with sequela change in the upper lobe inferior lingular segment in the left lung and millimetric calcific nodules and linear densities compatible with linear sequelae are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no fractures or lytic-sclerotic lesions were observed in bone structures . abdomen the upper abdominal organs included in the examination have a natural appearance . thoracic aorta diameter is normal . lung parenchyma when examined in the lung parenchyma window mild atelectatic changes in the middle lobe medial and upper lobe inferior lingula . there are breath artifacts in the lower lobe basal segments of both lungs with the appearance of atelectasis . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aortic arch descending and ascending aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . small hiatal hernia was observed . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic and osteophytic taperings in the end plates of the vertebral corpuscles and diffuse density decrease in the bone structures . tapering and bridging tendencies are observed in the vertebral corpus end plates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aortic arch descending and ascending aorta . upper abdominal organs included in the sections are normal . the gallbladder is not observed operated . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are thickenings in the interlobular septa in both lungs atelectatic changes especially in the lower lobes patchy ground glass densities more prominent in the left lung upper lobe . clinical laboratory correlation is recommended . the findings were initially evaluated in favor of covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures density reduction and degenerative changes are observed in the bone structures in the study area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the left thorax stomach and large intestine loops and spleen extending into the thoracic cavity are observed . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peripheral nodular ground glass consolidations were observed in all lobes of both lungs and the appearance is highly suspicious for covid-19 pneumonia . subsegmental atelectatic changes were observed in the left lung inferior lingular and right lung middle lobe medial segment . no discernible mass was observed in both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum calibration of other mediastinal vascular structures is natural . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the anterior and posterior diameter of the ascending aorta is 38 mm larger than normal . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pneumonic infiltration is considered in the etiology of the findings . when examined in the lung parenchyma window consolidation in which air bronchograms are observed in millimetric dimensions in the superior segment of the right lung lower lobe and in the upper lobe of the left lung with indistinct borders and an increase in the density of ground glass was observed . no mass lesions were detected in both lungs . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen no intraabdominal free fluid or loculated collection was observed . in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window in both lungs there are ground-glass-like density increases that tend to merge from place to place accompanied by thickenings in the interlobular septa which are more prominent in the zones of the lungs . there is a parenchymal band in the inferior lingular segment . a 5 mm diameter nodule is observed in the right lung lower lobe mediobasal segment . no pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum a millimetric-sized calcific atheroma plaque is observed in the aortic arch . calibration of mediastinal major vascular structures is natural . millimetric sized lymph nodes are observed in the mediastinum . heart and great vessels cto is normal . the pericardium is slightly prominent . osseous structures benign peripheral sclerotic subcentimetric nodular formation is observed in the right scapula body part . degenerative changes are observed in the bone structures in the study area . abdomen there is a 16 mm diameter hypodense lesion with exophytic appearance in the middle part of the left kidney cortical cyst . in the upper abdominal organs included in the sections there is a slight decrease in density consistent with hepatosteatosis in the liver . a millimetric-sized calcific atheroma plaque is observed in the aortic arch . density consistent with multiple calculi is observed in the cystic duct in the gallbladder and in the area extending towards the proximal common bile duct . lung parenchyma there are emphysematous changes in both lungs . there is structural distortion and loss of volume and increases in linear density around the described appearance . tissue diagnosis or close follow-up is recommended . the described appearance is also present in previous examinations and no difference was detected in its dimensions and appearance . there are occasional linear atelectasis in both lungs and minimal interlobular septal and interstitial thickenings in both lungs more prominent in the lower lobes and peripheral regions . there are millimetric nodules in both lungs . these findings can also be observed in the previous examination of the patient and no difference was found . there was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs . minimal structural distortion and volume loss were observed around this density increase . these appearances may be compatible with sequelae changes andor interstitial lung disease . the described appearance may be a lung mass or a pleuroparenchymal sequela fibrotic change . in the left lung upper lobe apicoposterior segment apical subsegment there is an appearance of soft tissue density with irregular borders measuring approximately mm in its widest part . there is no pleural effusion . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no or retrosternal collection was detected . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . it is understood that the patient underwent coronary bypass surgery . osseous structures no fracture or lytic-destructive lesion was detected in the bone structures within the sections . median sternotomy is observed . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . no or retrosternal collection was detected . lung parenchyma there is minimal pleural effusion in both hemithorax . in the affected areas there are cylindrical bronchiectasis and vascular enlargements subpleural bands and structural distortions paraseptal emphysema appearances and air cysts . in the evaluation of both lung parenchyma patchy peripheral-subpleural crazy paving appearances and consolidations were observed in both lungs . airways trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures there are degenerative changes in bone structures . abdomen no significant pathology was detected in the abdominal sections . calcific atheroma plaques were observed in the main vascular structures . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma several lymph nodes with a diameter of 4 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area . findings are consistent with viral pneumonia covid-19 pneumonia . there are several nonspecific nodules with a diameter of 4 mm in both lungs the largest of which is in the lateral segment of the left lung lower lobe . no pleural or pericardial effusion was detected . there is ground glass density in several areas in both lungs with the right lung upper lobe posterior segment being larger in the subpleural area . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum several lymph nodes with a diameter of 4 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area . the widths of the mediastinal main vascular structures are normal . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma atelectasis areas are observed in the left lung upper lobe linguloinferior segment and lower lobe laterobasal and anterobasal segments . no suspicious mass or nodular space-occupying lesion was observed . no pneumonic infiltration was detected in the lung parenchyma . a pure calcified millimetric benign pulmonary nodule is observed in the posterobasal segment of the lower lobe of the right lung . there is a pleural effusion with a diameter of 5 cm between the leaves of the left pleura and 15 cm between the leaves of the right pleura . airways no relevant findings . mediastinum no lymph node was detected in the mediastinum in pathological size and appearance . diffuse calcified atheroma plaques are observed in the ascending aorta aortic arch and thoracic aorta . heart and great vessels pericardial effusion in the form of mild is observed . diffuse calcified atheroma plaques are observed in the ascending aorta aortic arch and thoracic aorta . lad has stent . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections common free fluid was observed in the abdomen . diffuse calcified atheroma plaques are observed in the ascending aorta aortic arch and thoracic aorta . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum in the aortic arch calcific plaque in millimeter size is observed . apart from this the heart and mediastinal vascular structures have a natural appearance . no pathological lap was detected in the mediastinum . heart and great vessels apart from this the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the aortic arch calcific plaque in millimeter size is observed . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma except for the nodules no mass or infiltration was detected in both lungs . when examined in the lung parenchyma window several pulmonary nodules are observed in both lungs more prominently in the right lung . ventilation of both lungs is normal . the largest of these pulmonary nodules is observed in the lateral segment of the lower lobe of the right lung and its diameter is 45 mm . no pericardial effusion or pleural effusion was observed . airways no relevant findings . mediastinum calcific atheroma plaque is observed in the aortic wall . evaluation of solid organs vascular structures and mediastinum is suboptimal due to non-contrast . heart and great vessels heart size and contours are normal . osseous structures no fractures lytic or sclerotic lesions were detected in the bones . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the upper abdominal organs included in the examination appear normal . calcific atheroma plaque is observed in the aortic wall . lung parenchyma a nodule with a diameter of 2 mm is observed in the superior segment of the lower lobe . there is a 2 mm diameter nodule in the middle lobe of the right lung . a nodule with a diameter of 2 mm is observed in the laterobasal segment of the lower lobe of the left lung . there is a focal ground-glass-like density increase in the lower lobe posterobasal level in the right lung . mild sequelae changes are observed at the apical level . a 2 mm diameter nodule superposed to the level of the minor fissure is observed . no pleural effusion or pneumothorax was detected in both lungs . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is natural . in the anterior mediastinum there is a partial fatty involution of thymic tissue that does not show a mass effect . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . there are calcules of 2 mm in size in the middle part of the left kidney and 3 mm in diameter in the lower part . in sections passing through the upper abdomen both adrenals are natural . lung parenchyma similar appearance is also seen in the middle lobe of the right lung and the lingular segment of the left lung . apart from this minimal ground glass densities are observed in the peripheral lung parenchyma of both lungs . a nodular lesion with a size of 12x10 mm is observed in the superior segment of the right lung lower lobe . in the evaluation of both lung parenchyma more prominent peribronchial wall thickening minimal ground glass densities and consolidations are observed in the lower lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper bilateral lower paratracheal larger narrow diameter of the right upper paratracheal 1 cm mediastinal lymphadenomegaly is observed . heart and great vessels the cardiothoracic index increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma the ct involvement score was evaluated as around 44 . an air cyst formed in the right upper lobe . in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances and consolidations were observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures there are degenerative changes in bone structures . abdomen calcific atheroma plaques were observed in the main vascular structures . the gallbladder is operated . a cyst of 15 x 11 mm was observed in the 6th segment of the liver . in the left adrenal gland a thickening of soft tissue density with a diameter of 15 cm was observed in the medial crus . in the sections passing through the upper part of the abdomen the right adrenal gland has a natural appearance . it is recommended to be evaluated in elective conditions after infection . lung parenchyma when examined in the lung parenchyma window atelectasis changes in the lingula on the left in the upper lobe inferior of both lungs and slight thickening in the interlobular septa are observed . in the posterior upper lobe of the right lung in series 2 images and there are several nodules measuring up to 55 mm in size which also causes retraction of the subpleural pleura . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a slight decrease in density in the bone structures . there are mild hypertrophic taperings in the anterior of the vertebral corpus endplate . abdomen there is thinning of cortical structures in the right kidney . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window ventilation of the bilateral lungs is natural . no nodules active infiltration consolidation or space-occupying lesions were observed in both lungs . no pleural effusion or increased thickness was detected . airways the trachea is in the midline and both main bronchi are open . mediastinum thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size and contour are normal . no pericardial effusion or increase was observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . two calculus were observed in the left kidney which was included in the examination area with a size of 9 mm which did not cause dilatation of the collecting system . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma however early viral pneumonia cannot be excluded . clinical laboratory correlation is recommended . peripheral ground glass nodular lesion is observed in the anterior segment of the left lung upper lobe . when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . appearance is nonspecific . pleuroparenchymal sequelae density increases are observed in the left lung inferior lingular segment and right lung middle lobe . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . the diameter of the main pulmonary artery was 32 mm and it shows dilatation . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels density of mitral valve replacement is observed . as far as can be seen the diameter of the ascending aorta is 41 mm and shows dilatation . heart size has increased cardiomegaly . osseous structures there is metallic suture material belonging to sternotomy on the anterior thorax wall . diffuse degenerative changes are observed in bone structures . abdomen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the examination area a 6 cm diameter cortical cyst is observed in the upper pole of the right kidney . lung parenchyma there are diffuse emphysematous changes in both lungs . however the presence of pneumonic infiltration cannot be completely excluded especially in the lower lobe of the right lung . no mass was detected in both lungs . the described appearances were primarily thought to be atelectasis . bilateral pleural effusion is observed more prominently on the right . there is bilateral pleural effusion . again more prominently on the right there are consolidated lung segments adjacent to the pleural effusion in the lower lobes of both lungs and in the superior segment of the lower lobe of the right lung . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery diameter was 32 mm and wider than normal . short lymph nodes less than 1 cm in diameter were observed in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and coronary arteries . the aortic arch is elongated . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen the left lobe of the liver is minimally hypertrophied and the contours of the liver are irregular . there are atheromatous plaques in the aorta and coronary arteries . it is recommended that the patient be evaluated for liver parenchymal disease . the aortic arch is elongated . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in the lung . when examined in the lung parenchyma window bronchiectatic changes and peribronchial thickening were observed in both lungs . a millimetric nonspecific calcific nodule was observed adjacent to the fissure in the posterior segment of the left lung upper lobe . on the left an mm diameter oval configuration density increase was observed over the major fissure intrapulmonary lymph node . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum as far as can be seen the main vascular structures in the mediastinum and the heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the main vascular structures in the mediastinum and the heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window sequelae changes are observed at the apical level . pathological size and configuration of lymph nodes are not observed at both hilar levels . there is a 6 mm diameter nonspecific nodule in the right laterobasal segment . there is emphysematous mild decrease in density in both lungs . 2 subpleural nodules with a diameter of 3 mm are observed in the middle lobe on the right . there are 2 subpleural nonspecific nodules with a diameter of 2 mm in the lateral subpleural area in the posterior segment of the right lung upper lobe . significant pleural effusion pneumothorax or infiltration was not detected in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no lymph node with pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is normal . there is a hiatal hernia in the case . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures degenerative changes are observed in the bone structure . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no active infiltration or mass lesion was detected in the aerated left lung parenchyma and right lung . there are areas of increased density evaluated in favor of compressive atelectasis in the left lung lower lobe and lingular segment adjacent to the effusion . in the current examination effusion reaching 10 cm in its deepest part was observed in the left pleural space . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calibration of mediastinal vascular structures heart contour size are natural . no lymph node was detected in pathological size and appearance in both axillary regions mediastinum and bilateral supraclavicular fossae . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels it could not be evaluated optimally due to lack of contrast . calibration of mediastinal vascular structures heart contour size are natural . there are post-op changes due to mitral valve surgery . mediastinal vascular structures and heart examination iv . minimal pericardial effusion was observed . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was observed within the borders of non-contrast ct . lung parenchyma no mass-nodule-infiltration was detected in the lung parenchyma . when both lung parenchyma windows are evaluated subsegmental atelectasis areas were observed in the middle lobe of the right lung and in the lower lobes of both lungs . bilateral pleural effusion-thickening was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mediastinal structures were considered suboptimal when the examination was unenhanced . a few millimetric lymph nodes were observed in the upper-lower paratracheal area and in the prevascular area . no lymph node was detected in mediastinal pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels pericardial thickening was not detected . heart contour and size are natural . minimal effusion with a thickness of 35 mm was observed in the anterior pericardial area . osseous structures degenerative changes were observed in the bone structures in the study area . mild scoliosis with left opening was observed in the thoracic vertebrae . no lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the spleen pancreas and both kidneys are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated there is an area of amorphous calcification in the anterior segment of the liver right lobe sequelae . lung parenchyma areas of bronchiectasis are most prominently observed in the anterobasal segment of the lower lobe of the right lung . no mass was observed in both lungs . it was evaluated in favor of infective pathology . when examined in the lung parenchyma window bronchiectasis and peribronchial thickening and volume loss are observed in the lower lobe of the right lung and the anterior segment of the upper lobe of the left lung . in addition there are similar appearances in the medial segment of the right lung middle lobe . however focal consolidation areas observed in the previous examination in the lower lobe of the right lung were not detected in the current examination . widespread bud branch appearances are noted in both lungs most prominently in the lower lobe of the right lung and the upper lobe of the left lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen is observed in the case . mediastinal and hilar pathological dimensions and enlarged lymph nodes were not detected . calibration of mediastinal major vascular structures is natural . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal sections entering the examination area are natural . lung parenchyma there are millimetric calcific nodules in the right lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no newly developed pathology was detected . no mass lesion was observed in both lungs . when examined in the lung parenchyma window in the posterobasal segment of the lower lobe of the right lung areas of increased density to the ground glass density are observed in the peribronchial area of the centriacinar nodular which looks like a tree with buds . in addition there are similar findings in the left lung lower lobe superior segment . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . a few millimetric nodules were observed in the lower lobes of both lungs . there are minimal emphysematous changes in both lungs . no pericardial pleural effusion or increased thickness was detected . airways trachea and both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibration of mediastinal main vascular structures heart contour and size are natural . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of mediastinal main vascular structures heart contour and size are natural . osseous structures vertebral corpus height their alignment is natural . osteophytic degenerative changes which tend to merge anteriorly were observed in the vertebral corpus corners . no lytic-destructive lesion was observed in the bone structures within the image . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . intra-abdominal free fluid loculated collection is not observed in the upper abdominal sections within the image . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window emphysematous changes are observed in both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when both lung parenchyma windows are evaluated no mass-nodule-infiltration was detected in both lung parenchyma . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there was no finding compatible with pneumonia . there is a 4 mm diameter nodule in the posterior segment of the right lung upper lobe . when examined in the lung parenchyma window 3 mm diameter nodule is observed in the middle lobe of the right lung . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . no pathological size and configuration of lymph nodes were detected at both hilar levels . pleural effusion-thickening was not detected . a 4x2 mm subpleural nodule is observed in the superior segment of the lower lobe . there is a subpleural 3 mm diameter nodule at the posterobasal level of the left lung lower lobe . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . surrounding soft tissue planes are normal . lung parenchyma a faint ground-glass-like density increase was observed in the lingular segment of the left lung . when examined in the lung parenchyma window no pleural effusion or pneumothorax was detected in both lungs . no significant pleural effusion was detected . airways no relevant findings . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen nodular formation compatible with accessory spleen is observed adjacent to the spleen . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook is consistent with covid-19 pneumonia in the resolution period . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window central-peripheral weighted patchy atelectasis-consolidation areas with crazy paving pattern in both lungs and accompanying widespread linear subsegmental atelectasis were observed in the patient who was learned to have covid-19 pneumonia . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the examination performed without contrast the mediastinal could not be evaluated optimally . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ground glass density secondary to osteophyte compression was observed in the medial segment of the right lung middle lobe and it was evaluated in favor of passive atelectic change . no mass lesion-active infiltration was detected in both lungs . millimetric nonspecific pulmonary nodules were observed in both lungs . when examined in the lung parenchyma window segmental-subsegmental tubular bronchiectasis was observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum lymph nodes in the right upper paratracheal and right hilar regions whose short axes were measured less than 1 cm in the mediastinum were calcified and did not reach pathological dimensions . in the non-contrast examination the mediastinal could not be evaluated optimally . the diameters of both pulmonary arteries increased by 29 mm . occasionally calcific atheroma plaques were observed in the thoracic aorta . as far as can be seen the anterior-posterior diameter of the ascending aorta was 41 mm and the anterior-posterior diameter of the descending aorta was 28 mm . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the most common dense calcific atheroma plaques in the lad were observed in the coronary arteries . heart contour size is normal . osseous structures an appearance compatible with diffuse idiopathic bone hyperostosis at the mid-thoracic level and mild dextroscoliosis with a secondary left-facing opening were observed . abdomen diffuse thickening was observed in the left adrenal gland corpus . occasionally calcific atheroma plaques were observed in the thoracic aorta . as far as it can be seen on the non-contrast sections hypodense nodular lesion areas with a diameter of 15 cm were observed in the upper pole of both kidneys the largest on the right cyst . as far as can be seen the anterior-posterior diameter of the ascending aorta was 41 mm and the anterior-posterior diameter of the descending aorta was 28 mm . lung parenchyma no active infiltration or mass lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . in the evaluation made in the lung parenchyma window there are sequela parenchymal changes in both lung lower lobe posterobasal segment left lung upper lobe inferior lingular segment middle lobe medial segment and both lung . pericardial-pleural effusion was not detected . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen the left lobe of the liver extends to the left upper quadrant as can be seen within the limits of unenhanced ct in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be observed mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cardiothoracic index slightly increased in favor of heart . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels a minimal effusion measuring 5 mm in its thickest part was observed in the anterior pericardium . pericardial thickening was not detected . heart contour size is natural . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area consistent with adiposity . lung parenchyma there are several nonspecific nodules in both lungs the largest of which is 4 mm in diameter in the right lung middle lobe lateral segment mostly calcific . there are linear-subsegmental atelectasis areas in the left lung upper lobe lingular segment right lung middle lobe lateral segment and both lung lower lobes . on the right there are nodular ground glass areas in both lung lower lobes . no mass was detected in both lungs . findings are consistent with viral pneumonia covid-19 pneumonia . a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological dimensions and appearance are detected . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological dimensions and appearance are detected . the diameter of the ascending aorta was 40 mm the diameter of the descending aorta was 32 mm and the diameter of the pulmonary trunk was 32 mm and increased . diffuse calcific atheroma plaques are observed in the aorta . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels the cardiothoracic ratio increased in favor of the heart . there are stent formations in the coronary arteries . osseous structures there is a 75 mm diameter hypodense lesion with trabeculation in the t10 vertebral body hemangioma . there is an old fracture line healed with callus formation in the right 6-7 costa . no lytic-destructive lesion was observed in bone structures . cerclage suture materials are observed in the sternum . bridging osteophytes at the corners of the thoracic vertebra corpus and indentations of schmorls nodules on the end plateaus are observed . abdomen as far as it can be evaluated within the limits of non-contrast ct there are several hypodense lesions cyst in both kidneys the largest of which is 37 mm in diameter in the right kidney . sliding type hiatal hernia is observed at the esophagogastric junction . the diameter of the ascending aorta was 40 mm the diameter of the descending aorta was 32 mm and the diameter of the pulmonary trunk was 32 mm and increased . diffuse calcific atheroma plaques are observed in the aorta . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not observed . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen a large number of millimetric sized stones were observed in the gallbladder lumen . there is advanced hepatosteatosis in the liver parenchyma density entering the section area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . in addition there are nonspecific millimetric nodules some of which are calcified in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . there are nonspecific nodules in both lungs the largest measuring 5 mm in diameter . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced ct . lung parenchyma bilateral hilar pathological size and configuration of lymph nodes were not detected . when examined in the lung parenchyma window focal consolidation is observed in the area in the middle lobe of the right lung . there are faint ground-glass-like density increases in the peripheral area at the basal level of the left lung . millimetric sized calcific atheroma plaques are observed at the prevascular level in the upper-lower paratracheal area . focal consolidation is observed in the inferior lingular segment . at the basal level there are ground-glass-like density increments in the periphery . airways no relevant findings . mediastinum calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the main branches of the aortic arch . calibration of the aortic arch is natural . its calibration is also natural in other mediastinal vascular structures . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the main branches of the aortic arch . mild pericardial effusion is observed . cto is normal . coarse calcification is observed at the level of the mitral valve . osseous structures mild degenerative changes are observed in the bone structure . there is millimetric calcification in the left distance . generally degenerative changes are observed in the bone structure . abdomen calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the main branches of the aortic arch . calibration of the aortic arch is natural . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . a nodular formation with an isodense appearance is observed with the kidney parenchyma which has caused lobulation in the contour in the posterior part of the right kidney . nodular density increases are observed in the middle part of the left kidney which cannot be differentiated between calculus and atherosclerotic density in the renal pelvis . the right kidney is atrophic . in the upper abdominal organs including sections in the anterior neighborhood of the spleen an accessory spleen with a diameter of 18 mm is observed in isodense appearance with the spleen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma peripheral and centrally located ground-glass appearances and consolidations accompanying ground-glass appearances are observed in the upper and lower lobes of both lungs . the described appearances are consistent with covid-19 pneumonia . no mass was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcific atheroma plaques are observed in the thoracic aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures there are hypertrophic osteophytic taperings and a tendency to coalesce in the anterior of the vertebral corpus endplates . there is diffuse density reduction in bone structures . abdomen the left kidney is atrophic . oval-shaped partial finding thought to belong to the upper pole of the right kidney is a cyst available . upper abdominal organs are included in the study partially and evaluated as suboptimal . calcific atheroma plaques are observed in the thoracic aorta . lung parenchyma a 2 mm calcific nodule was observed in the posterobasal region of the lower lobe of the right lung . when examined in the lung parenchyma window there is minimal emphysematous appearance in the upper lobes of both lungs . airways trachea both main bronchi are open . mediastinum there are suture opacities at the supraaortic level proximal to the aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes are observed in the vertebrae in the bone structures within the study area . suture materials of the sternotomy are observed . abdomen there are suture opacities at the supraaortic level proximal to the aorta . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mild cystic bronchiectasis foci are observed in the upper lobe of the left lung . in the evaluation of lung parenchyma there is increased aeration and emphysema in the lung parenchyma . pleuroparenchymal linear fibrotic density increases and parenchymal calcifications in the apical segment of the left lung upper lobe favor the sequelae of previous granulomatous infection . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed in the parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . there is an air-fluid level in the esophagus . although there is no distinguishable increase in wall thickness in the esophagus in the non-contrast examination it is recommended to be evaluated in terms of gastroesophageal or due to the presence of gastric content and the absence of distal obstruction . heart and great vessels the heart size compartments appear natural . pericardial effusion was not detected . there is a calcified atheroma plaque proximal to the lad . osseous structures there is osteoporosis in bone structures . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesion was detected . abdomen loculated or free fluid was not detected . is compatible with the change . no space-occupying lesions were detected in the adrenal glands in the upper abdominal sections . cortical cysts are observed in both kidneys . there is a decrease in both kidney sizes and parenchyma thickness and an increase in reticular density in the perirenal adipose tissue . there is a decrease in the size of both kidneys . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when evaluated in the parenchyma window of both lungs increases in pleuroparenchymal sequelae were observed in the upper lobes of both lungs . no mass nodule or infiltration was detected in both lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal sections entering the examination area are natural . at the fundus level of the gallbladder a 53 mm diameter calculus or a density that may be compatible with calcification is observed . no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . us control is recommended . lung parenchyma on the right there are two adjacent nodules with a diameter of 4 mm superposed on the major fissure . the outlook is atypical for covid pneumonia . in places there are accompanying ground glass-style density increments in the lower lobe segments . there is a 4 mm diameter nodule adjacent to the fissure in the apicoposterior segment of the upper lobe of the left lung . there is a mosaic attenuation pattern small vessel disease small airway disease in both lungs . pleuroparenchymal density increases are observed in the lingular segment . no pathological size and configuration of lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window a nodule with a diameter of 4 mm is observed in the superior segment of the lower lobe of the right lung . no pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum cto is normal . no lymph node with pathological size and configuration was detected in the mediastinum . calibration of the aortic arch is 30 mm wider than normal . calibration of other mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen in the sections passing through the upper abdomen a decrease in density consistent with hepatosteatosis is observed in the liver . surrounding soft tissue plans are natural . in the middle part of the left kidney a density compatible with two adjacent calculi the largest of which is 2 mm in diameter is observed . cto is normal . there are type calcules in the right kidney . it is recommended to be evaluated together with clinical and laboratory findings . calibration of the aortic arch is 30 mm wider than normal . at the level of the left adrenal genu approximately 13x10 mm in size and 9 hu density there is a nodular appearance suggestive of adenoma . lung parenchyma in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . ventilation of both lungs is natural . a few millimeter-sized nonspecific nodules were observed . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes were observed in both axillary regions mediastinum pathological size and appearance . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen no relevant findings . lung parenchyma the described finding may be compatible with progression of viral . the prevalence of diffuse peripheral subpleural ground-glass densities which were evaluated in favor of viral pneumonia in both lung parenchyma in the previous examination has increased . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image hyperdense stones in millimetric sizes were observed in both kidneys . other upper abdominal organs are normal . lung parenchyma the appearance of bronchiectasis and accompanying mild sequelae changes are observed in the right lung lower lobe superior segment . densities compatible with pleuroparenchymal sequelae are observed at the right lung lower lobe laterobasal level . a 2 mm diameter calcific nodule is observed in the superior segment of the left lung lower lobe . a 2 mm diameter subpleural nodule is observed in the anterior segment of the right lung upper lobe . there was no finding compatible with pneumonia pleural effusion or pneumothorax in both lungs . airways there is a tracheal diverticulum in the right at the level of the thoracic inlet . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . partially calcific subcentimetric lymph nodes are observed in the subcarinal area . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the spleen hilum a millimetric density compatible with the accessory spleen is observed . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook is in favor of viral pneumonia . when examined in the lung parenchyma window common patchy ground glass densities are observed in the subpleural areas of both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma densities compatible with pleuroparenchymal sequelae are observed at the posterobasal level of the lower lobe of the right lung . there was no significant finding in favor of covid pneumonia . there are pleuroparenchymal densities evaluated primarily in favor of sequelae at the posterobasal level in the left lung . pleural effusion and pneumothorax were not observed . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . in the anterior mediastinum there is thymic tissue in trigonal configuration which does not show any mass effect . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver in the sections passing through the upper abdomen . lung parenchyma when examined in the lung parenchyma window diffuse patchy ground glass areas especially in the apical segments of both lungs more intense on the right accompanying interlobular septal thickenings superposition of intralobular lines are observed cobblestone . this view is not specific . pericardial-pleural thickening or effusion is not observed . in addition pleuroparenchymal sequelae showing linear extension towards the pleura are observed in the bilateral lung bases . airways trachea both mediastinal main vascular structures heart contour size are normal . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . trachea both mediastinal main vascular structures heart contour size are normal . heart and great vessels trachea both mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion is observed in the thoracic vertebral column and other bones forming the thorax . when the bone is examined in the window multisegmentary degenerative changes are observed in the thoracic vertebral column and syndesmophytes are observed in the lateral vertebral corpuscles . abdomen a reduction in the size of the right kidney is observed . bilateral adrenal glands are natural . in kidneys partially entering the examination area cystic lesions are observed in the right kidney the largest of which is 5 cm . in the upper abdominal organs included in the sections the liver and spleen are normal . pancreas dimensions and parenchyma are natural . in the spleen hilum millimeter-sized accessory spleen is observed . the gallbladder is natural . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window both lungs are emphysematous . nonspecific ground-glass areas accompanied by bronchiectatic changes and accompanying pleuroparenchymal fibroatelectasis sequelae were observed in the upper lobe of the right lung . passive atelectatic changes were observed in the neighborhood of the descending aorta of the left lung lower lobe superior segment . pleuroparenchymal fibroatelectasis sequelae were observed in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment . no mass lesion with distinguishable borders was detected in the lung parenchyma . the outlook is compatible with bronchopneumonia . peribronchovascular centriacinar nodular infiltrates and budding tree appearance were observed in the upper lobe apicoposterior and lower lobes of the left lung . it is recommended to be evaluated together with the clinic and laboratory . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum as far as can be seen the descending aorta is wider than normal with an anteroposterior diameter of 31 mm . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of pulmonary arteries is natural . the thoracic aorta is and elongated . diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . density increases consistent with were observed in the retrosternal and fatty planes post-op changes . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . millimetric reactive lymph nodes were observed in the fat planes and in the right paracardiac recess . osseous structures bone structures in the study area are natural . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . vertebral corpus heights are preserved . abdomen as far as can be seen the descending aorta is wider than normal with an anteroposterior diameter of 31 mm . diffuse thickening was observed in the left adrenal gland . the thoracic aorta is and elongated . diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches . the right adrenal gland locus is normal and no space-occupying lesion was detected . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a few nonspecific millimetric parenchymal nodules were observed in both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . mild degenerative changes were observed in the bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma if the patient has findings consistent with infective pathology this appearance may belong to infective pathology . the described ground glass appearance is nonspecific . there are millimetric nonspecific nodules in both lungs . a ground-glass appearance is observed in a small area in the superior segment of the lower lobe of the left lung . no mass was detected in both lungs . there are emphysematous changes in both lungs . density increases in favor of pleuroparenchymal sequela fibrotic changes and minimal volume loss and minimal structural distortion are observed in both lung apexes . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . there are lymph nodes in the mediastinum and hilar regions . lymph nodes their normal fusiform shape . mediastinal structures cannot be evaluated optimally because contrast material is not given . the largest of the described lymph nodes is observed in the paratracheal region and its short diameter is 11 mm . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels it is understood that the patient underwent mitral valve replacement . as far as can be observed the heart is larger than normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen calcific atheroma plaques are observed in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as can be observed within the borders of unenhanced ct . there are no pathologically enlarged lymph nodes . lung parenchyma effusion is observed on the right . millimetric nonspecific nodules were observed in both lungs . in addition diffuse was observed on the right side . no mass or appearance compatible with pneumonic infiltration was detected in the left lung . it was learned that the patient had undergone pneumonectomy . it is recommended to follow . the patients examination was evaluated together with other examinations dated 2022 . the right lung was not observed . there are emphysematous changes and occasional atelectasis in the left lung . no pleural effusion was detected on the left . this appearance suspicion in terms of fistula . this finding also the suspicion of fistula . airways in addition there is a suspicious defect in the bronchial wall adjacent to the surgical suture material in the bronchial on the right . there is no obstructive pathology in the trachea and left main bronchus . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . there is a millimetric atheroma plaque in the aortic arch . no enlarged lymph node was detected in pathological size and appearance . mediastinal structures could not be evaluated optimally because no contrast agent was given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen there is a millimetric atheroma plaque in the aortic arch . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma there are nonspecific nodules in size . paraseptal changes sequelae and millimetric changes in the upper lobes of both lungs . no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in its lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window a few millimetric nonspecific parenchymal nodules were observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . millimetric calcific atheroma plaque was observed in lad . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures in the middle thoracic level milimetric schmorl node impressions were observed in the end plateaus . abdomen within the sections the upper abdominal organs are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with a diameter of 185 mm was observed at the inferior level of the splenic hilus . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma appearances consistent with cylindrical bronchiectasis were observed in the anterior segment of the right lung upper lobe . bilateral mosaic attenuation and patchy ground glass densities acinar infiltrates were observed . in the right lung many appearances of millimetric parenchymal nodules were observed the largest of which was 5 mm in diameter in the medial segment of the middle lobe . in the evaluation of both lung parenchyma mass consolidations with minimal air bronchogram were observed in the upper lobe of the right lung especially in the basal parts in the upper half of the major fissure and adjacent to the minor fissure . bilateral diffuse peribronchovascular axial interstitial and interlobular septal thickenings were observed . for pneumonic infiltration-mass it is recommended to control it after appropriate treatment with contrast-enhanced ct if there are no . a 7 mm thick pleural effusion was observed extending to the fissures on the right . minimal pleural thickening is observed on the left . numerous mostly millimetric and some subpleural nodular appearances were observed in the left lung the largest of which was 8 x 4 mm sized nodules with a pleural base in the lower lobe superior segment . airways trachea and main bronchi are open . mediastinum a 10 x 8 mm supradiaphragmatic lymph node was observed on the right measured from the coronal . prevascular paratracheal carinal subcarinal and right hilar lymph nodes were observed in the mediastinum the largest lymph node in the anterior carina with a size of 17 x 12 mm . the esophagus is within normal limits . heart and great vessels global enlargement of the cardiac cavities was observed . calcifications were noted in the main vascular structures and coronary arteries . evaluation is recommended . appearances of mitral valve calcifications were observed . osseous structures degenerative osteophytes were observed in the vertebral corpus corners . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were detected . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there are atheromatous plaques in the aorta and coronary arteries . there is a decrease in liver parenchyma density compatible with advanced adiposity . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the evaluation of both lung parenchyma dependent density increases are observed in the lower lobes of both lungs . minimal septal thickening may be secondary to the cardiac . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels the cardiothoracic index increased in favor of the heart . pericardial effusion is observed in the form of smearing . osseous structures there is minimal s-shaped scoliotic angulation in the dorsal localization . no lytic-destructive lesions were detected in bone structures . end plateau height loss is observed in the upper end plateau of the which is in the study area . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the right upper lobe and middle lobe anteromedial levels in the upper lobe of the right lung superiorly ground-glass densities are observed in the new mild patchy parenchyma which was not observed in the previous examination . there is minimal bronchiectasis in the central parts of both lungs . there are millimetric nonspecific nodules in both lungs . clinical laboratory correlation is recommended for the onset of an infectious process . diffuse emphysematous changes are observed in both lungs more prominently in the upper lobes . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are lymph nodes with short diameters less than 1 cm in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . no enlarged lymph nodes in pathological dimensions were detected . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma the distribution and appearance of the lesions are not as common in covid-19 pneumonia . the described findings are also observed in the previous examination of the patient . however these appearances may be due to other viral infections as well as lymphangitis carcinomatosa . many pathologies can cause similar appearance . there are uniform interlobular septal thickenings in the localization of the ground glass areas . peripheral and centrally located ground glass areas are observed in both lungs being more prominent in the upper lobes . bilateral pleural effusion was observed . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels the views described are not specific . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma pneumonic infiltration was considered in the etiology of the findings . when examined in the lung parenchyma window in both lungs there are areas of increase in density consistent with consolidation which is more prominent in the apical segments widely seen in air bronchograms . pleural effusion up to 30 mm is observed in its deepest part . in addition minimal effusion was observed in both pleural spaces measuring 11 mm on the left at its deepest point . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination . no lymph nodes in pathological size and appearance were observed in the right axillary region and retropectoral area adjacent to the bilateral internal mammary vascular structure . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . calibration of mediastinal vascular structures and heart contour size are normal . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination . the superior vena cava extends to the junction of the right atrium . calibration of mediastinal vascular structures and heart contour size are normal . osseous structures diffuse lytic-sclerotic bone metastases were observed in all bone structures in the study area . no soft tissue component accompanying bone metastases was detected . abdomen in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma it was evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window ground-glass densities are observed in both lungs in a diffuse patchy manner in which enlargements in the vascular structures are also observed in the central part . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this parenchymal aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . there is minimal mosaic density difference in both lungs . when examined in the lung parenchyma window a few millimetric nonspecific nodules were observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaques are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures there are osteophytes extending anteriorly in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma however linear passive atelectatic changes were observed in both lung lower lobe basal segments . when examined in the lung parenchyma window parenchyma could not be evaluated optimally due to motion . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are calcific atheroma plaques in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . no lytic-destructive lesion in favor of metastasis was observed in the vertebrae . abdomen the pancreas is normal . edema-inflammatory density increases were observed in all subcutaneous fatty planes within the sections . bilateral adrenal glands were normal and no space-occupying lesion was detected . in bilateral paracardiac fat pad portal hilus pancreatic head esophagogastric junction at the level of small curvature between perigastric fatty planes 16x10 mm nodular soft tissue lesions were observed on the anterior surface of the liver in the right paracardiac area implant lymphadenopathy . no stones were observed in both kidneys within the sections . parenchyma disease clinic and lab . correlation is recommended . perisplenic free fluid was observed . intense reticulonodular density increases are observed in the omentum consistent with the omental . as far as can be seen in non-contrast sections liver contours are irregular . lung parenchyma when examined in the lung parenchyma window aeration losses are observed in both lungs more prominently on the right . clinical laboratory correlation of findings in terms of early viral pneumonia covid-19 is recommended . there are linear atelectatic changes in the paracardiac area in the anteriors of both lungs upper lobes . there are peripheral ground-glass densities located in the subpleural slightly patchy in the superior and inferior areas of the left lung lower lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma a crazy paving appearance of ground glass density and interlobular septal thickening was observed in the superior segment of the left lung lower lobe . there are pure calcific millimetric nodules at the left apex . viral pneumonia an appearance compatible with an intrapulmonary lymph node was observed in the fissure on the left . there is a subsegmental atelectasis appearance in the medial segment of the middle lobe of the right lung . the appearance of millimetric non-specific nodules was observed in the right lung . pleural effusion-thickening was not detected in both hemithorax . airways cylindrical bronchiectasis and vascular prominence were observed in this area . trachea and main bronchi are open . mediastinum no pathological lymph node was detected in the mediastinum . the descending thoracic aorta is slightly dilated . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the descending thoracic aorta is slightly dilated . lung parenchyma there are several millimeter-sized nonspecific stable nodules in the right lung . there was no finding in favor of active infiltration in both lungs . emphysematous changes were observed in both lungs . there is a mosaic attenuation pattern in both lungs . locally sequela parenchymal changes were observed in both lungs . in the bilateral pleural space there is a newly developed effusion in the current examination up to 30 mm on the right at its deepest point . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no dilatation was detected in the thoracic aorta . lymphadenopathies with stable numbers and sizes were observed in the mediastinum the largest of which was measured at the upper paratracheal level with a short diameter of 15 mm . there is a sliding type hiatal hernia . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels pericardial effusion is not observed . the ascending aorta diameter of 39 mm is at the upper limit of normal . heart contour and size are natural . osseous structures there are degenerative changes . no lytic-destructive lesion was observed in the bone structures within the image . abdomen no dilatation was detected in the thoracic aorta . no lymph node was observed in intraabdominal pathological size and appearance . no free fluid or loculated collection was detected in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window diffuse peripheral ground glass densities and cobblestone patterns are observed in almost all lobes of both lung parenchyma . there is minimal consolidation in the posterobasal region of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures height loss not exceeding 25 and sclerotic changes are observed in the t12 vertebral body . the bone structures in the study area show an increase in thoracic kyphosis . abdomen in the upper abdominal organs included in the sections the gallbladder is operated . there is anterior axis in the right kidney . stone densities of up to 8 mm are observed in the lower pole calyces of the left kidney . lung parenchyma there are focal ground glass densities in the peribronchial area in the anterior upper lobe of the left lung . it may be due to parenchymal changes . when examined in the lung parenchyma window emphysematous appearance is present in the upper lobes of both lungs . dependent densities are observed in both lower lobe . in addition there are stable millimetric nodules in both lungs . in the previous examination subpleural irregular nodule present in the posterobasal right lung lower lobe was not observed in this examination . airways central bronchovascular structures are prominent . trachea both main bronchi are open . mediastinum mediastinal main vascular structures cannot be evaluated optimally because no contrast agent is given . calcific atheroma plaques are observed in the aorta and coronary arteries . there are lymph nodes with a short axis reaching 14 mm in diameter in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures osteophytes extending anteriorly were observed in the vertebrae . abdomen calcific atheroma plaques are observed in the aorta and coronary arteries . the spleen is larger than normal measuring mm . varicose veins were observed in the perisplenic and periportal area . in the upper abdominal organs including sections liver contour is irregular and parenchyma heterogeneous . lung parenchyma it is recommended to be evaluated together with clinical and laboratory . the outlook is highly suspicious for covid-19 pneumonia . when examined in the lung parenchyma window in both lungs multilobar more widespread in the lower lobes patchy ground glass opacities forming a crazy paving pattern accompanied by interlobular septal thickening and accompanying linear fibroatelectatic sequelae were observed . apart from this no mass lesion with distinguishable borders was detected in both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures at the thoracic level minimal scoliotic change was observed with the left opening . abdomen the spleen is natural . as far as can be observed in the non-contrast examination the density of the liver parenchyma is diffusely decreased consistent with fatty deposits . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . both lungs are emphysematous . linear pleuroparenchymal fibroatelectasis sequelae change was observed in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment . when examined in the lung parenchyma window passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . a 5 mm diameter calcific nodule accompanied by linear atelectasis was observed in the middle lobe of the right lung . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be observed atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures an increase in compatible with osteoporosis and spur formations bridging with each other in the right anterolateral corners of the vertebrae at the mid-thoracic level were observed in the bone structures within the study area . there are hemangiomas in the l2 and t9 vertebral bodies . abdomen millimetric calculus images were observed in the gallbladder lumen as far as can be seen in the sections . at the epigastric level a 13 mm was observed in the anterior abdominal wall and herniation of the omental adipose tissue to the anterior abdominal wall was observed . atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches . as far as can be observed atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . thoracic aorta diameter is normal . left kidney is not observed kidney . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window more peripherally located patchy ground glass densities are observed in both lungs . pleuroparenchymal recession and millimetric calcific foci are observed in the superior lower lobe of the right lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . there is a small hiatal hernia . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures there are hypertrophic osteophytic taperings and bridging tendencies in the anterior of the vertebral corpus endplates . abdomen there is fatty degeneration of the pancreas . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma although the mediastinum and anterior mediastinum mass cannot be clearly evaluated in the non-contrast examination as far as can be observed in the anterior mediastinum the fatty planes between the sternum and the sternum are especially on the right of the midline and on the anterior chest wall the mediastinal main vascular structures and their borders cannot be distinguished from the heart and the right lung middle lobe and upper lobe anterior segment medially a mass lesion with an infiltrative character consistent with the lymphoma diagnosis indicated in the clinical pre-diagnosis was observed . when examined in the lung parenchyma window there are nodular consolidations some of which were identified in the previous examination and some of them were reduced in number some of them completely regressed and some of them were reduced in size in the current examination which also includes areas of ground glass around them . some solid nodules are observed as ground glass . pleuroparenchymal fibroatelectatic sequelae density increases were observed in the anterior segment of the upper lobe of the right lung the medial segment of the middle lobe and the posterobasal segments of the lower lobes of both lungs more prominently on the left and the inferior lingular segment of the left lung . no pleural effusion was observed on the right . airways tracheal cannula extending into the tracheal lumen was observed . trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . in these localizations the border of the mass cannot be distinguished from the trachea and thyroid gland . the mass extends around the trachea up to the level of the into the subcutaneous fatty tissue and between muscle . mediastinum the mass was thought to bilateral brachiocephalic veins and inferior vena cava . since contrast material was not given it could not be evaluated clearly but no lymph node was observed in the mediastinum with pathological size and appearance . although the mediastinum and anterior mediastinum mass cannot be clearly evaluated in the non-contrast examination as far as can be observed in the anterior mediastinum the fatty planes between the sternum and the sternum are especially on the right of the midline and on the anterior chest wall the mediastinal main vascular structures and their borders cannot be distinguished from the heart and the right lung middle lobe and upper lobe anterior segment medially a mass lesion with an infiltrative character consistent with the lymphoma diagnosis indicated in the clinical pre-diagnosis was observed . however when measured based on the distance between the ascending aorta and the sternum the ap length is 2 cm measured as 25 cm in the previous examination . due to the infiltrative character of the mass its dimensions could not be measured . in the vicinity of the mass described in the anterior mediastinum a loss of integrity was observed in the cortex posterior to the sternum . mediastinal main vascular structures heart contour size are normal . a lung parenchyma when examined in the lung parenchyma window there are nodules in both lungs the largest of which reaches 6 mm in diameter in the lower lobe of the right lung . there are minimal band atelectasis in the left lung lingula and right lung lower lobe . while the large nodule in the previous examination was 7x6 mm it is mm in this examination . no newly developed nodule was observed and no significant difference was detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph node in mediastinal pathological dimensions was detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal organs including sections gallbladder is operated . there is a cortical cyst in the left kidney . lung parenchyma in the evaluation of both lung parenchyma no mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen bilateral adrenal glands and no obvious pathology were observed . neighboring the spleen a parenchyma compatible with the accessory spleen and a nodular structure of density are observed . lung parenchyma in addition patchy ground-glass density increases were observed in the upper lobe of both lungs and the middle lobe of the right lung . airways no relevant findings . mediastinum no relevant findings . heart and great vessels pericardial effusion was considered stable according to the previous review . apart from this no significant change was detected in the current examination . areas of focal consolidation observed in the previous examination are not detected in the current examination . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma in the lung parenchyma several nonspecific millimetric parenchymal nodules were observed in both lungs the largest of which was approximately 3 mm in diameter in the right lung middle lobe lateral segment . post-treatment control is recommended . a ground-glass appearance accompanied by mild bronchiectasis was observed in the upper lobe lingula superior segment of the left lung infective . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs . segmental atelectasis is observed in the medial segment of the middle lobe of the right lung and there is a slight thickening of the pleura at this level . airways no occlusive pathology was detected in the lumen . trachea and both main bronchi are open . mediastinum lymph nodes with a short diameter of 8 mm were observed in the mediastinal prevascular area in the paratracheal area in the aorticopulmonary window and in the lower paraesophageal area . dense calcified atheroma plaques were observed in the mediastinal main vascular structures . type i hiatal hernia was observed at the esophagogastric junction . thoracic esophagus is in normal calibration . heart and great vessels there is cardiomegaly . no pericardial effusion or thickening was detected . tubular calcifications were observed in the coronary arteries . the diameter of the ascending aorta is 47 mm and it has a dilated appearance . osseous structures thoracic kyphosis has increased . in the lower thoracic vertebrae sclerotic appearance was observed in the bones consistent with and osteophyte formations were observed in the vertebral corpus corners . there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . vertebral corpus heights are preserved . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . type i hiatal hernia was observed at the esophagogastric junction . no pathological wall thickening was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical and laboratory evaluation is recommended for covid-19 pneumonia . when examined in the lung parenchyma window multilobar mostly peripheral subpleural localized indistinct ground-glass density increases are observed in both lungs more prominently on the right and viral pneumonias are considered in the etiology of the findings . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . the mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures and the heart contour size are natural . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen as far as it can be seen within the borders of non-contrast ct in the upper abdomen sections within the image no solid mass was detected . free fluid-loculated collection is not observed . lung parenchyma it was evaluated in favor of lung parenchymal involvement of covid infection . in lung parenchyma evaluation in the lower lobe of the left lung a focal ground-glass parenchyma area is observed in several foci . no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen due to the lack of contrast material it could not be characterized in this examination . a hypodense solid lesion with a diameter of 19 mm was observed in the liver segment 2 localization . lung parenchyma there are bilateral mild peribronchial thickenings . when examined in the lung parenchyma window millimetric size non-specific parenchymal nodules were observed in both lungs . atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal pathological size and appearance . calcified atherosclerotic changes were observed in the abdominal aorta and iliac artery wall . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart size has increased cardiomegaly . post-operative suture materials were observed in the pericardium . the ascending aorta measures 42 mm in diameter and shows mild fusiform dilatation . osseous structures hemangiomatous areas were observed in l3 vertebra and t7 vertebra . there are metallic suture materials belonging to sternotomy in the sternum . degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen hypodense lesions of 18x12 mm were observed at the level of liver segment 8 9x8 mm in size at the junction of segment and mm in size at segment 6 cyst . there are two calculus in the sac lumen the largest of which is 16 mm in diameter . the gallbladder has a hydropic appearance . splenic vein width is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . the contour size parenchyma density of the spleen is normal . periprostatic fatty tissues are clear . no space-occupying solid or cystic mass lesion is observed . hepatic and portal venous systems are normal . no space-occupying solid or cystic mass lesion was detected . contour size parenchymal density of the liver are normal . calcified atherosclerotic changes were observed in the abdominal aorta and iliac artery wall . no increase in wall thickness was detected . intra and extrahepatic bile ducts are normal . the contour size parenchyma density of the pancreas is natural . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . contour size localization parenchymal thickness parenchymal staining pelvicalyceal structures of both kidneys are normal . no enlargement was detected in the main pancreatic duct . a cortical cyst of 12 mm in diameter was observed in the middle zone of the right kidney . are natural . lung parenchyma when examined in the lung parenchyma window there are 3 peripheral nodules with a diameter of mm in the apicoposterior segment of the left lung upper lobe and 115 mm and 5 mm in diameter in the lower lobe laterobasal segment accompanied by the appearance of ground glass density . airways trachea both main bronchi are open . mediastinum the right central venous catheter terminates at the superior-right atrium junction of the vena cava . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . a few millimetric lymph nodes are observed in the mediastinum . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the cardiothoracic ratio increased in favor of the heart . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mosaic attenuation pattern and centrally located ground glass densities are observed in both lungs . in the apical segment of the upper lobe of the right lung 12 mm in diameter well-circumscribed pulmonary nodules are observed . a pulmonary nodule with a diameter of 4 mm is observed in the superior segment of the lower lobe of the right lung . it is recommended to be evaluated together with the clinic . these findings may be secondary to pulmonary edema . when examined in the lung parenchyma window pleural effusion reaching a thickness of 45 cm on the right and 3 cm on the left in bilateral lungs and compression atelectasis in the accompanying lung components are observed . airways trachea is in the midline both main bronchi are open . mediastinum evaluation of solid organs vascular and mediastinal structures is suboptimal because the examination is non-contrast . no lymphadenopathy was observed in the mediastinal area in pathological size and appearance . lymph nodes measuring 1 cm in the short axis of the largest are observed in the mediastinum . the diameters of the mediastinal vascular structures are normal . no massive increase in wall thickness was detected in the thoracic esophagus . heart and great vessels pericardial effusion-thickening was not observed . heart size and contours are normal . osseous structures no fracture or lytic-sclerotic lesion was observed . there are widespread degenerative changes in bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a small amount of free fluid is observed in the perihepatic area . skin and subcutaneous fatty tissues appear normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no obvious pathology was detected . in the mediastinal prevascular area and in the lower paratracheal area oval-shaped lymph nodes with a short diameter of up to 6 mm were observed . the thoracic esophagus is in normal calibration . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . it is normal . osseous structures there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no pathological wall thickening was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the liver partially examined is . lung parenchyma there are minimal emphysematous changes in both lungs . occasionally linear atelectasis was observed in both lungs . no mass or infiltrative lesion was detected in both lungs . minimal bronchiectasis and minimal peribronchial thickening were observed in the central parts of both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . there are sequelae fibrotic bands at the bilateral apexes density changes of linear atelectasis in the left inferior lingular segment and right lung middle lobe medial segment . no pericardial pleural effusion or increased thickness was detected . airways both main bronchi are open to the trachea and no obstructive pathology is observed . mediastinum mediastinal main vascular structures heart intra-abdominal upper abdominal organs cannot be evaluated optimally due to the lack of contrast in the examination and as far as can be observed calibration of mediastinal vascular structures heart contour and size are natural . in both axillary regions supraclavicular fossa and mediastinum no lymph nodes are observed in pathological size and appearance . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels no relevant findings . osseous structures no lytic or destructive lesions were detected in the bone structures within the image and vertebral corpus heights were preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . mediastinal main vascular structures heart intra-abdominal upper abdominal organs cannot be evaluated optimally due to the lack of contrast in the examination and as far as can be observed calibration of mediastinal vascular structures heart contour and size are natural . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mucus plugs were observed in the bronchial lumens in the posterior segment of the right lung upper lobe . the described findings were evaluated in favor of bronchiolitis . no mass lesion with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window segmentary tubular bronchiectasis and peribronchial thickening were observed in both lungs . tree budding and centrilobular nodular infiltration areas were observed in the peribronchial areas . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures degenerative schmorl nodules were observed in the thoracic vertebral end plates . abdomen other upper abdominal organs are normal as far as can be seen in the sections . bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with a diameter of 1 cm was observed in the inferior of the spleen hilus in the upper abdominal organs that entered the examination area . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there are hemorrhagic native effusion areas that reach 53 mm in diameter at the widest part anteriorly in the right pleural space and show loculation in places . there is a focal nonspecific increase in pleura thickness in the posterobasal segment of the lower lobe of the left lung . there is a free pleural effusion reaching 3 cm in thickness between the pleural leaves on the right . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and hilar pathological size and appearance . it was understood that patch was performed on the pulmonary artery above the right ventricle . the diameter of the main pulmonary artery increased 47 mm the right pulmonary artery 36 and the left pulmonary artery measured 37 mm . a catheter image extending to the left brachiocephalic vein was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there are densities of the stent material in the coronary arteries and calcified plaques in millimetric dimensions are observed . there is operation material at the level of the mitral valve . cto increased in favor of the heart . pericardial minimal effusion is present . osseous structures there are metallic suture materials of sternotomy on the anterior thorax wall . abdomen it is recommended to be evaluated for liver parenchymal disease . multiple calcules in millimeter size were observed in the gallbladder . the liver contours are irregular in the upper abdominal sections in the examination area . the described collection area extends to the epigastric region . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma there is a linear atelectasis area in the left lung lower lobe lateral segment and right lung middle lobe medial segment . in the previous examination of the patient the ground glass areas which were more prominent in the lower lobe of the left lung were completely regressed . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in terms of covid-19 pneumonia evaluation together with clinical and laboratory findings is recommended . when examined in the lung parenchyma window there are paraseptal emphysematous changes in the apex of both lungs . intensity increases are observed in the peripheral subpleural ground glass density in both lung lower lobe posterobasal segments more prominently on the left viral pneumonia . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi were open and no obstructive pathology was detected . mediastinum mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without iv contrast . in both axillary regions no lymph nodes were observed in the mediastinum in pathological size and appearance . there is no pathological increase in wall thickness in the thoracic esophagus and there is a sliding type hiatal hernia at the lower end . heart and great vessels as far as can be seen calibration of vascular structures and heart contour and size are natural . mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen no lymph node was observed in intraabdominal pathological size and appearance . no intraabdominal free fluid or loculated collection was observed . in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma ground-glass areas and interlobular septal thickenings and microcystic changes accompanying the ground-glass area more prominently in the upper lobes are observed in both ventilated lungs . numerous nodules were observed in both ventilated lungs . the described appearance is consistent with pneumonia reported at clinical . the largest of these nodules is observed in the lower lobe of the left lung and its longest diameter is 13 mm at its widest part . there are emphysematous changes in both lungs . atelectasis is observed in the lower lobes of both lungs adjacent to the pleural effusion . the pleural effusion continues to the apex of the lung when the patient is in the supine position . bilateral pleural effusion was observed . airways there is no obstructive pathology in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal and abdominal structures cannot be evaluated optimally because contrast material is not given . central venous catheter is seen on the right . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . apart from this there are no pathologically enlarged lymph nodes in both axillae and bilateral retropectoral regions . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures metastatic lesions are observed in the bone structures within the sections . a height loss 50 is observed in the t12 vertebral body . apart from this minimal height losses are also observed in other vertebral bodies . these metastatic lesions were also present in the previous examinations of the patient and no significant difference was detected . most of the metastatic lesions described are sclerotic . abdomen when evaluated together with the patients previous examinations it was learned that these lesions were metastases . there are hypodense lesions in the liver . mediastinal and abdominal structures cannot be evaluated optimally because contrast material is not given . no soft tissue component was detected accompanying the described metastatic lesions . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . although these lesions could not be evaluated optimally because no contrast agent was given the largest one was observed at the junction of the medial segment of the liver left lobe and the longest diameter was 32 mm . lung parenchyma there is consolidation with air bronchogram in a small area in the right lung lower lobe laterobasal segment and the described consolidation was not observed in the patients previous pulmonary ct angiography examination . in addition increases in density and volume loss which are evaluated in favor of linear atelectasis and pleuroparenchymal sequelae changes are observed in both lungs . no appearance that can be evaluated in favor of pneumonic infiltration was observed in both lungs . the described minor consolidation in the lower lobe of the right lung may belong to pulmonary . no mass was detected in both lungs . there are emphysematous changes in both lungs . there is bilateral minimal pleural effusion more prominent on the right . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are short lymph nodes less than 1 cm in diameter some with calcifications in the mediastinum and hilar regions . the diameters of the aortic arch and descending aorta are normal . the main pulmonary artery diameter was 38 mm and wider than normal . it was learned from the patients history that he had a diagnosis of pulmonary embolism . there are no pathologically enlarged lymph nodes . mediastinal structures cannot be evaluated optimally because contrast material is not given . atheroma plaques were observed in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal . pericardial effusion was not detected . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . the diameters of the aortic arch and descending aorta are normal . atheroma plaques were observed in the aorta and coronary arteries . lung parenchyma no lymph node with pathological size and configuration was detected at the hilar level . there is an air cyst in the right middle lobe . when examined in the lung parenchyma window ground-glass-like density increases in both lungs showing peripheral distribution and thickening of parenchymal bands and interlobular septa are observed on this background . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area the largest of which is measured in the window of the and measures approximately mm . the pulmonary trunk caliber is 31 mm wider than normal . calibration of the aortic arch is 33 mm wider than normal . a millimetric calcific atheroma plaque is observed in the arcus middle . calibration of other mediastinal major vascular structures is normal . cto is normal . heart and great vessels the ascending aorta is slightly wider than normal with a calibration of 41 mm . there is a calcific atheroma plaque of size in the coronary arteries . osseous structures degenerative changes are observed in the bone structure . abdomen in the sections passing through the upper abdomen a decrease in density consistent with hepatosteatosis is observed in the liver . surrounding soft tissue plans are natural . possible postoperative changes in the gallbladder bed are observed . calibration of the aortic arch is 33 mm wider than normal . a millimetric calcific atheroma plaque is observed in the arcus middle . cto is normal . there is multiple parenchymal density in the liver recess . lung parenchyma there is a millimetric low-density nodular lesion in the posterobasal segment of the lower lobe of the left lung and the posterior segment of the upper lobe of the right lung . pneumonic infiltration or consolidation area is not observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological pathological size and appearance was observed in the mediastinum . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in the evaluation of the upper abdominal sections a nodular lesion compatible with a 19 mm diameter adenoma is observed in the left adrenal gland . lung parenchyma bilateral large ones reaching 3 mm in diameter some of them calcific nonspecific nodules are observed . when examined in the lung parenchyma window there are minimal thickening of the bronchial wall and minimal mosaic density differences in the lower lobes of both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures in the vertebrae included in the study area osteophytes with a tendency to merge anteriorly are observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . minimal emphysematous changes were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass or infiltration was detected in both lungs . subsegmental atelectasis was observed in the right lung middle lobe basal . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the evaluation of both lung parenchyma no mass nodule-infiltration was detected in both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures degenerative changes are observed in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there are diffuse thickness increases in the bronchial structures in both lungs diffuse peribronchial thickness increases in the right lung upper lobe posterior segment and both lung lower lobes accompanied by increases in bud tree-like centriacinar density and bronchopneumonic infiltration is considered in the etiology of the findings . no mass lesions were detected in both lungs . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were observed in the mediastinum and both axillary regions . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections . lung parenchyma a calcified nonspecific parenchymal nodule with a diameter of 1 cm was observed in the mediobasal segment of the left lung lower lobe . the outlook is consistent with the frequently reported imaging features of covid-19 pneumonia . in both lung parenchyma especially in the right lung ground glass density paving appearances accompanied by consolidation areas and septal thickenings were observed . airways no relevant findings . mediastinum no relevant findings . heart and great vessels a few calcified lymph nodes with a short axis smaller than 1 cm were observed in the posterior neighborhood of the left atrium . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma aeration of the left lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window in the left lung upper lobe inferior lingula a linear ground-glass density extending to the pleura and containing vascular expansion is observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections there is an appearance evaluated in favor of hepatosteatosis in the liver parenchyma . lung parenchyma in the evaluation of both lung parenchyma mosaic attenuation is present in both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels the cardiothoracic index was slightly increased in favor of the heart . osseous structures degenerative changes are observed in the vertebrae . there is no lytic-destructive lesion in bone structures . abdomen no significant pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a mild mosaic atteniation pattern was observed in both lungs small airway disease small vessel disease . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart size increased . there are post-operative suture materials in the pericardium . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . as far as can be seen there are metallic suture materials belonging to in the sternum . no lytic-destructive lesion was detected . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . there are widespread subsegmental atelectasis in the lower lobes of both lungs . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma it is compatible with sequel . sequelae of reticular fibrotic density increases in the apex of both lungs and areas of paraseptal emphysema in the vicinity were observed . the outlook is suspicious for covid-19 pneumonia . minimal passive atelectasis changes were observed in right lung middle lobe medial and left lung inferior lingular segments . apart from this a few millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window peripherally located millimetric focal ground glass opacities were observed in the anterior and posterior segments of the left lung upper lobe . left lung upper millimetric calcific nodules were observed . there was minimal thickening of the posterior pleura in both hemithorax and an effusion reaching a thickness of 6 mm in the left major fissure . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . other mediastinal vascular structures are natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the coronary arteries . heart contour size is normal . as far as can be observed the anterior-posterior diameter of the ascending aorta is 38 mm which is wider than normal . osseous structures degenerative changes were observed in the bone structures in the study area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be observed in the sections the liver parenchyma density decreased in line with the fatty deposits . lung parenchyma in the evaluation of both lung parenchyma mosaic perfusion appearance is observed in both lung parenchyma . no mass nodule-infiltration was detected in both lungs . in addition interlobular septal protrusions are observed in the upper lobes of both lungs secondary to cardiac stasis . right upper-bilateral lower paratracheal lymph node in millimetric size is observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum calcified plaques are observed in the walls of the aortic arch and coronary artery . no pathological lap was detected in the mediastinum . heart and great vessels calcified plaques are observed in the walls of the aortic arch and coronary artery . the cardiothoracic index increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen calcified plaques are observed in the walls of the aortic arch and coronary artery . additional obvious pathology was not distinguished . in the sections passing through the upper part of the abdomen the body part of the left adrenal gland is thick . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . a mosaic attenuation pattern was observed in the lower lobe of the left lung small airway disease small vessel disease . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no mass or nodular space-occupying lesion was detected in the lung parenchyma . pneumonic infiltration was not observed . when examined in the lung parenchyma window no area of pneumonic infiltration or consolidation was observed in both lungs . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels there are calcified atheroma plaques in the coronary arteries . pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla . abdomen no features were detected in the upper abdomen sections . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung . when evaluated together with the patients clinical information it is understood that the dated appearance is compatible with covid-19 pneumonia . no mass was detected in both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma the hyperdense nodular finding in the posterobasal part of the lower lobe of the left lung whose size was measured up to 9 mm which was observed in the previous study does not show a significant difference in the current study . when examined in the lung parenchyma window there are patchy ground glass densities with diffuse peripheral localization in both lungs . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures heart contour size are normal . there are several lymph nodes measuring up to 12 mm in size in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures it has been evaluated as degenerative . there is a diffuse density decrease in the bone structures in the examination area . there is a slight loss of height in the upper end plate of the 12 vertebral body . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma no mass or infiltrative lesion was detected in both lungs . emphysematous changes are observed in both lungs more prominently in the lower lobe . there is minimal bronchiectasis in the central parts of both lungs . there are several millimetric nonspecific nodules in the left lung . there are linear atelectasis in the right lung middle lobe and left lung upper lobe lingular segment and both lung lower lobes . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures vertebral alignment and densities are normal . there are osteophytes in the vertebra corpus corners . the neural foramina are open . height loss is observed in the l1 vertebral corpus . other vertebral body heights are normal . the height loss is around 50 in the central section . vertebral anteroposterior diameter is normal . abdomen atheroma plaques are observed in the aorta and coronary arteries . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma in the basal segment of the lower lobe of the right lung a budding tree view is observed in favor of accompanying bronchiolitis . pleuroparenchymal volume loss and fibrotic linear density increases accompanied by retraction are observed . it would be appropriate to correlate it with the laboratory in terms of infectious pathologies . no suspicious mass-occupying lesion is observed in the lung parenchyma . in lung parenchyma evaluation there is diffuse panacinar emphysema in both lungs . there are irregular pleural thickness increases and pleuroparenchymal density increases in the upper lobes and apical segments sequelae . airways there are bronchial wall thickness increases in segmental bronchi in both lungs . tracheomegaly is observed secondary to loss of lung parenchyma . mediastinum the diameters of both pulmonary arteries and pulmonary have increased . no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . it is compatible with pulmonary hypertension . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . the old fracture line at the head of the left clavicle is observed . abdomen no features were detected in the upper abdomen sections . lung parenchyma in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are sequela parenchymal changes in the upper lobe of the left lung the inferior lingular segment and the posterobasal segment of the lower lobe of both lungs . there are minimal emphysematous changes in both lungs . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and heart examination iv . no lymph nodes in pathological size and appearance were detected in the mediastinum both axillary regions and supraclavicular fossa . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . osseous structures no lytic-destructive lesion was observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections there is moderate fat in the liver parenchyma . no suspicious mass or nodular space-occupying lesion was observed . lung parenchyma it does not differ significantly . in case of doubt it is recommended to compare with the previous examination images . pleural effusion-thickening was not detected . when examined in the lung parenchyma window series 2 in the middle lobe of the right lung and a 4 nodule located in the medial subpleural in image . it is thought to be the nodule described in his previous examination . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . in the fluid attenuation measuring 22 mm in segment 4 of the liver entering the cross-sectional area the oval-shaped finding was evaluated in favor of the cyst . lung parenchyma when examined in the lung parenchyma window sequelae fibrotic changes are observed in the lingular segment of the left lung and there are sequel fibrotic band structures in the lower lobes of both lungs . a millimetric nonspecific nodule is observed in the anterior upper lobe of the left lung . airways trachea both main bronchi are open . mediastinum there are millimetric lymph nodes with a short axis not exceeding 1 cm in the mediastinum . there is a sliding type hiatal hernia . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . widespread calcific atheroma plaques are observed in the coronary arteries . the heart is larger than normal . there is an appearance that may be compatible with mitral valvuloplasty . especially an increase in left heart size is observed . osseous structures anterior millimetric osteophytes are observed in the vertebrae . there are changes related to sternotomy . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma stable parenchymal nodules were observed in the right lung the largest of which was 11 mm in diameter in the lower lobe superior segment according to the previous examination . there are density increases around the lesion evaluated in favor of a sequelae change . there is a stable pleural effusion according to the previous examination measuring 24 mm between the left pleural leaves . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . according to the previous examination there are lymph nodes in both axillary regions whose stable fatty hilus can be observed . calibration of mediastinal and vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . lung parenchyma when examined in the lung parenchyma window cystic bronchiectasis and appearance secondary to peribronchial thickening were observed in the middle lobe of the left lung and lower lobe of the right lung . fibroatelectatic changes were observed in bilateral lung basals . views are stable . in the neighborhood of bronchiectasis minimal frosted glass appearances and minimal budded tree appearances in these areas attention . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . stable lymph nodes with a short diameter of up to 6 mm were observed in the mediastinal prevascular area aortic pulmonary window and upper and lower paratracheal area . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no obvious pathology was detected . osseous structures there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma lymph nodes with size and configuration are not observed at both hilar levels . there are findings consistent with emphysema in both lungs . pleuroparenchymal sequelae changes are observed in the middle lobe on the right . there are also sequelae changes in the lower lobe levels . densities compatible with pleuroparenchymal sequelae are observed in the left lingular segment and at the posterobasal level . there was no finding compatible with pneumonia on either side . no pleural effusion or pneumothorax was observed . airways lumens are clear . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . pulmonary trunk calibration is 28 mm . it is slightly wider than normal . the aortic arch calibration is 31 mm . millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta . calibration of other vascular structures is natural . cto is normal . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels it is at the maximal physiological limit . the ascending aorta calibration is 40 mm . osseous structures dorsal kyphosis increased . degenerative changes are observed in the bone structure entering the examination area . abdomen it is slightly wider than normal . the aortic arch calibration is 31 mm . millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta . calibration of other vascular structures is natural . cto is normal . upper abdominal organs included in the sections are normal . lung parenchyma in the evaluation of both lung parenchyma ground glass density infiltrates were observed in the right lung lower lobe superior segment with a patchy convergence tendency . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . viral pneumonia in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma the largest of these nodules is observed in the lower lobe of the left lung adjacent to the fissure . the described appearance may be a sequelae or a residual mass . there are minimal pleuroparenchymal sequelae changes in both lung apexes . there are several millimetric nonspecific nodules in both lungs . linear atelectasis and minimal emphysematous changes were observed in both lungs . when the first examination of the patient was examined a primary mass was observed in the right lung upper lobe central part and upper lobe posterior segment bronchi localization . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . although the boundaries of the described view could not be evaluated clearly it was measured approximately 10 mm at its widest point . in this examination a soft tissue appearance was observed in this localization the borders of which could hardly be distinguished from the vascular structures . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . there are no enlarged lymph nodes in pathological dimensions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques were observed in the coronary arteries . the patients examination was evaluated together with other examinations . osseous structures no fracture or lytic-destructive lesion was detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . this distinction was not made in this study . lung parenchyma subsegmental atelectatic changes were observed in the posterior upper lobe of the right lung . when both lung parenchyma windows are evaluated mild emphysematous changes were observed in both lungs . no mass-infiltration was detected in both lung parenchyma . there are subsegmental atelectatic changes in the inferior lingular segment of the left lung and in the lower lobes of the right lung . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen thoracic aorta diameter is normal . no significant pathology was detected in the upper abdominal sections that entered the examination area . lung parenchyma in the evaluation of both lung parenchyma mosaic attenuation is observed in both lungs . right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed . a nonspecific nodule with a diameter of 2 mm is observed in the anterior segment of the left lung upper lobe . passive atelectasis is observed in the lung parenchyma adjacent to the effusion in the anterobasal segment of the lower lobe of the right lung . in addition subpleural nodules with a diameter of 2-3 mm in the middle lobe of the right lung and 3 and 35 mm in diameter in the middle lobe of the right lung are observed . airways millimetric calcific plaques are observed in the walls of the trachea and main bronchus . trachea and main bronchi are open . mediastinum millimetric calcific plaques are observed in the arch and descending aorta . no lap was detected in the mediastinum in pathological size and appearance . heart and great vessels the cardiothoracic index increased in favor of the heart . the lead catheter extends into the right lateral ventricle . osseous structures no lytic destructive lesion was observed in the bones . abdomen in the sections passing through the upper part of the abdomen the medial and lateral crus of the left adrenal gland body are thick . no additional significant pathology was distinguished in the non-contrast examination of the abdominal sections . millimetric calcific plaques are observed in the arch and descending aorta . lung parenchyma when examined in the lung parenchyma window 2 nodules with a size of 4 mm are observed in the left lung upper lobe anterior and right lung lower lobe posterior . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . there is a central venous catheter inserted from the right . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal organs entering the cross-sectional area diffuse density loss in the liver a mm hypodense area is observed in the liver at the level of the portal vein right-left separation . other upper abdominal organs are normal . the size of the spleen was measured as it entered the cross-section and the diameter of the ap was 130 mm in its widest direction . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . millimetric calcific atheroma plaques are observed in the coronary arteries . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . other upper abdominal organs included in the sections are normal . evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast . liver density decreased in line with hepatosteatosis . lung parenchyma when examined in the lung parenchyma window there is a 5 mm nodular density at the apical level of the left lung upper lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a nonspecific 3 mm diameter nodule superposed on the major fissure is observed on the right . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . mild hiatal hernia is observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . an exophytic cortical cyst with a diameter of approximately 27 mm is observed in the superior pole of the left kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the examination made in the lung parenchyma window no mass or nodular lesion is observed in both lungs . peripherally located in the posterobasal segment of the lower lobe of the right lung nodular lesions in millimeter sizes around which a ground glass halo is observed are observed . views may belong to nodular consolidations . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . it could not be evaluated optimally due to lack of contrast . mediastinal vascular structures and heart examination iv . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . follow-up is recommended . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in both lungs diffuse mild ectasia and minimal peribronchial thickness increases are observed in the bronchial structures of both lungs . ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . a nodule evaluated in favor of a fissure-based subpleural lymph node in the anterior segment of the right lung upper lobe was observed . pericardial pleural effusion was not detected . in addition nonspecific nodules were observed in both lungs more prominent on the right in the upper lobe posterior segment with a pleural base in millimeters the largest in 5x3 mm . airways in both lungs diffuse mild ectasia and minimal peribronchial thickness increases are observed in the bronchial structures of both lungs . trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were detected in both axillary regions supraclavicular fossae and mediastinum . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . sliding type mild hiatal hernia was observed at the lower end of the esophagus . heart and great vessels calcified atheroma plaques are observed on the wall of coronary vascular structures . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen as far as can be seen within the limits of non-contrast ct in the upper abdominal sections within the image hypodense lesions were observed in the parapelvic area of the left kidney which could not be differentiated from parapelvic cyst and local with this examination . lung parenchyma subsegmental atelectatic changes were observed in the basal segments of the lower lobes and in the middle lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . other viral pneumonias can be considered in the differential diagnosis . the findings include typical findings of covid-19 pneumonia . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window in both lungs septal thickenings were observed in the peripheral subpleural area and ground glass density increases were observed which tended to coalesce from place to place . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen liver parenchyma density was slightly diffusely decreased in the upper abdominal sections in the study area consistent with adiposity . lung parenchyma when examined in the lung parenchyma window there are ground-glass-like density increases in both lungs which are generally scattered but tend to coalesce from place to place and there are compatible with sequelae changes in interstitial traces on this background . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid pneumonia during the pandemic process . pleural effusion pneumothorax were not detected . airways no relevant findings . mediastinum pulmonary trunk calibration dimensions are slightly above normal 30 mm . no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures there is an increase in dorsal kyphosis . degenerative changes are observed in the bone structure entering the examination area . abdomen hernia is observed in the case . in the middle part of the right kidney there is a hypodense lesion with a hu density of approximately 16 mm which is considered to be compatible with a cortical cyst . cannot be with this review . in the upper abdominal organs included in the sections there is a decrease in density consistent with steatosis in the liver . at the level of the left adrenal genu a nonspecific formation is observed with the dimensions of mm and a density value of approximately 34 hu . there is a nodular lesion in the right adrenal lateral crus with oval configuration mm in size and 3 hu density which is considered compatible with adenoma . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . pleural effusion-thickening was not detected . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum apart from this the calibration of the main vascular structures in the mediastinum is natural . no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . in the anterior mediastinum thymic tissue is observed in trigonal configuration without mass effect . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures mild degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . surrounding soft tissues are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few millimetric nodules up to 45 mm in diameter were observed in both lungs . when examined in the lung parenchyma window sequela fibrotic changes were observed in the upper lobe apex of both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections a hypodense lesion of 4 mm in size was observed between segments in the liver . lung parenchyma ventilation of both lungs is natural . sequelae fibrotic bands in the bilateral apex and band-like linear atelectasis accompanied by diffuse ectasia in the bronchial structures in the right lung upper lobe anterior segment are observed . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . pericardial pleural effusion or thickening was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . since the examination was without iv contrast mediastinal main vascular structures and heart could not be evaluated optimally . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels calibration of vascular structures and heart contour size were normal . since the examination was without iv contrast mediastinal main vascular structures and heart could not be evaluated optimally . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no free fluid or loculated collection is observed . in the lower pole of the left kidney a hyperdense stone in millimetric dimensions is observed . no solid mass was detected . lung parenchyma atelectasis was observed in the posterobasal segment of the left lung lower lobe . no other mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma the appearances described during the pandemic process were evaluated in favor of covid-19 pneumonia . some of the described views are round shaped . peripheral and centrally located diffuse consolidations and ground-glass appearances are observed in both lungs . no mass was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window widespread ground glass and density increase areas compatible with consolidation are observed in both lung parenchyma more prominent in the lower lobes and viral pneumonias are considered in its etiology . clinical and laboratory evaluation is recommended for covid-19 pneumonia . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum the diameter of the pulmonary trunk is 31 mm and the diameter of the right pulmonary artery is 28 mm larger than normal . calcified atheroma plaques are observed on the walls of the aortic arch and coronary vascular structures . it measures 8 mm at its deepest point . no lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels minimal increase in heart size is observed and there is minimal pericardial effusion . osseous structures there are osteophytic degenerative changes in the vertebral corpus corners that tend to merge in the right anterolateral . no lytic-destructive lesion was observed in the bone structures within the image . vertebral corpus height and alignment are natural . abdomen calcified atheroma plaques are observed on the walls of the aortic arch and coronary vascular structures . intra-abdominal free fluid or loculated fluid intra-abdominal pathological size and appearance of lymph nodes are not observed . no solid-cystic mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are minimal centriacinar emphysematous changes . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum mediastinal main vascular structures and heart examination iv . in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . mediastinal main vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . osseous structures no lytic-destructive lesion was observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no free fluid-loculated mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma linear atelectasis was observed in the lower lobe of the right lung . there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . there are millimetric atheroma plaques in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were observed . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . it the fracture or lytic-destructive lesion in the bone structures within the sections . vertebral corpus heights alignments and densities within the sections are normal . neural foramina are open . abdomen there are millimetric atheroma plaques in the aorta . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma the findings were evaluated as compatible with covid-19 viral pneumonia . when examined in the lung parenchyma window in the middle and lower lobes of the right lung peripheral hilar and centrally located ground-glass density increases are observed in the left lung lower lobe central and upper lobe inferior lingular segment with irregular contours . airways trachea both main bronchi are open . mediastinum there are lymph nodes with a short axis measuring up to 4 mm in the mediastinum . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . bilateral peribronchial thickening was observed . emphysematous changes were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum mediastinal structures were evaluated as suboptimal since the examination was not contracted . the diameter of the main pulmonary artery was 33 mm and it shows dilatation . calcified atherosclerotic changes are observed in the wall of the thoracic aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased . the diameter of the ascending aorta was 41 mm and showed fusiform dilatation . pericardial thickening-effusion was not detected . osseous structures degenerative changes are observed in bone structures . no lytic-destructive lesion was detected . abdomen a mm lymph node was observed at the level of the celiac trunk . calcified atherosclerotic changes are observed in the wall of the thoracic aorta . diffuse calcifications are observed in the splenic artery . peg material extending to the gastric cavity was observed . in the upper abdominal sections in the study area the contours of both kidneys show lobulation and the thickness of the parenchyma is thinned from place to place . lung parenchyma there are linear atelectasis in the lower lobe of the right lung . there are several millimetric nonspecific nodules in both lungs . there is minimal bronchiectasis in the central part of both lungs . no mass or infiltrative lesion was detected in both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum however the of the superior vena cava could not be evaluated because contrast agent was not given . the widths of the mediastinal main vascular structures are normal . central venous catheter is seen on the right . the superior vena cava is observed in an fine caliber . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . heart and great vessels the catheter terminates in the right atrium . heart contour and size are normal . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen the liver and spleen are larger than normal . the caudate lobe is hypertrophied . both kidneys are atrophic . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no mass infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window subsegmental atelectatic changes with slight volume loss were observed in the middle lobe and lower lobe of the right lung . airways as far as can be seen trachea both main bronchi are open . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal prevascular area and subcarinal localization . postoperative changes and suture materials were observed in the anterior mediastinum . mediastinal main vascular structures heart contour size are normal . siliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . minimal calcified atherosclerotic changes were observed in the coronary artery wall . mediastinal main vascular structures heart contour size are normal . osseous structures there was no finding in favor of sternal . metallic suture materials of sternotomy are observed on the anterior thorax wall . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated liver parenchyma density was diffusely decreased in line with the adiposity . lung parenchyma when examined in the lung parenchyma window mild centrilobular paraseptal emphysematous changes are observed at the apical levels of both lungs . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma several nonspecific parenchymal nodules measuring 57 mm in diameter were observed in the lower lobes of both lungs and the largest in the left lung lower lobe laterobasal segment in the middle lobe . when examined in the lung parenchyma window no mass nodule infiltration was detected in both lung parenchyma . airways as far as can be seen trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass nodule-infiltration was detected in both lung parenchyma . there is no finding compatible with pleural effusion pneumothorax or pneumonia in both lungs . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . in the anterior mediastinum there is thymic tissue in trigonal configuration which does not show any mass effect . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures minimal degenerative changes are observed in the bone structure . abdomen nodular formation compatible with accessory spleen is observed adjacent to the spleen . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a decrease in the anterior-posterior diameter of the spinal canal in the described area . the fracture line reaches the posterior of the vertebral corpus and in this area a fragment showing a slight into the spinal canal is observed . when the bone is examined in the window compression fracture is observed in the t5 vertebra corpus superior end plateau . in addition there is an old compression fracture in the l2 vertebra corpus superior end plateau which causes approximately 70 loss of height in the center . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are also patchy ground glass densities in the upper lobe of the right lung . when examined in the lung parenchyma window in both lung lower lobe basal segments patchy subpleural ground-glass densities which can hardly be distinguished from peripheral parenchyma and atelectatic changes in the left lower lobe of the lung are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles . vertebral corpus has an appearance compatible with hemangioma . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there is subcapsular calcification in the posterior right lobe of the liver . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no infiltration was detected in both lungs . when examined in the lung parenchyma window according to the previous examination stable nonspecific parenchymal nodules were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . there are stable lymphadenomegaly in mediastinal bilateral hilar paratracheal prevascular aorticopulmonary window precarinal subcarinal localization the largest at subcarinal level with a short axis measuring 17 mm according to the previous examination . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . other upper abdominal organs are normal . in the upper abdominal sections in the study area liver parenchyma density decreased slightly in line with fatty deposits . lung parenchyma millimetric nonspecific nodules are observed . when examined in the lung parenchyma window emphysematous appearance is present in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there was no finding compatible with pneumonia in both lungs . there was no finding compatible with pneumonia . emphysematous findings are present in both lungs . focal sequela changes are observed in the right lung lower lobe superior segment . pleural effusion-pneumothorax was not observed . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . in the sections passing through the upper abdomen nodular density which was evaluated as compatible with the millimetric accessory spleen was observed in the anterior neighborhood of the spleen . lung parenchyma there is an emphysematous appearance more prominent in the lower parts of both lungs . when examined in the lung parenchyma window multiple calcific nodules the largest of which are 6 mm in diameter are observed in both lungs . bilateral band atelectasis is seen . pleural effusion reaching 14 mm in diameter is observed in the right hemithorax . airways trachea both main bronchi are open . mediastinum there are lymph nodes in the mediastinum that do not reach pathological size and appearance . calcific plaques are present in the abdominal aorta . calcific atheroma plaques are observed in the aorta and coronary arteries . calibration of other mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures type plaque are seen in adjacent plateaus at and levels . bone structures in the study area are natural . anterior osteophytes are present in the vertebrae . abdomen an 8 mm cortical hypodense lesion entering the cross-sectional part of the left kidney is observed . it is native to the upper abdominal organs including sections . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . calcific plaques are present in the abdominal aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this there are peripherally located ground glass areas and microcystic changes accompanying the ground glass areas more prominently in the lower lobes of both lungs . the views described are not specific . the described appearances were evaluated in favor of sequelae changes . calcific nodules in the apical subsegment of the apical subsegment of the left lung upper lobe structural distortion linear density increases and volume loss are observed . there are diffuse emphysematous changes in both lungs . however these findings are the findings that can be observed in covid-19 pneumonia . the findings were evaluated primarily in favor of viral pneumonia during the pandemic process . no mass was detected in both lungs . in the posterior segment of the right lung upper lobe there is a small area of consolidation in the peripheral area . there are also minimal pleural parenchymal sequelae changes in the right lung apex . there is minimal pleural effusion on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the diameter of the descending aorta is normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . pulmonary artery diameters are normal . there are atheromatous plaques in the aorta and coronary arteries . the aortic arch is elongated . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 47 mm in anterior-posterior diameter and is wider than normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen the diameter of the descending aorta is normal . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no upper abdominal free fluid-collection was detected in the sections . there are atheromatous plaques in the aorta and coronary arteries . the aortic arch is elongated . lung parenchyma there was no finding compatible with pneumonia . sequelae changes are observed in the inferior lingular segment . there were no pathologically sized and configured lymph nodes at both hilar levels . there are several non-specific nodules with a diameter of 2 mm in the anterior segment of the left lung upper lobe . when examined in the lung parenchyma window there are emphysematous findings in both lungs . there is a subpleural 4 mm diameter nodule in the superior segment of the lower lobe . subpleural interlobular septal thickening is observed in the anterior segment of the upper lobes of both lungs . a subpleural non-specific millimetric nodule with a diameter of approximately 4 mm is observed in the middle lobe of the right lung . no bilateral pleural effusion or pneumothorax was detected . airways mild thickening of the peribronchial sheath is observed . mediastinum the aortic arch calibration is greater than normal at 31 mm . no lymph node with pathological size and configuration was detected in the mediastinum . calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . paraaortic interaortocaval lymph node was not detected in the sections . calcific atheroma plaques are observed in the abdominal aorta . calibration of other major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels in the aortic valve dense calcification is observed both in the valve and at the level of possible fibrosis . cto is normal . stent appearances are observed in the left coronary artery . calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . osseous structures there are findings compatible with dish . mild degenerative changes are observed in the bone structure . abdomen the aortic arch calibration is greater than normal at 31 mm . calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . paraaortic interaortocaval lymph node was not detected in the sections . calcific atheroma plaques are observed in the abdominal aorta . in the upper abdominal organs including sections there is a lesion showing peripheral calcification in the right lobe posterior segment superior of the liver cyst . lung parenchyma bronchial ectasia and peribronchial wall thickening in the middle lobe of the right lung and atelectasis in the subsegment are observed . in addition a diameter nodule in the middle lobe adjacent to the thick fissure and in diameter adjacent to the fissure in the left lung lower lobe anterobasal segment is observed . there is thickening of the fissure in the superior segment of the lower lobe . in the evaluation of both lung parenchyma there are pleuroparenchymal sequelae densities showing nodular configuration in the right lung apex . focal ground glass areas are observed in the right lung lower lobe superior and lower lobe mediobasal segment . there is a calcified nodule in the anterior segment of the upper lobe of the right lung and a millimetric subpleural nodule in the middle lobe . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum atherosclerotic calcific plaques are observed in the ascending aorta aortic arch and descending abdominal aorta . no pathological lap was detected in the mediastinum . heart and great vessels calcifications are present in the coronary arteries . osseous structures there are degenerative changes in bone structures . abdomen in the sections passing through the upper part of the abdomen no significant lesion was distinguished in the non-contrast examination . no significant lesion was distinguished in other abdominal sections . atherosclerotic calcific plaques are observed in the ascending aorta aortic arch and descending abdominal aorta . bilateral adrenal glands appear natural . lung parenchyma correlation with his clinic would be appropriate . there are subsegmental atelectasis areas in the right lung middle lobe medial segment and left lung upper lobe lingula inferior segment . embolism filling defects in the right lung lower lobe laterobasal segment and left lung lower lobe laterobasal segment peripherally located consolidation areas are observed and evaluated in favor of pulmonary . it could be atelectasis . however infection cannot be ruled out with this imaging . there is a pleural effusion reaching in diameter between the left pleural leaves . there are also areas of consolidation with pleural retraction in the lower lobe basal segments in both lungs . airways no relevant findings . mediastinum the case has pulmonary ct angiography images of the same and filling defects are observed in the left pulmonary artery lower lobe segment branches and right pulmonary artery lower lobe lateral segment branches . no lymph node in pathological size and appearance was observed in both axillae . no lymph node was detected in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophageal wall thickness was observed as normal in the section . heart and great vessels heart dimensions and compartments were observed naturally . osseous structures in both supraclavicular fossas no lymph node in pathological size and appearance was observed in the cross-section . abdomen gross pathology was not noticed in the upper abdomen sections entering the image area . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window multilobar central-peripheral localized patchy locally nodular ground glass consolidations accompanied by crazy paving pattern were observed in both lungs and the appearance is highly suspicious for covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques were observed in the aortic arch and coronary arteries . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the aortic arch and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structures in the study area . vertebral corpus heights are preserved . abdomen hypodense nodular lesions 3 cm in diameter were observed in the right kidney cyst . thoracic aorta diameter is normal . millimetric calculi were observed in the gallbladder lumen as far as can be observed within the sections . calcific atheroma plaques were observed in the aortic arch and coronary arteries . there is thickening of the left adrenal gland . lung parenchyma linear pleuroparenchymal fibrotic recessions were observed in the right lung middle lobe left lung upper lobe inferior lingular and both lung lower lobe basal segments . mass lesion with distinguishable borders in the lung parenchyma no active infiltration was detected . millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window pleuroparenchymal fibrotic recessions were observed in the apex of both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels minimal pericardial effusion was observed in the pericardial space . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . the dimensions of both kidneys are markedly increased . upper abdominal organs included in the sections are normal . multiple cortical-parapelvic cysts were observed in both kidneys which significantly the parenchyma . multiple hypodense nodular lesion areas of mm were observed in segment 6 of the liver in both lobes cyst . lung parenchyma no mass or infiltrating lesion was detected in both lungs . there are increases in density minimal structural distortion and minimal volume loss which are evaluated in favor of pleuroparenchymal sequelae changes in both lung apexes . millimetric nonspecific nodules were observed in both lungs . there are sometimes linear atelectasis in both lungs . minimal bronchiectasis is observed in both lungs especially in the central parts . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the diameters of the aortic arch and descending aorta are normal . no enlarged lymph nodes in pathological dimensions were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . the diameter of the main pulmonary artery was 28 mm and was at the upper limit of normal . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 44 mm in anterior-posterior diameter and is wider than normal . osseous structures there are bridging osteophytes in the vertebral corpus corners . the neural foramina are open . thoracic vertebral corpus heights and alignments are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . the diameters of the aortic arch and descending aorta are normal . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . the largest of the described nodules are observed in the right lung lower lobe superior segment and are approximately 7x5 mm in size . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a subsegmental atelectatic change was observed in the inferior lingular segment of the left lung upper lobe . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surgical suture materials extending along the junction and stomach wall were observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma at the apical level of the right lung several nodules with a calcific appearance the largest of which are 8x5 mm in size are observed . there are ground-glass-like density increments in both lungs with a general peripheral distribution and a tendency to coalesce from place to place . there are densities compatible with pleuroparenchymal sequelae . on the right a 4x2 mm nodule superposed on the minor fissure is observed . no pathological size and configuration of lymph nodes were detected at both hilar levels . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid pneumonia . bilateral pleural effusion-pneumothorax was not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum calibration of mediastinal major vascular structures is natural . in the anterior mediastinum thymic tissue with no mass effect and fatty involution is observed . there is a partially calcified lymph node of approximately 18x13 mm in the subcarinal area . millimetric calcific atheroma plaques are observed in the aortic arch and left coronary artery . there are lymph nodes in the mediastinum the largest of which is in the right lower paratracheal area and measuring 15x9 mm . a mild hiatal hernia was observed in the esophagus . heart and great vessels cto is within the normal range . millimetric calcific atheroma plaques are observed in the aortic arch and left coronary artery . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . millimetric calcific atheroma plaques are observed in the aortic arch and left coronary artery . lung parenchyma findings are one of the frequently observed findings in covid-19 pneumonia . when examined in the lung parenchyma window widespread and patchy ground glass areas and irregularly bordered linear opacities that form consolidation are observed in both lungs more prominently in the left lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are emphysematous changes in both lungs . millimetric nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there is linear atelectasis in the lingular segment of the upper lobe of the left lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma there is linear atelectasis in the lingular segment of the left lung upper lobe . apart from this both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma an increase in pleuroparenchymal sequelae density was observed in the right lung lower lobe laterobasal segment . a few millimetric nonspecific parenchymal nodules were observed in both lungs . pleuroparenchymal minimal sequelae density increases were observed in both lungs . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . airways trachea both main bronchi are open . mediastinum calcified lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal area . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structures in the study area . no lytic-destructive lesion was detected . abdomen accessory spleen with a diameter of 12 mm was observed adjacent to the upper pole of the spleen . bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no newly developed pneumonia focus was observed . when examined in the lung parenchyma window diffuse subpleural ground-glass density and consolidations tending to merge in both lung parenchyma are observed to be minimally regressed in places . airways no relevant findings . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is diffuse density loss in the liver . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no suspicious nodule mass or infiltration was detected in both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels minimal pericardial effusion is observed . the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when evaluated together with the patients clinical knowledge these findings were evaluated in favor of viral pneumonia . there are millimetric nodules in both lungs . the locations and appearances of these lesions are frequently encountered findings in covid-19 pneumonia . no mass was detected in both lungs . peripheral consolidation and ground glass areas are observed in the lower lobe of both lungs and the middle lobe of the right lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be seen heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there is no discernible mass in the upper abdominal organs within the sections . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma focal ground-glass opacity is observed in the central part of the left lung upper lobe . linear subsegmental atelectasis is observed in the lower lobes of both lungs and in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment . it is not specific for covid-19 . peribronchial thickness increases are observed in both lungs . there are interlobar and interlobular septal thickness increases in both lungs more prominently in the left lung . when examined in the lung parenchyma window there is a pleural effusion in both lungs reaching a thickness of about 1 cm . airways trachea both main bronchi are open . mediastinum mediastinal structures could not be evaluated clearly . no lymphadenopathy was detected in the mediastinal area in pathological size and appearance . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like effusion is observed in the pericardium . heart sizes were minimally increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the evaluation of solid organs and major vascular structures is suboptimal because the examination is unenhanced . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window more diffuse peripherally located focal nodular ground glass densities were observed in both lungs bilateral middle and lower lobes and the appearance is highly suspicious for covid-19 pneumonia . other viral pneumonias were considered in the differential diagnosis . apart from this no mass lesion with distinguishable borders was detected in both lungs . a millimetric nonspecific subpleural nodule was observed in the posterior segment of the right lung upper lobe . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the gallbladder was not observed operated . liver spleen pancreas and both adrenal glands are normal as far as can be observed in the non-contrast examination . an accessory spleen with a diameter of 13 mm was observed inferior to the splenic hilum . lung parenchyma when examined in the lung parenchyma window in the lower lobes of both lungs ground-glass densities are observed in the basal segment in the left posterior peripherally located and in the right middle patchy ground glass densities . diffuse mild centrilobular emphysema is observed in both lungs . clinical laboratory correlation is recommended for better differential diagnosis of findings in terms of viral pneumonia onset . airways trachea both main bronchi are open . mediastinum small lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a slight decrease in density in the bone structures in the examination area and hypertrophic osteophytic tapering in the end plates of the vertebral corpuscles . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window a few millimetric nonspecific parenchymal nodules were observed in both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections there is an area of parenchymal defect compatible with sequelae change in the right kidney upper pole posterior . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window in the right lung and left lung upper lobe and lower lobe superior segments central-peripheral weighted crazy paving pattern and nodular consolidation areas with signs of vascular enlargement were observed and the appearance is compatible with covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum the examination was considered suboptimal since no contrast agent was given . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are patchy ground glass densities in both lung parenchyma showing a tendency to merge with central and peripheral . when examined in the lung parenchyma window at the hilar level the peribronchovascular structures become prominent and the bronchial wall . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size slightly increased . osseous structures degenerative changes are observed in the vertebrae . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . paraseptal emphysematous changes were observed in the upper lobes of both lungs . a nonspecific parenchymal nodule with a diameter of 42 mm was observed in the lateral segment of the right lung middle lobe . when examined in the lung parenchyma window sequelae thickening was observed in the costal pleura in the upper lobes of both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections the liver parenchyma density decreased in line with hepatosteatosis . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . in the upper pole of the right kidney an exophytic hypodense lesion area with a diameter of 43 mm was observed cyst . a nonspecific hypodense lesion area of 8 mm in diameter was observed in segment 2 at the level of the liver dome cyst . lung parenchyma when examined in the lung parenchyma window there are mild hypertrophic osteophytic taperings in the vertebral corpus end plates and atelectatic changes in the adjacent lung parenchyma . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures when examined in the lung parenchyma window there are mild hypertrophic osteophytic taperings in the vertebral corpus end plates and atelectatic changes in the adjacent lung parenchyma . abdomen liver is observed . the spleen size was increased in the upper abdominal organs included in the sections . lung parenchyma in lung parenchyma evaluation no pneumonic infiltration or consolidation area was detected in both lung parenchyma . there are several non-specific nodules in the lung parenchyma the largest of which is 4 mm in diameter located intraparenchymal in the superior segment of the right lung lower lobe . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma in both lungs some calcified non-specific millimetric parenchymal nodules are . the outlook can also be observed in covid-19 pneumonia but is not specific . sequela density increases and minimal bronchiectatic changes were observed in the middle lobe of the right lung . it is recommended to be evaluated together with clinical and laboratory data . when examined in the lung parenchyma window patchy ground-glass density increases were observed in the basal segments of the lower lobes of both lungs . bilateral pleural thickening - effusion was not detected . airways no relevant findings . mediastinum as far as can be seen the diameter of the main pulmonary artery was 30 mm and it shows dilatation . no lymph node was detected in mediastinal pathological size and appearance . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . it is recommended to be evaluated together with examination for possible cystic duct calculus . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no pathological increase in wall thickness was detected in the examination limits . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart size increased . osseous structures no lymph nodes were detected in pathological size and appearance in both supraclavicular fossae . no lytic-destructive lesion was detected . diffuse degenerative changes were observed in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the abdominal aorta . there is slight axis in the right kidney . it is recommended to be evaluated together with examination for possible cystic duct calculus . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no gall bladder was observed in the upper abdominal sections in the examination area operated . a density of 35 mm in diameter was observed in the cystic duct . lung parenchyma there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . linear atelectasis was observed in the right lung middle lobe and left lung upper lobe lingular segment . there are millimetric nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . there are millimetric osteophytes at the corpus corners . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . there is a solid mass with a fat density measuring 14 mm in the right adrenal gland and it was evaluated in favor of . lung parenchyma there is no mass or appearance compatible with pneumonic infiltration in both lungs . there are several millimetric nonspecific nodules in both lungs . these nodules can also be observed in the previous examination of the patient and no difference was found in their size and number . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . millimetric atheroma plaques are observed in the aorta . no pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures the neural foramina are open . vertebral corpus heights within the sections are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . osteophytes were observed in the vertebral corpus corners . intervertebral disc distances are narrowed . there is a low density compatible with osteopenia in the bone structures within the sections . abdomen millimetric atheroma plaques are observed in the aorta . lung parenchyma minimal pleuroparenchymal sequelae changes were observed in both lung apexes . there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . there are millimetric stones in the gallbladder . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . there is a decrease in liver parenchyma density consistent with advanced adiposity . lung parenchyma widespread patchy confluent ground-glass density and infiltrates were observed in both lungs . bilateral pleural effusion reaching 11 mm in thickness on the right and 7 mm in the left was observed . airways trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . pulmonary arteries are dilated . at the lower end of the esophagus there is an appearance of a sliding type wide hiatus hernia . heart and great vessels global enlargement of the cardiac cavities was observed . osseous structures no obvious pathology was detected in bone structures . abdomen there is an appearance of perihepatic free peritoneal fluid . in the sections passing through the upper part of the west both kidneys were atrophic . calcific atheroma plaques were observed in the main vascular structures . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window mild sequelae changes are observed at the apical level in both lungs . there was no finding compatible with pneumonia in the case . pneumothorax or pleural effusion is not observed . a subpleural 2 mm diameter nonspecific nodule is observed in the apicoposterior segment of the upper lobe of the left lung . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures mild degenerative changes are observed in the bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is no mass or infiltrative lesion in both lungs . there are several millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma there is a 2 mm diameter nodule superposed on the minor fissure in the right lung . a parenchymal band is observed in the posterobasal segment of the left lung lower lobe . a decrease in emphysematous density is observed in both lungs . when examined in the lung parenchyma window both hemithorax are symmetrical . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal organs included in the sections there is a decrease in density consistent with hepatosteatosis in the liver . lung parenchyma the outlook may be compatible with advanced stage of covid-19 pneumonia or bacterial infections superposed on covid-19 pneumonia . in the case which was learned to have covid-19 pneumonia wide ground-glass consolidations and superposed widespread consolidation areas were observed creating a crazy paving pattern extending from the central to the periphery in all segments of both lungs . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . calcific atheroma plaques were observed in the abdominal aorta . as far as can be seen mediastinal main vascular structures heart contour size are normal . calcific lymph nodes were observed at subcarinal and left hilar level . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structures in the study area . no lytic-destructive lesion in favor of metastasis was observed in bone structures . abdomen an increase in density was observed in the gallbladder lumen which gives a level . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . calcific atheroma plaques were observed in the abdominal aorta . no mass lesion with distinguishable borders was detected in the pancreas . capsular linear calcifications are observed in the anterolateral aspect of the spleen and are consistent with sequelae . millimetric nodular lesion areas were observed in both kidneys with fluid density cyst . it is recommended to be evaluated together with us for . upper abdominal organs included in the sections are normal . chronic sequelae changes were observed in the upper pole parenchyma of the right kidney . the pancreas is atrophic . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma predomit ground glass are observed in peripheral lung tissue in all segments of both lungs . in addition there is a subpleural nodule with a diameter of 5 mm in the middle lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper - bilateral lower paratracheal lymph node smaller than 1 cm is observed . no pathological lap was detected in the mediastinum . heart and great vessels millimetric sized calcific plaque is observed on the walls of the coronary artery . cardiothoracic index slightly increased in favor of the heart . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . no obvious pathology was detected in non-contrast abdominal sections . lung parenchyma when examined in the lung parenchyma window segmentary tubular bronchiectasis was observed in both lungs . in the middle lobe of the right lung and the inferior lingular segment of the left lung thickening of the walls of bronchiectasis secretion in the lumens and the appearance of peribronchial centriacinar tree view are observed . sequelae reticulonodular density increases were observed in the apex of both lungs . no mass lesion with distinguishable borders was detected in both lungs . the outlook is compatible with bronchopneumonia . airways trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures osteoporosis in bone structures and degenerative schmorl nodule impressions were observed in the end plateaus . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . minimal thickening was observed in the left adrenal gland . both kidneys spleen pancreas right adrenal gland are normal . as far as can be seen in the sections a well-circumscribed hypodense lesion with a diameter of 35 cm and located subcapsular in the anterior left lobe medial segment of the liver was observed cyst . it is recommended to be evaluated together with usg . no intraabdominal free-loculated fluid was detected . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window tubular bronchiectasis which became prominent in the center of both lungs was observed . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinum was not evaluated optimally . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several millimetric nonspecific nodules in both lungs . there are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . minimal emphysematous changes were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs are normal as far as can be seen on non-contrast images . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the posterior segment of the right lung upper lobe series 2 section 135 a nodular ground-glass appearance is observed with an anterior-posterior and transverse diameter of mm at its widest point approximately a volume of . in the previous examination of the patient the nodule volume was measured as approximately 130 and it is observed that it increased slightly in this examination . no significant solid component was detected in the ground glass appearance . the largest of the nodules is observed in the lower lobe of the right lung and measured approximately 45 mm in diameter . there are atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . apart from this there are many other millimetric nodules in both lungs . close monitoring is recommended . emphysematous changes are observed in both lungs . minimal bronchiectasis and volume loss and minimal structural distortion are observed in the anterobasal segment of the lower lobe of the right lung . no pleural or pericardial was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were detected . millimetric atheroma plaques are observed in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . lobulation is also observed in the liver contours . it is recommended to be evaluated for liver parenchymal disease . millimetric atheroma plaques are observed in the aorta . lung parenchyma there are stable non-specific nodules of millimeter size in both lungs . tubular bronchiectasis foci and light intraluminal secretions in the upper lobe lingula inferior segment are also present in the previous examination and are stable . there is increased aeration in the left lung lower lobe parenchyma . when examined in the lung parenchyma window cystic bronchiectasis foci are observed in the lower lobe of the left lung . pneumonic infiltration or consolidation area is not observed in the lung parenchyma . no mass-occupying lesion was detected . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . along with the increase in parenchymal aeration an increase in thickness of the ectatic bronchial walls and occasionally intraluminal secretions are observed . mediastinum the diameter of both pulmonary arteries was 29 mm on the right 28 mm on the left and the diameter of the pulmonary trunk was 33 mm and increased . in the mediastinum right upper and lower paratracheal subcarinal millimetric non-specific lymph nodes are stable . no space-occupying lesion was detected in the mediastinal fat pad . heart and great vessels heart size increased . calcified atherosclerotic plaques are observed in lad . pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no pelvic effusion was observed . no herniation was detected . in the upper abdomen sections there is a 5 cm diameter diaphragmatic hernia posterior to the right diaphragm . there is a 23 mm diameter cortical cyst in the upper pole of the right kidney . herniation of intra-abdominal fat towards the thoracic cavity was observed . no feature was detected in other upper abdominal sections . lung parenchyma when examined in the lung parenchyma window diffuse centriacinar millimetric ground glass nodular densities are observed in both lungs . it is atypical for viral pneumonia . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration was detected . subcutaneous emphysema is observed on the right . in the current examination it was understood that right lung upper lobectomy was performed . tissue emphysema is evident in both lungs . in the right pleural effusion a loculated collection area with an air image of approximately 2 cm is observed . a millimetric nodule located subpleural in the left lung lower lobe anterobasal segment is stable . pleural effusion reaching 2 cm between the right pleural leaves and moderate pneumothorax are observed . airways no relevant findings . mediastinum there are bilateral lower paratracheal mediastinal lymph nodes . the largest dimensional short diameter was measured at 10 mm . in the mediastinum there is a soft tissue density of 14 mm in diameter adjacent to the suture materials belonging to lobectomy . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window widespread and patchy ground-glass opacities are observed in both lungs more prominently in the right lung . the outlook is typical - likely compatible with covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . it is recommended to evaluate the patient together with the clinical findings . there are lymphadenopathies in the lower cervical chain and mediastinum and hilar regions within the sections . there are millimetric nodules in both lungs . the views described are nonspecific . there are interlobular septal thickenings in both lungs especially in the upper lobes . there is no pleural thickening . there is bilateral minimal pleural effusion . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . the largest of the described lymphadenopathies is observed in the paratracheal area measuring approximately 26 mm in short diameter . there are lymphadenopathies in the lower cervical chain and mediastinum and hilar regions within the sections . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures these appearances were evaluated primarily in favor of metastases . numerous lytic bone lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . clinical laboratory correlation monitoring is recommended . bilateral hilar-axillary lymph node enlarged in pathological dimensions was not detected . when examined in the lung parenchyma window peripherally located patchy ground glass densities are observed in both lungs . airways trachea both main bronchi are open . mediastinum multiple lymph nodes measuring up to 13 mm are observed in the mediastinum . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion is detected in both lungs . there are minimal emphysematous changes in both lungs . there are atelectasis in the lower lobes of both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are lymphadenopathies in the prevascular region the largest of which is mm in size . the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were detected in the paratracheal subcarinal and both hilar regions . atheroma plaque was observed in the aortic arch . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen millimetric stones were observed in the gallbladder . there are hypodense lesions in the upper pole of the left kidney that cannot be characterized because contrast agent is not given . there is an adenoma measuring approximately in diameter in the left adrenal gland corpus . atheroma plaque was observed in the aortic arch . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window nodules with a diameter of 4 mm were observed in the lower lobes of both lungs the largest on the right . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical follow-up of the case will be appropriate in to rule out infection . in more millimeters parenchyma areas in the form of very low-density ground glass density are observed in the left lung lower lobe superior and middle lobe lateral segment . no suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma . it was considered nonspecific because of its low density and presence in several foci . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . a nodular ground-glass density parenchyma area of approximately 8 mm in diameter is observed in the subpleural area in the superior segment of the right lung lower lobe . airways no space-occupying lesion was detected in the and trace . clinical correlation is recommended . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic or sclerotic lesion was detected . no lytic-destructive lesions were detected in bone structures . slight heterogeneity is observed in the density of cervical vertebrae . abdomen in the upper abdominal sections a decrease in liver parenchyma density is observed consistent with advanced hepatosteatosis . lung parenchyma there are density increases in ground glass density in both lung lower lobe basals which are considered secondary to the dependent effect . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . sequela parenchymal changes were observed in both lung apex and lower lobe posterobasal segments . pericardial pleural effusion was not detected . airways trachea and both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph node was observed in the mediastinum and in both axillary regions in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of mediastinal vascular structures heart contour and size are natural . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of mediastinal vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window linear atelectasis is observed in the right middle lobe left lingula and bilateral lower lobes in both lungs . in addition there are subpleural mild reticulonodular ground glass densities in the bilateral lower lobes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . other upper abdominal organs included in the section are normal . the spleen was increased in size mm . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical-laboratory correlation and follow-up are recommended . when examined in the lung parenchyma window in both lungs especially at the apical level of the right lung upper lobe and the left lung lower lobe superiorly patchy ground glass densities in crazy paving pattern and atelectatic changes in the form of thick bands are observed . the findings were evaluated in favor of the continuation of the infectious process . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when evaluated in the parenchyma window of both lungs patchy ground-glass density increases were observed in both lungs . bilateral peribronchial thickenings were observed . emphysematous changes were observed in both lungs . there are smooth interlobular septal thickenings in both lungs secondary to cardiac pathology . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be observed trachea and both main bronchial lumens are open . mediastinum the diameter of the main pulmonary artery is 32 mm and it shows slight dilatation . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . there are calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent material in the coronary arteries . no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there are calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent material in the coronary arteries . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen in the upper abdominal sections within the examination area a 12 mm diameter hypodense lesion with a subcapsular location was observed in the lateral segment of the left lobe of the liver . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . there are calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent material in the coronary arteries . no dilatation was detected in the thoracic aorta . gallbladder was not observed cholecystectomized . lung parenchyma a few millimeter-sized nonspecific nodules were observed in both lungs . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . ventilation of both lungs is natural . pericardial-pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph nodes in pathological size and appearance were detected in the mediastinum in the axillary region in both axillary regions . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness is observed in the thoracic esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calibration of vascular structures heart contour and size are natural . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures vertebral corpus heights are preserved . no lytic or destructive lesions were observed in the bone structures within the image . abdomen apart from this no pathology was detected . as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image there is a mm hypodense lesion located subcapsular in liver segment 7 within the borders of non-contrast ct which cannot be clearly characterized . lung parenchyma when examined in the lung parenchyma window mild nonspecific density increases are observed in the left lung lower lobe superior adjacent to the fissure . atelectatic changes in the first place it has been evaluated in its favour . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aortic arch and coronary artery . there are a few small oval lymph nodes measuring up to 5 mm containing calcifications in the mediastinum . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . calcific atheroma plaques are observed in the aortic arch and coronary artery . osseous structures there is a decrease in density in bone structures . hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles . abdomen calcific atheroma plaques are observed in the aortic arch and coronary artery . bilateral adrenal glands were normal and no space-occupying lesion was detected . a cortical cyst of 8 mm in size is observed in the left kidney . there was no finding in favor of diverticulitis . upper abdominal organs included in the sections are normal . a few diverticula are observed in the splenic and hepatic flexure . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma findings are among the findings frequently observed in covid-19 pneumonia and evaluation together with clinical and laboratory findings is recommended . in the examination made in the lung parenchyma window diffuse peripheral and parenchymal ground-glass densities are observed in all segments of both lung parenchyma and viral pneumonias are considered in the etiology of the findings . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . it could not be evaluated optimally due to lack of contrast . mediastinal vascular structures and heart examination iv . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density . no solid mass was detected as far as can be observed within the limits of unenhanced ct . lung parenchyma sequelae are parenchymal changes . pneumonic infiltration is considered in its ethology . no mass was detected in the left lung . the appearance may belong to early viral pneumonia . in the current examination massive effusion was observed in the right pleural space and no aeration was detected in the right lung . in the lower lobe posterolateral segment of the left lung there is an increase in density in the peripheral subpleural area of the newly developed ground glass density with indistinct borders . airways no relevant findings . mediastinum mediastinal vascular structures and heart are deviated to the left . heart and great vessels mediastinal vascular structures and heart are deviated to the left . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . there was no finding compatible with pneumonia . when examined in the lung parenchyma window changes consistent with emphysema were observed . sequelae changes were observed in the upper lobe on the right . mild sequelae changes were observed in the left lingular segment and lower lobe anteromediobasal level . sequelae changes in the middle lobe and the appearance of mild paracicatricial bronchiectasis were detected . no pleural effusion or pneumothorax was observed . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . it is wider than normal . left pulmonary artery calibration and descending aorta calibration are normal . cto is at the maximal physiological limit . the aortic arch calibration is 40 mm . in the descending aorta millimetric-sized calcific atheroma plaques are observed in the aortic arch . pulmonary conus calibration is 33 mm wider than normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the ascending aorta calibration is 41 mm . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen it is wider than normal . left pulmonary artery calibration and descending aorta calibration are normal . cto is at the maximal physiological limit . bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch calibration is 40 mm . in the descending aorta millimetric-sized calcific atheroma plaques are observed in the aortic arch . a slight decrease in density consistent with hepatosteatosis is observed in the liver . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window aeration of both lungs parenchyma was normal and minimal emphysematous changes were noted in the apical segments of both lungs . no active infiltration consolidation or space-occupying mass lesion was detected in both lungs . peripherally located millimetric nonspecific nodular appearances are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . sequelae of calcific atheroma plaques are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures no fractures or lytic-sclerotic lesions were detected in the bone structures in the study area . vertebral corpus heights are preserved . abdomen upper abdominal organs included in the sections have a natural appearance and a millimetric hypodense lesion is observed in the right kidney cyst . lung parenchyma according to the previous examination there is a regression in the budding tree appearances observed in the right lung . in addition minimal budding tree appearances and a consolidation area of frosted are observed in the lower lobe superior segment . in the evaluation of both lung parenchyma budding tree appearances and ground glass density are observed in the left lung lower lobe laterobasal segment . first of all it was evaluated as an infective process . the consolidation area observed in the left lung is newly developed . the nodule observed in the left lung lower lobe laterobasal segment in the previous examination is stable . no pleural effusion was detected in both hemithorax . a subpleural nodule with a diameter of 3 mm which was also selected in previous examinations is observed in the lingular segment of the left lung . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . pericardial effusion measuring 6 mm in its thickest part is observed in the form of a smear . osseous structures no obvious pathology was detected in bone structures . abdomen in addition the left kidney appears smaller than normal . in the sections passing through the upper part of the abdomen calculus is observed in the gallbladder . millimetric calculus is observed . lung parenchyma apart from this mosaic attenuation pattern is observed in both lungs . when examined in the lung parenchyma window there are fibrotic densities compatible with sequelae changes in the right lung upper lobe apicoposterior segment right lung middle lobe and right lung lower lobe lateral segments . no lymphadenopathy was detected in the mediastinum both lung hilum and bilateral axillae in pathological size and appearance . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no lymphadenopathy was detected in the mediastinum both lung hilum and bilateral axillae in pathological size and appearance . calcific plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures osteophytes are observed in the vertebrae . abdomen thoracic aorta diameter is normal . as far as can be observed in the upper abdominal organs included in the sections there are many gallstones in the gallbladder . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma panacinar emphysemato areas are observed in the anterior segment of the left lung upper lobe . a low-density nodule with a diameter of 45 mm is observed in the superior segment of the lower lobe of the right lung ima 94 . in the evaluation of both lung parenchyma mosaic perfusion is observed in both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper-bilateral lower paratracheal prevascular lymph nodes with millimetric size are observed . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . no additional pathology was detected in the abdominal sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass or infiltration was detected in both lungs . when examined in the lung parenchyma window nodular opacities are observed in the subpleural area in the posterior segment of the lower lobe of the right lung with a ground-glass density that can hardly be seen infective process . airways trachea both main bronchi are open . mediastinum evaluation of solid organs vascular structures and mediastinal structures is suboptimal because the examination is non-contrast . lymph nodes with a short axis of 1 cm are observed in the upper and lower paratracheal area at the aortopulmonary level and in the subcarinal area . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . a port catheter extending from the right anterior wall of the chest to the right atrium is observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen evaluation of solid organs vascular structures and mediastinal structures is suboptimal because the examination is non-contrast . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma emphysematous changes and linear atelectasis are observed in both lungs . no active infiltration or mass lesion was detected in the lung parenchyma . there are nonspecific nodules the largest of which is 65 millimeters in the posterobasal segment of the lower lobe of the right lung in both lungs . pleural and pericardial effusion or thickening was not detected . airways no relevant findings . mediastinum there are widespread calcified atheromatous plaques on the wall of the vascular structures . in addition there are lymph nodes with a short diameter of 10 millimeters at the large paratracheal level in the mediastinum . optimum was not evaluated due to the lack of contract of mediastinal vascular structures and heart examination . heart and great vessels optimum was not evaluated due to the lack of contract of mediastinal vascular structures and heart examination . osseous structures there is an increase in thoracic kyphosis osteophytic degenerative changes in the vertebral corpus corners and osteopenia . lytic or destructive lesion is observed in the bone structures within the image . a fusiform lymph node with a short diameter of 13 millimeters is observed at the left supraclavicular level . abdomen there are widespread calcified atheromatous plaques on the wall of the vascular structures . in the upper abdomen sections within the image a lesion with a diameter of 12 millimeters in cortical localized hypodense fluid density is observed in the middle zone of the left kidney . due to the fact that the examination is non-contracted it cannot be clearly characterized . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . several nonspecific nodules measuring 35 mm in size were observed in both lungs the largest of which was in the posterobasal segment of the left lung lower lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal vascular structures were not evaluated optimally due to the lack of contrast of the cardiac examination . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there are hyperdense stones measuring mm in the upper pole of the left kidney and 5x4 mm in the upper pole of the right kidney in both kidneys . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window mm diameter calcific nodule in the posterobasal segment of the left lung lower lobe and adjacent pleuroparenchymal fibrotic sequelae recession were observed . pleural effusion-thickening was not detected . a subpleural nodule with a diameter of 53 mm was observed in the lateral segment of the right lung middle lobe . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild osteodegenerative changes were observed in the bone structures in the study area . abdomen as far as can be seen in non-contrast sections liver spleen both adrenal glands and pancreas are normal . the gallbladder was observed to contract . no stones were observed in both kidneys within the sections . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures a slight increase in dorsal kyphosis is observed . apart from this no obvious pathology was detected in the bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window several nonspecific nodules were observed in both lungs the largest of which was 45 mm in diameter in the anterior segment of the right lung upper lobe . control is recommended . in addition a ground-glass parenchymal nodule with a diameter of approximately 5 mm at the level of the major fissure in the right lung was observed at the level of the major fissure in the lateral segment of the middle lobe with a diameter of 45 mm . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum a few lymph nodes with a short diameter of up to 5 mm were observed in the mediastinal prevascular area and in the paratracheal area . in the mediastinal paratracheal area and in the prevascular area oval-shaped lymph nodes with a short diameter of up to 5 mm were observed . the mediastinal main vascular structures and heart were evaluated as suboptimal because the examination was unenhanced . no obvious pathology was detected . the thoracic esophagus is in normal calibration . heart and great vessels the mediastinal main vascular structures and heart were evaluated as suboptimal because the examination was unenhanced . osseous structures there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs entering the imaging field are normal . no pathological wall thickening was detected . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are diffuse centracinar density increases in both lungs . in both lungs a few nodules measuring mm in size the largest in the left lung lower lobe posterior segment and a mm fusiform shaped nodule located on the fissure in the right lung upper lobe anterior segment were observed intraparenchymal lymph node . no mass or infiltrative lesion was detected in both lungs . a few lymph nodes with a short diameter less than 5 mm were observed in the mediastinum and bilateral hilar regions . there is linear atelectasis and accompanying nonspecific ground glass area in the left lung upper lobe lingular segment . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . a few lymph nodes with a short diameter less than 5 mm were observed in the mediastinum and bilateral hilar regions . there is a sliding type hiatal hernia at the esophagogastric junction . no pathological increase in wall thickness was detected in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen as far as it can be evaluated within the limits of non-contrast ct there is a hyperdense stone with a diameter of 2 mm in the gallbladder lumen . there is a sliding type hiatal hernia at the esophagogastric junction . there are no discernible masses in the upper abdominal organs . lung parenchyma it was first evaluated in favor of viral pneumonia . when examined in the lung parenchyma window in the right lung middle lobe medial segment focal ground glass densities are observed and there are linear subsegmental atelectasis areas in this area . the differential diagnosis also includes covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the left lung lower lobe superior segment vascular enlargement was also observed and focal ground-glass densities with faint borders were observed and it was evaluated as compatible with the resolution period in the case who had covid-19 pneumonia . pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe and in the mediobasal segments of the lower lobes of both lungs . no mass lesion with distinguishable borders was detected in both lungs . millimetric non-specific pulmonary nodules were observed in both lungs . when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lungs small airway diseasesmall vessel disease . bilateral pleural effusion was not observed . more extensive sequelae thickening was observed on the right bilateral posterior and right anterolateral costal pleura . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . in the mediastinum lymph nodes with short axes measuring less than 1 cm which could not reach pathological dimensions were observed . atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches . calibration of other mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications are observed in the wall of the aortic arch and coronary arteries and there is a stent placed in the lad . heart and great vessels the mitral valve is calcified . pericardial effusion-thickening was not observed . heart size increased . as far as can be seen the ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm . atherosclerotic wall calcifications are observed in the wall of the aortic arch and coronary arteries and there is a stent placed in the lad . osseous structures spur formations bridging with each other were observed in the right anterolateral corners of the middle thoracic vertebra . vertebral corpus heights are preserved . abdomen a parenchymal defect compatible with sequelae was observed in the upper pole posterior of the right kidney and was evaluated in favor of sequelae . atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches . the right adrenal gland locus is normal and no space-occupying lesion was detected . an 11x10 mm myelolipoma was observed in the lateral crus of the left adrenal gland . no space occupying lesion was detected in the liver . atherosclerotic wall calcifications are observed in the wall of the aortic arch and coronary arteries and there is a stent placed in the lad . lung parenchyma there are several millimetric nonspecific nodules in both lungs . minimal bronchiectasis is observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were observed in the bone structures within the sections . abdomen in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the limits of non-enhanced ct . lung parenchyma these outlooks favor viral pneumonia . these findings are also frequently observed in covid-19 pneumonia . in addition linear atelectasis is observed in the inferior lingular segment of the left lung . when examined in the lung parenchyma window scattered subpleural ground-glass densities are observed in both lungs especially in the right lung middle lobe lateral segment . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no fractures or lytic-sclerotic lesions were observed in the bones . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window bilateral atelectatic changes more prominent in the basal segment of the lower lobe of the right lung and partial collapse in the lower lobe of the right lung are observed . there is a moderate amount of loculated pleural effusion measuring up to 61 mm in thickness in the right hemithorax . airways no relevant findings . mediastinum calcific atheroma plaques are observed in the aortic arch and its branches . the main pulmonary artery was measured 26 mm the right main pulmonary artery 29 and the left main pulmonary artery 23 mm . small lymph nodes are observed in the mediastinum . heart and great vessels the heart size was markedly increased . osseous structures there are degenerative changes in bone structures . abdomen in the upper abdominal sections in the study area hepatic venous structures are dilated . calcific atheroma plaques are observed in the aortic arch and its branches . liver and spleen are partially observed and appear larger than normal . lung parenchyma radiological findings were evaluated as compatible with parenchymal involvement of covid-19 infection . when examined in the lung parenchyma window in the left lung upper lobe posterior and lingula inferior segment adjacent to the fissure there are more prominent ground glass infiltration areas in the left lower lobe of both lungs . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is natural . normal calibration of the esophagus is observed . heart and great vessels pericardial effusion was not observed . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen no features were detected in the upper abdomen sections . lung parenchyma pleural effusion-thickening was not detected . when examined in the lung parenchyma window pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures could not be evaluated optimally because cardiac examination was unenhanced . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures could not be evaluated optimally because cardiac examination was unenhanced . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window focal centriacinar nodular infiltration tree view were observed in both lung lower lobe mediobasal and right lung lower lobe anterobasal segments . the outlook was evaluated in favor of bronchiolitis . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were evaluated as compatible with bronchopneumonic infiltration . in the evaluation of lung parenchyma structures examination is suboptimal due to respiratory artifact . in the right lung middle lobe and lower lobe basal segments the left lung upper lobe anterior and lingular segments the lower lobe superior and basal segments have a budding tree view and occasionally accompanying consolidation areas . airways segment bronchi and bronchial wall thickness increases were observed in both lungs . mediastinum calibrations of mediastinal main vascular structures were followed naturally . a few nonspecific lymph nodes with diameters less than 1 cm located in the right prevascular right upper paratracheal and lower paratracheal mediastinum were observed . diffuse calcific atheroma plaques were observed in the thoracic aorta abdominal aorta and its branches and renal arteries . esophageal calibration is natural . heart and great vessels heart size increased . no mass lesions were observed in the fat . calcified atheroma plaques are present in rca . stent material is observed in lad . the diameters of both atria have increased markedly . pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen both kidney sizes and parenchyma decreased . no space-occupying lesion was detected in the adrenal glands in the upper abdominal sections that entered the image area . no dilatation was observed in the collecting system . diffuse calcific atheroma plaques were observed in the thoracic aorta abdominal aorta and its branches and renal arteries . lung parenchyma however in the current examination there are areas of increase in density consistent with millimetric nodular consolidation in the peripheral areas of the left lung upper lobe anterior and upper lobe posterior segment . in addition millimetric nodular consolidation area is observed in the apical segment of the upper lobe of the right lung . linear atelectasis in both lungs and emphysematous changes in both lungs were observed . pneumonic infiltration is considered in the etiology of the findings . the area of increase in density consistent with consolidation evaluated in favor of pneumonic infiltration with airbronchograms in the superior segment of the right lung lower lobe observed in the previous ct examination showed regression in the current examination . no mass lesions were detected in both lungs . in both pleural spaces there is an in some places on the right and an effusion measured at a depth of approximately 40 mm on the right in its deepest part . millimetric calcified plaques were observed in the left pleura . airways no relevant findings . mediastinum there are calcific atheromatous plaques on the walls of the aorta and coronary vascular structures . the widths of the mediastinal vascular structures are natural . stable lymphadenopathies measuring 20 mm in diameter were observed in the mediastinum and in both hilar regions the largest of which was at the subcarinal level . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed the heart is larger than normal . it is understood that the patient underwent mitral valve and aortic valve replacement . pericardial effusion was not detected . in particular both are observed to be larger than normal . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen there are calcific atheromatous plaques on the walls of the aorta and coronary vascular structures . in the upper abdominal sections within the image intraabdominal free fluid loculated collection no lymph nodes were detected in pathological size and appearance . lung parenchyma in the evaluation of both lung parenchyma active infiltration or mass lesion is detected and there are nodules in nonspecific millimeter sizes in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no relevant findings . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a nonspecific parenchymal nodule with a diameter of 66 mm is observed in the middle lobe of the right lung . when examined in the lung parenchyma window no mass infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen minimal calcified atherosclerotic changes were observed in the coronary artery wall . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen apart from this the upper abdominal organs included in the sections are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the lower pole of the spleen there is a slightly exophytic mm hypodense cystic lesion with calcifications on the wall . millimetric accessory spleen was observed adjacent to the lower pole . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no nodular lesions were detected in both lung parenchyma . the findings were evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window diffuse rather patchy ground-glass densities in both lungs mild vascular expansion and bronchiectasis at the described levels are observed . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . a few small lymph nodes measuring 4 mm in short axis are observed in the mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes and decrease in density in the bone structures in the study area . hypertrophic osteophytic tapering and bridging tendencies are observed in the anterior end plates of the vertebral corpuscles . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma right lung lower lobe posterior and upper lobe apical segment consolidation areas observed in the left lung upper lobe lingular segment show partial regression . in the right lung upper lobe posterior segment lower lobe superior segment and left lung lower lobe posterior segment there is an increase in centriacinar nodular density characterized by a budding tree view and marked regression in peripheral ground glass areas . emphysematous changes are observed in the apical regions of both lungs . a few millimetric nonspecific nodules are observed in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . several lymph nodes with a diameter of 65 mm in the previous examination . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . sliding type minimal hiatal hernia is observed at the esophagogastric junction . lung parenchyma when examined in the lung parenchyma window no mass nodule infiltration was detected in both lung parenchyma . ventilation of both lungs is normal . a few calcified lymph nodes with a short axis smaller than 1 cm were observed in the right peribronchial and right hilar region . pleural effusion-thickening was not detected . airways as far as can be seen trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . 3 mm diameter calculi is observed in the middle zone of the left kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window passive atelectatic changes were observed in the left lung inferior lingular and right lung middle lobe medial segment . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in bone structures . abdomen as far as can be observed in the sections the density of the liver parenchyma was diffusely decreased secondary to hepatosteatosis . lung parenchyma in the evaluation of both lung parenchyma there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma clinic and lab . pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma patchy areas of consolidation are observed in the peripheral subpleural area in all bilateral segments and the described findings are typical findings of covid-19 pneumonia . airways trachea and main bronchi are open . mediastinum in the mediastinum fusiform lymph nodes with a short diameter of 10 mm were observed at the precarinal level . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . there are calcified atheromatous plaques on the wall of vascular structures . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . there are osteopenia and osteophytic degenerative changes . abdomen it is recommended to evaluate together with the examinations . in the sections passing through the upper part of the abdomen hypodense lesions of 40 mm in diameter were observed in both kidneys the largest on the left . it cannot be characterized within the limits of non-contrast ct . there are calcified atheromatous plaques on the wall of vascular structures . lung parenchyma when examined in the lung parenchyma window the aeration of both lung parenchyma was normal and no nodular or infiltrative lesion was detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen it could not be characterized in this examination . an accessory spleen with a diameter of 11 mm was observed in the inferior of the spleen hilus . bilateral adrenal glands were normal and no space-occupying lesion was detected . a well-circumscribed hypodense lesion with a diameter of 16x12 mm located in the peripheral subcapsular was observed in segment 5 of the liver . thoracic aorta diameter is normal . lung parenchyma paraseptal emphysematous changes were observed in the apex of both lungs . no mass lesion-active infiltration was detected in both lungs . when examined in the lung parenchyma window peripheral localized crazy paving pattern in all lobes of both lungs and nodular ground glass consolidations showing signs of vascular enlargement were observed and the appearance is compatible with covid-19 pneumonia . pleuroparenchymal linear atelectasis was observed in right lung middle lobe left lung lower lobe anterobasal right lung lower lobe laterobasal segments . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calibration of mediastinal main vascular structures as far as can be observed is natural . millimetric calcific atheroma plaques were observed in the abdominal aorta . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . left heart chambers are increased . there is extensive atherosclerosis in the coronary arteries . stent material placed in the coronary arteries was observed . osseous structures there is increased trabeculation in the thoracic vertebrae consistent with osteoporosis . there are height losses in the vertebral corpuscles at the mid-thoracic appearance . dextroscoliosis with left opening was observed at the thoracic level . abdomen calculi images were observed forming a level in the gallbladder lumen . bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric calcific atheroma plaques were observed in the abdominal aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . variational azygos lobe and fissure were observed in the lower lobe of the right lung . no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and in the inferior lingular segment of the left lung . mild emphysematous changes were observed in both lungs . when examined in the lung parenchyma window a nonspecific pulmonary nodule with a diameter of 5mm was observed in the middle lobe of the right lung . laboratory correlation is recommended . in addition calcified millimetric lymph nodes were observed in the left hilar region . nonspecific pulmonary nodules with a diameter of 47 mm in the subpleural neighborhood of the lower lobe posterobasal segment 3 mm in diameter in the left lung inferior lingular segment and 3 mm in diameter in the lower lobe superior segment were observed . in addition a subpleural nodule with a diameter of 45 mm was observed in the anterior segment of the upper lobe . in the left lung upper lobe apicoposterior segment peripheral subpleural localized bud branch appearances are observed may be compatible with changes secondary to or sequela to bronchiolitis . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal pathological size and appearance . diffuse calcific atherosclerotic changes were observed in the thoracic and aortic coronary artery walls . in the bilateral axillary region benign lymph nodes of ovoid configuration which the central fatty hilum are observed . no pathological size and visible lymph nodes were detected in the bilateral axillary region . multiple lymph nodes with a short axis smaller than 1 cm were observed in the upper-lower paratracheal aorticopulmonary and subcarinal areas . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected at the borders of the non-contrast examination . heart and great vessels diffuse calcific atherosclerotic changes were observed in the thoracic and aortic coronary artery walls . heart size increased cardiomegaly pericardial thickening-effusion was not detected . osseous structures it is recommended to be evaluated in terms of dish disease . no lytic-destructive lesion was detected in bone structures . spur formations merging with each other were observed in the anterolateral of the lower thoracic vertebra . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . diffuse calcific atherosclerotic changes were observed in the thoracic and aortic coronary artery walls . in the upper abdominal sections that entered the examination area a calculi of 4 mm in diameter was observed in the upper pole of the right kidney . apart from this no space-occupying lesion was detected in the liver in the upper abdominal sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . a hyperdense tubular appearance is observed in the gallbladder lodge . it is recommended to evaluate the gallbladder together with or not an operation is performed suture the bone structures in the examination area are natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window fibroatelectasis sequelae were observed in the right lung middle lobe medial segment and left lung lower lobe anteromediobasal segment . a smooth surface thickening of the pleura was observed on the anterolateral face of the left lung upper lobe lingular segment postoperative change . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum as far as can be observed mediastinal main vascular structures heart contour and size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels as far as can be observed mediastinal main vascular structures heart contour and size are normal . pericardial effusion-thickening was not observed . osseous structures syndesmophytes bridging each other at the mid-thoracic level are observed and are consistent with idiopathic diffuse bone hyperostosis . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen in non-contrast sections upper abdominal organs are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric calculus was observed in the middle part of the right kidney . stone densities were observed in the gallbladder lumen . lung parenchyma there are bilateral sequelae fibrotic densities . the patient with effusion hematoma and atelectasis was evaluated as a regressed atelectic focus . millimetric nonspecific calcific nodules are observed in both lungs . pericardial and pleural effusions in the patients previous examination are totally regressed . when examined in the lung parenchyma window there is soft tissue density of mm in the subpleural area of the left lung lower lobe lateral . airways trachea both main bronchi are open . mediastinum widespread calcific plaque and stent-like appearances are present in the aortic coronary arteries . lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels left ventricular and cardiac pacemaker are monitored on the left chest wall . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs including sections intra-abdominal free fluid is regressed . widespread calcific plaque and stent-like appearances are present in the aortic coronary arteries . lung parenchyma ventilation of both lungs is natural . right lung upper lobe apical segment posterior segment and lower lobe superior segment have structural distortion and sequelae linear nodular density increases accompanying volume loss . when examined in the lung parenchyma window minimal bronchiectasis is observed in the upper lobe of the right lung . in the current examination no active infiltration or mass lesion was detected in both lungs . non-specific stable nodules in millimetric sizes were observed in the left lung . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum in the bilateral supraclavicular fossa no lymph node was observed in the mediastinum and in both axillary regions with pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image there are millimetric hyperdense stones in the middle zone and lower pole of the right kidney . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several nonspecific nodules measuring up to 3 mm at the apical level of the right lung upper lobe and 1 nonspecific nodules measuring up to 2 mm in the posterior left lung upper lobe . when examined in the lung parenchyma window there are linear mild atelectasis in the basal segments of the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum millimetric calcific atheroma plaques are observed in the thoracic and aortic arch . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures millimetric calcific atheroma plaques are observed in the thoracic and aortic arch . hypertrophic-ostephoitic taperings are observed in the vertebral corpus endplates . bone structures in the study area are natural . abdomen millimetric calcific atheroma plaques are observed in the thoracic and aortic arch . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window ground glass opacities forming a central-peripheral nodular crazy paving pattern were observed in the left lung upper lobe and lower lobe basal segments right lung middle lobe and upper lobe anterior segment and the appearance is highly suspicious for early covid-19 pneumonia . calcified lymph nodes that did not reach calcific pathological dimensions were observed at the right lower paratracheal and right hilar levels . focal thickening of the pleura in the right lung middle lobe upper lobe anterior segment and pleuroparenchymal sequela fibrotic recession were observed at this level . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pretracheal left subcarinal or left hilar and bilateral axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . two or three images of calculi the largest of which was 4 mm in diameter were observed in the upper and middle lobes of the left kidney . as far as can be seen within the sections accessory spleen with a diameter of 13 mm was observed in the medial of the lower pole of the spleen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical and laboratory correlation is recommended for covid-19 pneumonia . pleuroparenchymal sequelae density increases were observed in the lower lobe of the right lung causing volume loss . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . it may be compatible with viral pneumonia . when examined in the lung parenchyma window bilateral central bronchiectatic changes and peribronchial thickening were observed . peripheral subpleural focal consolidation areas were observed in the right lung middle lobe lower lobe posterobasal segment and left lung lower lobe posterobasal segment . airways trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density decreased slightly in the upper abdominal sections in the study area consistent with . lung parenchyma sequelae of calcified lymph nodes are observed in the bilateral hilum . when examined in the lung parenchyma window in both lung parenchyma multilobar-multisegmental central-peripheral crazy paving pattern and large patchy ground glass consolidation areas showing vascular enlargement were observed and the appearance is compatible with covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum as far as can be seen thoracic aorta calibration is natural . in the non-contrast examination the mediastinal could not be evaluated optimally . atherosclerotic changes were observed in the walls of the patterned aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calibration of pulmonary arteries is increased . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures it is natural . degenerative changes are observed in the bone structures in the study area . the vertebral body is preserved . abdomen as far as can be seen in non-contrast sections upper abdominal organs are normal . as far as can be seen thoracic aorta calibration is natural . diffuse hyperplasia is observed in the left adrenal gland . atherosclerotic changes were observed in the walls of the patterned aorta and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window a few nonspecific nodules measuring 4 mm in diameter are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . a cortical cyst is observed in the right kidney included in the examination . lung parenchyma there are minimal emphysematous changes and occasional linear atelectasis in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . there are atheromatous plaques in the aorta and coronary arteries . no pathologically enlarged lymph node was detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma the findings were evaluated in favor of tb sequelae . no active infiltration or mass lesion was detected in both lungs . apart from this there are sequela parenchymal changes in the lower lobe of both lungs the upper lobe of the left lung the inferior lingular segment and the middle lobe of the right lung . there are nonspecific nodules in both lungs some of which are purely calcified . when examined in the lung parenchyma window structural distortion sequelae accompanying volume loss calcified fibrotic nodular structures were observed in both lung apical segments . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no lymph nodes were detected in both axillary regions and mediastinum in pathological size and appearance . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels as far as can be seen calibration of vascular structures is natural . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . heart contour and size are natural . osseous structures there are degenerative changes . no lytic or destructive lesions were observed in the bone structures within the image . abdomen calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apexes . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structures in the study area . abdomen a slightly appearance and enlarged lymph nodes the largest of which was mm were observed in the central mesenteric fatty planes . focal thickening of the gallbladder fundus wall was observed . upper abdominal organs included in the sections are normal . us control is recommended . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma radiological findings were evaluated suspiciously in favor of early lung parenchymal involvement of covid infection . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . ground glass density and nodular consolidation areas are observed in several foci in the subpleural area in the lower lobes of both lungs . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum there are no pathological lymph nodes in the supraclavicular fossa axilla and mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments appear normal . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma calcification in the form of a thick pleuroparenchymal band is observed in the right lung . in the evaluation of both lung parenchyma pleuroparenchymal sequelae with calcification in the right lung apex are observed . pleuroparenchymal sequelae densities and air cysts are observed in the middle lobe of the right lung and the laterobasal segment of the lower lobe of the left lung . there are calcified nodules in the right lung upper lobe posterior segment as well as a few millimetric nodules in the upper lobe posterior segment a few nodules with a nonspecific appearance the larger one smaller than 5 mm . dependent density increases are observed in the lower lobes of both lungs . in addition there are minimal ground glass appearances in the right lung lower lobe laterobasal segment . no pleural effusion was detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the diameter of the descending aorta is 3 cm . calcific atherosclerotic plaques are observed in the ascending aorta descending and abdominal aorta and coronary artery walls . heart and great vessels the cardiothoracic index increased in favor of the heart . calcific atherosclerotic plaques are observed in the ascending aorta descending and abdominal aorta and coronary artery walls . osseous structures there are degenerative changes in bone structures . abdomen sludge is observed in the gallbladder in the sections passing through the upper part of the abdomen . in the right kidney a cortical cyst with a diameter of 15 mm is observed as far as can be distinguished in the non-contrast examination . the diameter of the descending aorta is 3 cm . calcific atherosclerotic plaques are observed in the ascending aorta descending and abdominal aorta and coronary artery walls . sliding type diaphragmatic hernia is observed . bilateral adrenal glands appear natural . lung parenchyma ventilation of both lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . when examined in the lung parenchyma window no mass or infiltration was detected in both lungs . pleural effusion-thickening was not detected . no pleural effusion-thickening was observed in both hemithorax . airways trachea both main bronchi are open . mediastinum the main vascular structures of the heart and mediastinum have a natural appearance . thoracic aorta diameter is normal . a triangular density secondary to the thymic remt is observed in the anterior mediastinum . mediastinal main vascular structures heart contour size are normal . right upper-bilateral lower paratracheal narrow lymph nodes are observed in the mediastinum with a diameter of less than 1 cm . no pathological lap was detected in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the main vascular structures of the heart and mediastinum have a natural appearance . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen thoracic aorta diameter is normal . bilateral adrenal glands appear natural . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window bronchiectatic changes in both lungs and sequelae fibrotic changes especially in the upper lobes were observed . a calcified nodule with a diameter of 5 mm was observed in the superior segment of the lower lobe of the right lung . an 8 mm diameter was observed in the subpleural area in the anterior upper lobe of the right lung . no pleural effusion was detected . there is irregularity and slight thickening of the pleural faces . airways trachea both main bronchi are open . mediastinum numerous lymph nodes with a short axis up to 11 mm were observed in the paratracheal subcarinal and aortopulmonary window . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . left heart dimensions increased . the diameter of the ascending aorta was measured as 40 mm and it has a dilated appearance . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs are noted on mri . lung parenchyma when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . subsegmental atelectasis area is observed in the left lung upper lobe lingula inferior segment . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration is natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures there are hypertrophic changes in the costochondral junctions of the vertebrae . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . there is a subpleural nodule in the left lung upper lobe inferior lingula in series 2 image . when examined in the lung parenchyma window a subpleural nodule measuring 5 mm in size is observed in serial 2 image in the middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is diffuse density reduction in bone structures . degenerative changes are observed in the vertebral corpus endplates especially at the level . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are sequelae changes at the apical level in both lung parenchyma . emphysematous changes are observed . again there are consolidative areas with prominent air bronchograms in the lower lobe of the right lung . in addition there is widespread bud branch appearance at the lower lobe levels of both lungs in the posterior segment of the right lung upper lobe . no pathological size and configuration of lymph nodes were detected at both hilar levels . in the upper zones of both lungs focal small ground-glass-like density increases are observed in the periphery . it is recommended that the case be evaluated together with clinical and laboratory findings in terms of covid pneumonia and accompanying bacterial pneumonia aspiration pneumonia . pleural effusion and pneumothorax were not detected . some are observed more and appear as subpleural nodules . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . the largest was measured in the right upper paratracheal area and measures approximately 13x7 mm . tracheostomy view is available . mediastinum the largest was measured in the subcarinal area and measuring mm . their calibration is natural in the evaluation of major vascular structures in the mediastinum . millimetric sized lymph nodes are observed in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures degenerative changes are observed in the bone structure . abdomen the spleen is full . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . there is a peg appearance in the stomach . upper abdominal organs included in the sections are normal . an increase in density which may be compatible with bile sludge is observed in the gallbladder . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are mild atelectatic changes in the middle lobe of the right lung . minimal atelectasis is also observed in the left lung upper lobe inferior lingula . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs are partially included in the examination and were evaluated as suboptimal . spleen sizes are observed to increase . no space-occupying finding was detected in the liver parenchyma which can be observed within the limits of the study . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there was no finding in favor of a newly developed mass or active infiltration . in both lungs multilobar consolidation areas with irregular borders mostly peripheral subpleural localization with ground glass densities were observed . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures stable lytic lesions were observed in bone structures . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window in the middle lobe of the right lung an increase in density consistent with a linear atelectasis change is observed in the form of a thick band in the area extending from the hilar region to the anterior . a few millimetric nonspecific nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures hypertrophic osteophytic taperings are observed in the vertebral corpus end plates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there are diffuse calcific atheroma plaques in the coronary arteries and upper abdomen at the level of the celiac artery . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma patchy faint ground glass densities and crazy paving appearances were observed in the basals of both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the ascending aorta is slightly dilated at 42 mm . the heart is in natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen multiple cysts in number and diameter were observed in the liver and bilateral kidneys . lung parenchyma in the evaluation of both lung parenchyma there are parenchymal nonspecific nodules measuring 2 mm in the posterobasal segment of the lower lobe of the left lung and 4 mm in the anterior segment of the upper lobe . active infiltration or mass lesion is detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma in addition peripheral ground-glass-like nodular opacities were observed in the apicoposterior segment of the upper lobe of the right lung which has recently emerged in the current examination . according to the previous examination stable pulmonary nodules were observed in both lungs . ground-glass nodules observed in the previous examination in the superior segment of both lung lower lobes persist in the current examination . in addition significant regression was observed in the peripheral basal consolidation areas in the upper lobes of both lungs and the middle lobe of the right lung . bilateral pleural thickening-effusion was not detected . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific nodules are observed in the lingula of the left lung and the posterobasal region of the lower lobe of the right lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is diffuse density loss in the liver entering the cross-sectional area . lung parenchyma there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . a millimetric atheroma plaque was observed in the left anterior descending coronary artery . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . there are millimetric osteophytes in the vertebral corpus corners . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when the lung parenchyma is examined in the window no pneumonic infiltration or consolidation area was observed in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen no features were detected in the upper abdomen sections . lung parenchyma in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . there was no finding compatible with pneumonia . there are pleuroparenchymal sequelae changes at the basal level of the lower lobe of the right lung or linear density increases consistent with band atelectasis . no lymph nodes with pathological size and configuration were observed at both hilar levels . pleuroparenchymal sequelae changes are observed in the lingular segment . there are sequelae changes at the posterobasal level of the lower lobe . pleuroparenchymal sequelae changes are also observed in the middle lobe . bilateral pleural effusion pneumothorax or . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of major vascular structures in the mediastinum is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures the scapula is on ct examination . mild degenerative changes are observed in the bone structure . fracture appearances are also present in the left elevation structures . fracture appearances are observed in the left scapula . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . surrounding soft tissue planes are normal . lung parenchyma when examined in the lung parenchyma window sequelae are minimal fibrotic densities in both lung parenchyma . calcific millimetric nodules some of which reached 55 mm in diameter were observed in both lungs . no parenchymal infiltration was observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum millimetric lymph nodes with a short axis not exceeding 5 mm were observed in the mediastinum . there is a filling defect compatible with in the segment 5 venous graft . calcific atheroma plaques are observed in the aorta and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinal could not be evaluated optimally . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen epigastric millimetric hernia was observed . calcific atheroma plaques are observed in the aorta and coronary arteries . the gallbladder was not observed . transplanted liver is seen in upper abdominal sections . there are thickenings in both adrenal glands and a 20x15 mm nodular lesion on the lateral leg of the left adrenal gland . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there is a 3 mm nonspecific parenchymal nodule in the posterior lower lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window linear atelectasis changes were observed in the basal segment of the lower lobe of the left lung . apart from this no infiltration with distinguishable borders was detected in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinum was not evaluated optimally . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma radiological findings were evaluated as compatible with covid infection with lung parenchyma involvement . in both lungs there are areas of ground glass density accompanied by predomitly subpleural septal thickening . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window ground glass densities with nodular air sign are observed at the right lung middle lobe and lower lobe posterobasal level . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in both lungs more extensive areas of consolidation are observed in the right lung lower lobe superior and lower lobe posterobasal segment in the central part of the left lung and lower lobe basal segment and widespread centriacinar nodular infiltrates and budding tree view in both lungs . initially it was evaluated in favor of pneumonic infiltration . the outlook is not typical for covid-19 pneumonia . other findings are stable . airways peribronchial soft tissue increases were observed around both main bronchi from the subcarinal area . mediastinum a stent was placed in the esophageal lumen from the anastomosis line . it is understood that the patient underwent distal and gastroesophageal anastomosis due to esophageal ca . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma the outlook was evaluated in favor of bronchopneumonia . it was evaluated in favor of sequelae . nodular infiltrates of ground glass density in the upper lobe of the right lung and focal consolidation area in the central part of the upper lobe are observed . volume loss structural distortion traction bronchiectasis and atelectatic changes are observed in the basal part of the right lung middle lobe . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . in addition passive atelectatic changes were observed in the left lung inferior lingular segment and left lung lower lobe . airways at this level peribronchial thickenings draw attention . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of mediastinal main vascular structures as far as can be observed is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in coronary arteries rca . heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . cortical cysts with a diameter of 43 mm were observed in both kidneys the largest of which was in the upper pole of the right kidney . lung parenchyma no mass nodule-infiltration was detected in the left lung parenchyma . when examined in the lung parenchyma window a subpleural nodule is observed in the upper lobe of the right lung in series 5 image 47 posterior in the right lung upper lobe posterior in series 5 image 62 the contours are faint and the spicule is 5 mm and 3 mm in size respectively and a subpleural nodule that was not observed in the previous thoracic ct . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma it is recommended to be evaluated for covid pneumonia . there were no pathologically sized and configured lymph nodes at both hilar levels . in both lungs peripherally located scattered ground-glass-like density increases are observed . consolidative changes and sequela appearances are accompanied in places in frosted glass-style density areas . no pleural effusion or pneumothorax was detected in both lungs . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . thoracic aorta diameter is normal . 1-2 millimetric lymph nodes are observed . mediastinal main vascular structures are normal . in the anterior mediastinum thymic tissue with trigonal configuration is observed without mass effect . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is a decrease in density consistent with steatosis in the liver entering the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a calcified parenchymal nodule with a diameter of 4 mm was observed in the anterobasal segment of the lower lobe of the right lung . pleuroparenchymal sequelae density increases were observed in both lungs apical . when examined in the lung parenchyma window there are mild bronchiectatic changes in both lungs that become prominent in the center . bilateral pleural thickening-effusion was not detected . calcified nonspecific pleural parenchymal nodules with a diameter of 2 mm in the left lung lower lobe laterobasal segment and 25 mm in diameter in the right lung lower lobe laterobasal segment were observed . a subpleural ground glass area was observed in the superior segment of the left lung lower lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels mild calcific atherosclerotic changes were observed in the coronary artery wall . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . multiple coarse calcifications in the spleen were observed in the upper abdominal sections in the examination area . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . abdomen thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . lung parenchyma no infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window fibrotic density increases with band-like sequelae were observed in the lower lobes of both lungs and in the middle lobe of the right lung . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . in the upper abdominal sections in the study area liver parenchyma density was significantly decreased in line with fatty deposits . lung parenchyma sequelae changes and increases in peribronchial reticulonodular density are observed especially in the posterobasal areas of the lower lobe of the lung . when examined in the lung parenchyma window emphysematous changes in both lung parenchyma and a slight increase in chest anteroposterior diameter were observed . there is mild parenchymal volume loss in the upper lobe on the right . in sections passing through the upper abdomen a 13x10 mm nodular lesion is observed on the peritoneum along the extension of the diaphragmatic pleura at the level passing through the upper pole of the left kidney . thickening of the posterior pleural is observed . airways at the central level thickening of the bronchial wall is observed . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . proximal dilatation and mild thickening of the are observed in the esophagus . in the distal section the suture material and thickening of the esophageal wall reaching a diameter of approximately 10 mm are observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . widespread calcifications in the coronary arteries and an appearance compatible with the stent are observed . other mediastinal main vascular structures heart contour size are normal . osseous structures other bone structures in the study area are natural . there are changes related to sternotomy . vertebral corpus heights are preserved . minimal height loss not exceeding 20 was observed in the t11 corpus . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . post-op changes in the stomach are observed in the upper abdomen sections and suture materials are observed in the small intestine loops towards the left upper quadrant . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window there are mild bronchiectatic changes in both lungs . pleural effusion-thickening was not detected . nonspecific millimetric subpleural nodules some of which are calcified and the largest is approximately 3 mm in diameter were observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric sized nonspecific parenchymal nodules are observed in both lungs . no mass-infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window emphysematous changes are observed in both lungs . there are atelectatic changes in the inferior lingular segment of the left lung and in the lower lobes of both lungs . consolidation area with air bronchogram is observed in the lower lobe of the left lung may be consistent with atelectasis or consolidation . a free pleural effusion measuring 15 mm between the pleural leaves on the left and 7 mm on the right is observed . airways bilateral peribronchial thickenings are observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum lymphadenopathies measuring mm in size are observed at the level of the portal hilus in the paraaortic localization and adjacent to the pancreatic head . there are diffuse calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and postoperative changes in the coronary arteries . the diameter of the main pulmonary artery was 27 mm . there are lymph nodes measuring 12 mm in diameter in the mediastinal upper-lower paratracheal and the largest subcarinal area . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels there are diffuse calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and postoperative changes in the coronary arteries . heart contour size is natural . pericardial thickening-effusion was not detected . the diameter of the ascending aorta was 42 mm and showed fusiform dilatation . osseous structures lytic lesions compatible with multiple metastases are observed at multiple levels in the thoracic and upper lumbar vertebrae lateral to the right 6th rib left humeral head right 9th rib posterior adjacent to the costovertebral joint . metallic suture materials belonging to sternotomy are observed in the sternum . the mass lesion observed in the left humeral head has soft tissue components . abdomen there are diffuse calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and postoperative changes in the coronary arteries . in the upper abdominal sections in the examination area there are hypodense lesions consistent with metastasis in the liver as far as can be observed within the limits of non-contrast examination . lymphadenopathies measuring mm in size are observed at the level of the portal hilus in the paraaortic localization and adjacent to the pancreatic head . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . the gallbladder was observed operated . lung parenchyma when examined in the lung parenchyma window in the right lung middle lobe lateral segment and right lung lower lobe posterobasal segment ground glass opacities are observed that can hardly be distinguished . it is recommended that the patient be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma calcified nodules are observed in the upper lobe of both lungs in the middle part of the right lung and in the lingular segment of the left lung . it is recommended that the patient who is being followed up due to the nodule should be evaluated with the old if any . except for calcified nodules a noncalcified nodule with a diameter of 3 mm in the right lung ima 75 is observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum millimetric sized calcific atherosclerotic plaques are observed in the aortic arch . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . right upper - lower paratracheal aortopulmonary millimetric size 1-2 lymph nodes some of them calcified are observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . millimetric sized calcific atherosclerotic plaques are observed in the aortic arch . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . in the evaluation of both lungs in the parenchyma window pleuroparenchymal density increases consistent with sequelae changes are observed in both lungs at the apical level . linear density consistent with band atelectasis is observed in the upper lobe anterior segment of the right lung . there are multiple nodule formations in different sizes . in the posterior segment of the upper lobe of the right lung a focal area of infiltrative branch with buds is seen . in the anterior segment of the left lung upper lobe 3 mm in diameter in the apicoposterior segment 2 adjacent lingular segments with 9 and 8 mm diameters 7x5 mm in dimensions 5x3 mm in the laterobasal segment and 7x4 mm in the posterobasal segment . thickening of the subpleural interstitial tissue at the level of the middle lobe of the right lung in the lingular segment of the left lung irregularity in the pleural contours and thin parenchymal bands are observed . right lung upper lobe anterior segment subpleural 2 mm diameter more caudally 3x2 mm sized posterior segment caudally adjacent to each other 4 mm diameter 2 lower lobes at anterobasal level 2 posterobasal segments the larger of which is 4 mm in diameter 3 mm diameter slightly more superiorly 5 mm diameter slightly more superiorly subpleural and 2 peripherally located nodules the largest of which is 8 mm in diameter and a few nodules the largest of which is 6 mm in diameter . airways no relevant findings . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of other mediastinal major vascular structures is normal . cto is within the normal range . the aortic arch calibration was measured as 30 mm and was larger than normal . millimetric sized lymph nodes are observed . millimetric-sized calcific atheroma plaques are observed in the coronary arteries in the main branches of the aortic arch . there is a hiatal hernia . heart and great vessels millimetric-sized calcific atheroma plaques are observed in the coronary arteries in the main branches of the aortic arch . osseous structures degenerative changes are observed in the bone structure . abdomen in the sections passing through the upper abdomen a decrease in density consistent with hepatosteatosis is observed in the liver . surrounding soft tissue plans are natural . in the left kidney superior pole the density which is considered to be compatible with 2 mm diameter calculi is observed . in the posterior segment of the right lobe of the liver nonspecific hypodense lesions with a diameter of 8 mm in the anterior segment with a diameter of 12 mm in the posterior segment are observed in the posterior segment of the liver located in the caudal subcapsular region with a lobulated contour approximately mm in size in a partially calcified appearance slightly more superiorly . cto is within the normal range . both adrenals are natural . the aortic lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . mild hepatosteatosis is observed in the liver parenchyma . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma these outlooks favor viral pneumonia . when examined in the lung parenchyma window widespread patchy ground glass densities are observed in both lungs . left lung upper lobe lingular segmental atelectasis is observed . these findings are also frequently observed in covid-19 pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma minimal passive atelectatic changes are observed in the basal segments of the lower lobe adjacent to the effusion . both lungs are emphysematous . a newly emerged 69 mm diameter nodule with irregular borders was observed in the anterobasal segment of the lower lobe of the right lung infective . linear fibrotic recessions are observed in both lungs . in the upper lobe and lower lobe superior segment of the right lung there are centriacinar nodules of ground glass density and the appearance of a budded tree in places . apart from this no mass lesion was detected in both lung parenchyma . mild traction bronchiectasis was observed in the upper and middle lobes of the right lung causing mild distortion and retraction in the minor and major fissures . findings were evaluated as compatible with infective processes . follow-up is recommended . in the left pleura sequela thickening with smooth surface was observed . when examined in the lung parenchyma window an effusion reaching 29 cm was observed in the deepest part of the right pleural space . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . peribronchial thickening is also observed at this level . mediastinum the aorta diameter from the pattern is 29 mm in normal calibration . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is wider than normal with an anterior-posterior diameter of 45 mm . as far as can be seen heart contour size is normal . osseous structures degenerative changes are observed in the bone structures in the study area . s-shaped scoliosis is present at the lumbar level . abdomen the aorta diameter from the pattern is 29 mm in normal calibration . at the epigastric level subcutaneous herniation of peritoneal fatty tissues is observed in the anterior and right lateral walls of the abdomen . in the upper abdominal organs including sections was not observed in the spleen lodge operated . lung parenchyma band-like sequela fibrotic density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . when examined in the lung parenchyma window ground-glass-like density increases were observed in the lower lobes of both lungs prominent on the right and in the posterior segment of the right lung upper lobe in the peripheral subpleural area . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be observed trachea and both main bronchial lumens are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures mild degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen no dilatation was detected in the thoracic aorta . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . it cannot be characterized in this examination . a hyperdense lesion with a diameter of 18 mm was observed in the posterior right lobe of the liver . lung parenchyma compression atelectasis adjacent to the effusion and linear subsegmental atelectatic parenchyma areas in both lungs are observed . no distinguishable space-occupying mass was observed in this examination in the ventilated lung parenchyma . shooting was done in expiration . no pneumonia was detected . a pleural effusion with a diameter of 85 cm on the left and 75 cm on the right is observed between both pleural leaves . airways trachea lobar and segmental bronchi appear collapsed . mediastinum diffuse calcific plaques in the aortic arch ascending aorta and thoracic aorta and findings of previous by-pass surgery in coronary arteries are observed . no lymph node in pathological size and appearance was observed in the mediastinum . the long diameter of the mass at level 1 was 9 cm . heart and great vessels diffuse calcific plaques in the aortic arch ascending aorta and thoracic aorta and findings of previous by-pass surgery in coronary arteries are observed . heart size increased . pericardial effusion was not detected . osseous structures no massive space-occupying lesion that can be distinguished by ct was observed in the bone structures . the suture lines of the previous sternotomy are observed . abdomen diffuse calcific plaques in the aortic arch ascending aorta and thoracic aorta and findings of previous by-pass surgery in coronary arteries are observed . both kidneys were not completely . in the upper abdomen sections included in the image there are cysts reaching large sizes in both kidneys . there is contamination in the fatty planes of the left axilla and a few lymph nodes the largest of which are 16 mm in diameter . the largest one on the left was 75 cm and the largest one on the right was 5 cm in cross-section . there is contamination in the perihepatic area perisplenic area and contamination in the left upper quadrant of the omental fatty planes . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific parenchymal nodules are observed in both lungs . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen usg control is recommended . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mild bronchial wall thickness increases and linear linear atelectasis areas are observed in the lower lobe basal segments . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . the increase in focal fissure thickness in the right lung major fissure was thought to be related to focal fissure edema . no suspicious mass-occupying lesion was detected in the lung parenchyma . pleural effusion is observed with a diameter of 3 cm between the right pleural leaves and 1 cm between the left pleural leaves . airways no relevant findings . mediastinum in the upper abdominal sections there are widespread atherosclerotic plaques in the thoracic aorta and its branches . diffuse calcific atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta . the diameter of the ascending aorta was 41 mm the diameter of the aortic arch was 39 mm in the distal section and there was fusiform mild aneurysmatic dilation . in the section no lymph node in pathological size and appearance was observed in the supraclavicular fossa axilla and mediastinum . heart and great vessels heart size increased . the diameter of the ascending aorta was 41 mm the diameter of the aortic arch was 39 mm in the distal section and there was fusiform mild aneurysmatic dilation . calcific atherosclerotic plaques are present in the coronary arteries . pericardial effusion was not detected . diffuse calcific atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta . osseous structures osteoporosis right apex scoliosis at the thoracic level and significant degenerative changes are observed in bone structures . abdomen diffuse calcific atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta . in the upper abdominal sections there are widespread atherosclerotic plaques in the thoracic aorta and its branches . there is intra-abdominal distension . the diameter of the ascending aorta was 41 mm the diameter of the aortic arch was 39 mm in the distal section and there was fusiform mild aneurysmatic dilation . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of other vascular structures in the mediastinum is natural . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . mediastinal main vascular structures heart contour size are normal . as far as can be observed the anterior-posterior diameter of the ascending aorta is 48 mm above normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma subsegmentary atelectatic changes were observed in the inferior lingular segment of the left lung . a nonspecific nodule of approximately 4 mm in diameter located peripherally was observed in the superior segment of the lower lobe of the right lung . dependent nonspecific density increases were observed in both lungs . thickening of the perivascular interstitium was observed in both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum as far as can be seen the diameter of the ascending aorta was 37 mm and the diameter of the descending aorta was 29 mm which was larger than normal . calibration of other mediastinal major vascular structures is natural . within the sections calcific atheroma plaques without significant stenosis were observed at the level of the abdominal aorta and renal artery as far as can be observed in the upper abdominal organs . in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aortic arch supraaortic branches and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the aortic arch supraaortic branches and coronary arteries . a smear-like effusion was observed in the pericardial space . heart size increased . the appearance may be compatible with signs of secondary of cardiac failure . osseous structures degenerative changes are observed in the bone structures in the study area . fracture appearance is observed at the level of the rib vertebral joint in the 11th rib posterior on the left . abdomen as far as can be seen the diameter of the ascending aorta was 37 mm and the diameter of the descending aorta was 29 mm which was larger than normal . periportal edema is observed . within the sections calcific atheroma plaques without significant stenosis were observed at the level of the abdominal aorta and renal artery as far as can be observed in the upper abdominal organs . the gallbladder wall thickness has increased and has an edematous appearance . calcific atheroma plaques are observed in the aortic arch supraaortic branches and coronary arteries . peg catheter placed in the gastric corpus was observed . lung parenchyma in addition there is consolidation in the right lung middle lobe medial segment central . when evaluated together with the patients clinical knowledge these appearances were thought to be viral pneumonia . the described manifestations are the findings that can be observed frequently in covid-19 pneumonia . no mass was detected in both lungs . there are emphysematous changes in both lungs . ground-glass appearances and consolidations accompanying ground-glass appearance are observed in the peripheral and central regions of both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . anteroposterior diameters of the ascending aorta were 51 mm and 49 mm . osseous structures thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . intervertebral disc distances are narrowed . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma the findings are in favor of respiratory bronchiolitis . fissural thickness increase and mild fissural edema are observed in the left major fissure . no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . there are mild smooth septal thickenings in the upper lobes of the lung parenchyma . there is a pleural effusion in an reaching 3 cm in diameter between the leaves of the left pleura . when examined in the lung parenchyma window in the upper lobes of both lungs subpleural linear density increases septal clarification slight increase in parenchyma density and endobronchiolar prominence and acinar ground glass nodules are observed . airways bronchial wall thickness increases are accompanied by segmental bronchi . mediastinum calibrations of mediastinal major vascular structures are natural . there are nonspecific lymph nodes less than 1 cm in diameter located in the upper and lower paratracheal mediastinum . no increase in diameter was observed in the esophagus . heart and great vessels diffuse calcified atheroma plaques are observed in the coronary arteries . pericardial effusion is present in the form of mild smearing . osseous structures no lytic-destructive lesions were detected in bone structures . as far as can be observed in the non-contrast examination no lymph node in pathological size and appearance was observed in the supraclavicular fossa . abdomen no features were detected in the upper abdomen sections . lung parenchyma radiological findings are in favor of pneumonic infiltration . covid pneumonia was considered as a . in both lungs patchy infiltration areas of more prominent ground glass density are observed in the peribronchial and centrally located bilaterally asymmetrical upper lobes . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . soft tissue density which may belong to the secretion is observed in the tracheal lumen . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is normal . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures in the patient with a history of trauma there is emphysema between the intercostal muscles in the vicinity of the right 6 7 8 and 9 anterior ribs . abdomen no features were detected in the upper abdomen sections . lung parenchyma the outlook is consistent with covid-19 pneumonia . when examined in the lung parenchyma window widespread consolidation-ground glass densities are observed in both lungs with subpleural location . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in the lower lobes of both lungs left lung upper lobe inferior lingular segment and right lung middle lobe medial segment areas of indistinct ground glass and density increase compatible with consolidation are observed and viral pneumonias are primarily considered in the etiology of the findings . no mass lesions were detected in both lungs . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . it was not observed in the mediastinum and both axillary regions in pathological size and appearance . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . vertebral corpus heights were preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no intraabdominal free fluid loculated collection was detected . in the upper abdominal sections within the image a diffuse minimal density decrease secondary to hepatosteatosis was observed in the liver parenchyma . lung parenchyma no active infiltration or mass lesion was detected in both lungs . several nodules 35 mm in diameter were observed in both lungs from the posterior upper lobe of the left lung . there are sequela parenchymal changes in the apex of both lungs . emphysematous changes were observed in both lungs . bilateral pleural effusion was not observed . airways in the examination made in the lung parenchyma window diffuse mild ectasia and peribronchial diffuse mild increase in thickness were observed in the bronchial structures of both lungs . trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . no lymph node in pathological size and appearance was observed in the mediastinum in both hilar regions and bilateral supraclavicular fossae in both axillary regions . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . pericardial effusion was not detected . mediastinal vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen on this background an uncharacterized hypodense lesion was observed within the hypodense ct margins without contrast in segment 7 of the liver . calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . there is intraabdominal free fluid . in the upper abdominal sections within the image the contour of the liver is reduced and has an irregular appearance . lung parenchyma the described appearances were not observed in the previous examination of the patient . the appearances may be compatible with pneumonia or viral pneumonia as indicated in the clinical preliminary diagnosis of the patient . no mass was detected in both lungs . in the previous examination of the patient a mild irregularly circumscribed soft tissue observed in the anterior segment of the right lung upper lobe is not observed in this examination . ground glass areas are observed in both lungs especially in the central parts of the lungs . minimal pleural effusion is observed on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no mass or infiltrative lesion was detected in both lungs . minimal emphysematous changes are observed in both lungs . no pleural-pericardial effusion or thickening was detected . there is linear atelectasis accompanied by pleural retraction in the posterior segment of the right lung upper lobe . airways no occlusive pathology was detected in the trachea and both main bronchi . there is peribronchial thickening accompanying minimal central bronchiectasis . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . there is an appearance compatible with thymic remt in the anterior mediastinum . no pathological wall thickness increase was detected in the esophagus within the sections . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures there are old fracture lines and surgical fixation material placed on the right clavicle . secondary to the operation on the left clavicle sometimes millimetric defective appearances are observed . no lytic-destructive lesions were observed in the bone structures within the sections . abdomen sliding type minimal hiatal hernia is observed at the esophagogastric junction . lung parenchyma in both lungs nonspecific parenchymal nodules of 4 mm in diameter were observed in the anterobasal subsegment of the left lung lower lobe anteromediobasal segment . when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apexes . airways it is recommended to be evaluated together with us . trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures vertebral corpus heights are preserved . bone structures in the study area are normal . abdomen contamination and lymph nodes in size were observed in the mesenteric fatty planes mesenteric . liver gallbladder spleen pancreas and both kidneys are normal as far as can be observed within the sections . bilateral adrenal glands were normal and no space-occupying lesion was detected . it is recommended to be evaluated together with clinical and laboratory in terms of possible . as far as can be seen in the sections the colon at the level of the ascending colon and hepatic flexure is than normal and edematous . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . blind . no space-occupying lesion was detected in the liver that entered the cross-sectional area . wall thickening is observed in the transverse colon in the upper abdomen clinical lab for . recommended . lung parenchyma in the adjacent lung parenchyma a ground-glass-like faint density increase is observed . pleuroparenchymal fibroatelectatic density increases are observed in the lingular segment of the left lung . mild herniation of the peritoneal fatty planes into the thorax is observed at the posterobasal level of the right lung . linear density which may be compatible with pleuroparenchymal sequelae is observed at the right apical level . there are sequelae changes in the middle lobe and upper lobe basal of the right lung . no pathological size and configuration of lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window both hemithorax are symmetrical . bilateral pleural effusion pneumothorax were not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum millimetric calcific atheroma plaques are observed at the level of the abdominal aorta . it is wider than normal . pulmonary trunk calibration is natural . the aortic arch was calibrated to 38 mm and was wider than normal . millimetric sized lymph nodes are observed in the mediastinum . millimetric-sized calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels millimetric-sized calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . the ascending aorta calibration is 48 mm . cardiac pacemaker is observed at the left level and its catheter terminates at the level of the right ventricle . cto increased in favor of the heart . osseous structures degenerative changes are observed in the bone structure . abdomen soft tissue plans that fall into the study area are natural . it is wider than normal . millimetric-sized calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . densities compatible with calculus are observed in the gallbladder . millimetric nodular density which may be compatible with the accessory spleen is observed in the spleen hilum . the aortic arch was calibrated to 38 mm and was wider than normal . millimetric calcific atheroma plaques are observed at the level of the abdominal aorta . other upper abdominal organs are normal . lung parenchyma a mild mosaic attenuation pattern is observed in both lungs . the upper lobe of the right lung has a total atelectasis appearance and there is a collection area in the posterior in which air images and hemorrhagic component are observed which may be compatible with the abscess collection . no space-occupying mass lesion or parenchymal infiltrative lesion was detected . areas are also observed in places . there are subsegmental atelectasis areas in the lung parenchyma in the medial and lateral segments of the right lung middle lobe and in the lower lobe anterobasal segment except for the collection area extending to the posterior of the right lung upper lobe and the superior part of the lower lobe . air images are observed inside . there is a collection area in which air images are observed extending from the right pleural face to the right lung upper lobe and lower lobe superior . there is pleural effusion reaching 17 mm on the right and 2 cm on the left between the leaves of both pleura . airways no relevant findings . mediastinum thoracic aorta diameter is normal . there is one lymph node with a short axis measuring 10 mm with a slight increase in diameter with preserved ovoid shape in the right lower paratracheal area in the mediastinum . mediastinal main vascular structures heart contour size are normal . no lymph nodes were observed in pathological size and appearance in both axillae . the catheter placed in the tube stomach which is to the esophagus significantly narrows and the left main bronchus posteriorly . heart and great vessels in the case with a history of the pericardium is observed to be slightly thick . however no significant pericardial effusion was detected . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures changes secondary to previous are observed in the right 5th and 6th ribs and 8th ribs . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . there is an expansile appearance adjacent to the anastomosis line . no gross pathology was observed in the upper abdominal organs included in the sections . the catheter placed in the tube stomach which is to the esophagus significantly narrows and the left main bronchus posteriorly . a drainage catheter is observed in the tube stomach lumen inserted from the proximal esophagus . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window both lungs are emphysematous . tubular bronchiectasis and peribronchial thickening were observed in both lungs . millimetric nonspecific pulmonary nodules were observed in both lungs . pleuroparenchymal fibroatelectatic sequelae changes were observed in the upper lobes of both lungs . passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung upper lobe inferior lingular segment . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures hemangioma focus was observed in the right half of the t12 vertebra corpus . degenerative changes were observed in the bone structure . there is an increase in trabeculation in favor of osteopenia in the thoracolumbar vertebrae . old fracture lines were observed in the of the 8th 9th 10th and 11th ribs on the right . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window ground-glass density increases were observed in the lower lobes of both lungs the middle lobe of the right lung and the lingular segment of the left lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the findings described may be compatible with covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal sections entering the examination area are natural . a hypodense lesion with a diameter of 5 mm was observed at the level of the liver dome . no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . it cannot be characterized in this examination . lung parenchyma there are sequelae changes at the posterobasal and laterobasal levels . pleuroparenchymal sequelae changes are observed in the middle lobe on the right . several lymph nodes are observed at the right hilar level with the largest 12x7 mm in size at both hilar levels . the finding is nonspecific . mild sequela changes are observed in the upper lobe anterior segment and lingular segment and at the lower lobe anteromediobasal level in the left lung . at the posterobasal level a slightly more pronounced but mildly ground-glass-like density increase is observed on both sides on the right . sequelae changes are observed at the apical level . it is not a typical finding for covid pneumonia . when examined in the lung parenchyma window both hemithorax are symmetrical . a 2 mm diameter subpleural nodule is observed in the superior segment of the lower lobe . no bilateral pleural effusion or pneumothorax was detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum the aortic arch calibration is 32 mm slightly wider than normal . no lymph node with pathological size and configuration was detected in the mediastinum . calibration of other major vascular structures in the mediastinum is natural . cto is within the normal range . calcific atheroma plaques are observed in the abdominal aorta . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cardiac pacemaker is observed at the left pectoral level and its catheters are observed at the pericardial level in the neighborhood of the right atrium and right-left ventricle . calcific atheroma plaques are observed in the left descending coronary artery and the right coronary artery . osseous structures degenerative changes are observed in the bone structure . abdomen the aortic arch calibration is 32 mm slightly wider than normal . other upper abdominal organs included in the sections are normal . cto is within the normal range . calcific atheroma plaques are observed in the abdominal aorta . left adrenal medial crus is slightly filled . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinum was not evaluated optimally . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs are normal as far as can be observed in non-contrast examinations . bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with a diameter of 17 mm was observed inferior to the splenic hilum . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum apart from this no pathologically enlarged lymph nodes were detected in the mediastinum and in both axillae . several pathologically sized nodular lymph nodes were observed the largest of which was 13x11 mm localized between the left subclavian and left cca . although mediastinal cannot be evaluated optimally in non-contrast examination mediastinal main vascular structures heart contour and size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . although mediastinal cannot be evaluated optimally in non-contrast examination mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen diffuse thickening was observed in the left adrenal gland corpus and medial crus . liver gallbladder spleen and right adrenal gland are normal as far as can be observed in the non-contrast examination . accessory spleen with a diameter of 2 cm was observed in the upper pole posterior of the spleen . no stones were observed in both kidneys within the sections . lung parenchyma although pleuroparenchymal density increases which are evaluated in favor of sequelae at the posterobasal level are observed in the right lung there are reticulonodular density increases in this area . the lower lobe extends into the superior segment . sequelae changes are observed in the lingular segment . when examined in the lung parenchyma window mild sequelae changes are observed at the apical level . no lymph node with pathological size and configuration was detected at the hilar level . pleuroparenchymal sequelae changes are observed in the middle lobe . on the right there is a lymph node measuring approximately 15x9 mm at the infrahilar level . there are also faint reticulonodular density increases in the left lung at the posterobasal level . it extends slightly towards the upper lobe . there are also faint reticulonodular density increases in the upper lobe posterior segment periphery . focal suspicious bud branch views are observed in the subpleural area caudal to the upper lobe anterior segment . a nonspecific nodule with a diameter of 2 mm is observed in the anterior segment subpleural area in the upper lobe of the right lung . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum the aortic arch calibration is 32 mm . calibration of other major vascular structures is natural . cto is normal . calcific atheroma plaques are observed in the aortic arch ascending aorta descending aorta and coronary arteries . there are lymph nodes in the mediastinum some of which are calcific but do not reach pathological dimensions . mild hiatal hernia is observed . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the aortic arch ascending aorta descending aorta and coronary arteries . osseous structures mild degenerative changes are observed in the bone structure . abdomen the aortic arch calibration is 32 mm . in the upper abdominal organs including sections there is mild steatosis appearance in the liver . surrounding soft tissue plans are natural . calibration of other major vascular structures is natural . cto is normal . calcific atheroma plaques are observed in the aortic arch ascending aorta descending aorta and coronary arteries . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen there is a 15 mm diameter stone in the gallbladder . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma there are atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . a few millimetric nonspecific nodules were observed in the right lung . emphysematous changes were observed in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen the gallbladder was not observed operated . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window there is a subpleural 5 mm nonspecific nodule in serial 2 image in the posterolateral aspect of the left lung lower lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in the current examination at the level of consolidation areas which were evaluated in favor of widespread patchy pneumonic infiltration defined in the previous ct examination in both lungs areas of density increase in ground glass density and increases in interlobular septal thickness were observed . no newly developed active infiltration or mass lesion was detected . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen other findings are stable . there is also a decrease in the size of the lymph node observed in the paraaortic area adjacent to the upper pole of the left kidney in the current examination . lung parenchyma no nodular or infiltrative lesion was detected in both lung parenchyma . when examined in the lung parenchyma window a mild mosaic attenuation pattern is observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum lymph nodes with a central fatty short axis measuring up to 5 mm are observed in the mediastinum . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . there is a finding in favor of steatosis in the liver parenchyma entering the section area . thoracic aorta diameter is normal . lung parenchyma no enlarged lymph nodes were detected in the mediastinum and bilateral hilar regions in pathological size and appearance . there are linear atelectasis areas accompanied by bronchiectasis and ground glass areas in the right lung upper lobe anterior segment both lung lower lobes medial segment and left lung lower lobe posterior segment especially in the lower lobe medial segment . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes were detected in the mediastinum and bilateral hilar regions in pathological size and appearance . mixed type hiatal hernia is observed . heart and great vessels heart contour and size are normal . osseous structures in the patient with a history of trauma no fractures or lytic-destructive lesions were observed in the bone structures within the sections . millimetric osteophytes are observed in the corners of the thoracic vertebra corpus . thoracic kyphosis is increased . abdomen as far as it can be monitored within the limits of non-contrast ct no discernible mass was detected in the upper abdominal organs . lung parenchyma uniform interlobular septal thickness increases and density increases in centriacinar ground glass density were observed in both lung parenchyma . in the lung parenchyma adjacent to the effusion there are areas of increased density in which air bronchograms are observed which is evaluated in favor of compressive atelectasis . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are no lymph nodes in pathological size and appearance in both axillary regions . calibration of mediastinal vascular structures heart contour and size are natural . in the mediastinum there are multiple lymph nodes with a fusiform configuration the largest of which is prevascular and the diameter is 13 mm . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels stent material is observed in the segment of approximately 20 mm in the wall of the lad . calibration of mediastinal vascular structures heart contour and size are natural . in the bilateral pericardial space free effusion is observed up to 70 mm in the deepest part on the right and approximately 90 mm in the deepest part on the left . the appearance was primarily evaluated as secondary to cardiac pathology . there is minimal pericardial effusion . it measured approximately 25 mm at its deepest point . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . abdomen no lymph node was observed in intraabdominal pathological size and appearance . in the upper abdominal sections within the image no free fluid or loculated collection was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma when both lung parenchyma windows are evaluated there is a mass lesion that the left lung upper lobe lingular segment bronchus and creates soft tissue density around the upper lobe bronchus . fibrotic density increases accompanied by traction bronchiectasis were observed in the left lung upper lobe and lower lobe superior segment . the long axis of the mass was slightly increased measuring 65 mm in the current examination and 60 mm in the previous examination . a free pleural effusion measuring 31 mm on the right and 28 mm on the left was observed between the bilateral pleural leaves . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum according to the previous examination no significant change was detected in the dimensions of the lymph nodes . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . the ap diameter was measured 48 mm in the current examination and 37 mm in the previous examination . mediastinal structures were evaluated as suboptimal because the examination was unenhanced . there are multiple lymphadenopathies in the right inferior cervical chain upper paratracheal lower paratracheal and aorticopulmonary window the larger one measuring 19 mm . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . pericardial minimal effusion was observed . heart contour and size are natural . the ascending aorta measures 42 mm in diameter and shows fusiform dilatation . osseous structures vertebral corpus heights are preserved . bone structures in the study area are natural . diffuse degenerative changes were observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . the ap diameter was measured 48 mm in the current examination and 37 mm in the previous examination . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . in the upper abdominal structures included in the examination area the liver partially enters the cross-sectional area and there are hypodense lesions consistent with metastasis in the liver . lung parenchyma there is a 2 mm diameter nodule in the upper lobe anterior-apicoposterior segment transition in the left lung . when examined in the lung parenchyma window sequelae changes are observed at the apical level . there is mild bronchiectasis appearance in both lungs although it is slightly more in the linguistic segment . a superposed 2 mm diameter nodule is observed on the interlobar fissure on the right . there is a thickening of the peribronchial sheath especially at the central level in both lungs . mild emphysema appearance is observed in both lungs . a 2 mm diameter nodule is observed in the anterior segment of the right lung upper lobe . significant pneumonia pleural effusion pneumothorax were not detected . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections there is a decrease in density consistent with mild adiposity in the liver . lung parenchyma there are linear atelectasis in the medial segment of the middle lobe of the right lung and the upper lobe of the left lung . there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there are millimetric nodules in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph node in pathological dimensions was observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed the heart is larger than normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen the right kidney is of normal size . no upper abdominal free fluid-collection was detected in the sections . the left kidney is smaller than normal . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pneumonia pleural effusion and pneumothorax were not observed . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . thymic tissue with trigonal configuration without mass effect is observed in the anterior mediastinum . calibration of mediastinal major vascular structures is natural . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver in the sections passing through the upper abdomen . lung parenchyma ventilation of both lungs is natural . active infiltration no mass lesions were detected in both lungs . a few millimeter-sized nonspecific nodules are observed in both lung parenchyma . density increase areas consistent with linear atelectasis are observed in both lung lower lobes left lung upper lobe inferior lingular segment right lung middle lobe medial segment . pleural effusion-thickening was not detected . airways diffuse mild ectasia and peribronchial thickness increases are observed in bilateral bronchial structures . no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no lymph node is observed in pathological size and appearance in the mediastinum . in both axillary regions lymph nodes with a short fusiform configuration with a fatty hilus with a short diameter of 15 mm are observed on the right . mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed calibrations are natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . sliding type mild hiatal hernia was observed at the lower end of the esophagus . heart and great vessels mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed calibrations are natural . minimal pericardial effusion is observed . heart contour size is normal . osseous structures no lymph node was detected in supraclavicular pathological size and appearance . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs including sections it is natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequelae changes are observed at the apical level in both lungs . a nonspecific nodule with a diameter of 4 mm is observed in the anterior segment of the right lung upper lobe . again nonspecific nodules measuring 5x3 mm are observed in the middle lobe . there is a 3 mm diameter nonspecific nodule in the middle lobe . there is a 5x3 mm nodule superposed on the interlobar fissure on the right . no pulmonary infection pneumothorax or pleural effusion was observed . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum mediastinal main vascular structures are normal . thoracic aorta diameter is normal . in the anterior mediastinum thymic tissue with partial fat involution is observed . no pathologically sized and configured lymph nodes were detected at mediastinal and both hilar levels . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen other upper abdominal organs included in the sections are normal . parenchymal calcification is observed in both lobes of the liver . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . nodular density which may be compatible with the accessory spleen is observed in the spleen hilum . lung parenchyma when examined in the lung parenchyma window minimal mosaic density differences and linear atelectasis are observed in the lower lobes of both lungs . a few nonspecific nodules the largest of which reached 3 mm in diameter were observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal section the gallbladder was operated . other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . there is a mass appearance with indistinct borders between the head of the pancreas and the duodenum . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma abdominal sections showed infiltration or parenchyma of both lungs . in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not observed in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in the bones . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in both lungs there are areas of increase in density consistent with consolidation which are more prominent on the left tending to merge with each other within indeterminate borders and are observed in air bronchograms . opportunistic infections viral pneumonias are considered in the etiology of the findings . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma soft formations in the peribronchial areas with each other in the lower lobe basal and middle lobes causing almost complete loss of aeration . irregularly circumscribed consolidation area adjacent to the fissure in the left lung inferior lingular segment is new in the current examination and was evaluated in favor of metastasis . there was no finding in favor of pneumonic infiltration in the lung parenchyma . at the level of segment bronchi in the left lung hilum the size of the maligt mass lesion extending along the lower lobe superior and paramediastinal area of the upper lobe is increasing . the pleural effusion on the right was observed in the vicinity of the basal segments of the lower lobe and an form . there is an external drainage catheter placed in the right pleural space . airways no relevant findings . mediastinum aortopulmonary right upper paratracheal lymph nodes are stable . the mass appearance in the upper lobe paramediastinal area has a nodular form and its longest diameter was 37 mm 21 mm in the previous examination . heart and great vessels no relevant findings . osseous structures metastatic bone lesions that became sclerotic secondary to treatments were observed in the bone structures within the image . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . cortical cyst is observed in the right kidney and it is stable . lung parenchyma appearance is nonspecific . no mass lesion with distinguishable borders was observed in both lungs . it may be compatible with parenchymal findings in the resolution period in the patient who had covid-19 pneumonia . when examined in the lung parenchyma window ground glass nodules with faint borders were observed in the subpleural areas of the right lung lower lobe mediobasal left lung lower lobe posterobasal and laterobasal segments . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures mild osteodegenerative changes are observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a ground-glass nodule with a diameter of 4 mm is observed in the anterior segment of the upper lobe of the left lung . no lymph node with pathological size and configuration was detected at the hilar level . sequelae changes are observed at the apical level in both lungs and bulla-bleb formations are present on the right . millimetric nodular thickening is observed in the minor fissure on the right . a little more caudally there is a 3x2 mm nodule . significant infiltration appearance is not observed . there is an approximately 5 mm diameter nodule superposed on the major fissure . pleural effusion and pneumothorax were not detected in both lungs . a subpleural nodule with a diameter of 4 mm is observed in the posterobasal segment of the left lung . airways lumens are clear . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum lymph nodes are observed in the mediastinum in the upper-lower paratracheal area in the aorticopulmonary window in the prevascular level and in the subcarinal area the largest of which was measured in the subcarinal area and measuring approximately mm . calibration of mediastinal major vascular structures is normal . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . no obvious pathological appearance was detected in the non-contrast upper abdominal sections . however multiple lymph nodes the largest of which were approximately mm in size were detected in the areas entering the image area in the central mesentery . lung parenchyma a few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 4 mm . mosaic attenuation pattern is observed in both lungs . there are consolidation areas where air are observed in the right lung upper lobe posterior middle lobe lateral segment and left lung lingular segment . a 1 cm thick pleural effusion is observed in both hemithorax . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum a few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 4 mm . millimetric calcific atheroma plaques are occasionally observed in the aorta and coronary arteries . the diameter of the ascending aorta was 36 mm and the diameter of the pulmonary trunk was 32 mm and increased . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels the left atrium is dilated . minimal pericardial effusion is observed . the cardiothoracic ratio is in the upper limit of normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . appearance compatible with hemangioma is observed in t9 vertebral corpus . abdomen millimetric calcific atheroma plaques are occasionally observed in the aorta and coronary arteries . sliding type hiatal hernia is observed at the esophagogastric junction . the diameter of the ascending aorta was 36 mm and the diameter of the pulmonary trunk was 32 mm and increased . in the upper abdominal organs within the sections there is no mass with discernible borders as far as it can be observed within the borders of non-enhanced ct . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma radiological findings were evaluated as compatible with covid pneumonia . it is monitored in a single focus . when examined in the lung parenchyma window there is an area of ground glass opacity with consolidation in the center of the right lung upper lobe posterior segment located subpleural and pneumonic infiltration . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . esophageal calibration is natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections a 2 mm diameter calculi image was detected in the middle zone calyx of the right kidney . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window fibroatelectatic changes were observed in both lungs . no pleural effusion was detected . a nodular ground glass density increase was observed in the right lung lower lobe laterobasal segment and in the peripheral subpleural area in the middle lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . minimal peribronchial thickenings were observed . mediastinum mediastinal structures were evaluated as suboptimal since the examination was not contracted . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be observed calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be observed calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . abdomen liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . as far as can be observed calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . two nonspecific calcified nodules the largest of which was 6 mm in diameter were observed in the superior segment of the lower lobe of the right lung . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . a linear atelectatic change causing major fissure and retraction was observed in the right lung middle lobe . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma centriacinar and paraseptal emphysema areas are present in the upper lobes of both lungs . no pneumonic infiltration or consolidation area was observed in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected . evaluation of parenchyma is suboptimal because of respiratory artifact . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . there are extensive calcified atheroma plaques in the ascending aorta aortic arch and thoracic aorta . a slight increase in diameter was observed in the ascending aorta aortic arch and thoracic aorta . the largest diameter of the ascending aorta was 47 mm and the largest diameter of the thoracic aorta was 34 mm in the distal part . sliding type hiatal hernia is present . heart and great vessels calcified atheroma plaques were observed in the coronary arteries . left ventricular diameter slightly increased . pericardial effusion was not detected . there are extensive calcified atheroma plaques in the ascending aorta aortic arch and thoracic aorta . a slight increase in diameter was observed in the ascending aorta aortic arch and thoracic aorta . osseous structures no lymph node in pathological size and appearance was observed in the axilla supraclavicular fossa . no lytic-destructive lesions were detected in bone structures . abdomen there are extensive calcified atheroma plaques in the ascending aorta aortic arch and thoracic aorta . a slight increase in diameter was observed in the ascending aorta aortic arch and thoracic aorta . no features were detected in the upper abdomen sections . the largest diameter of the ascending aorta was 47 mm and the largest diameter of the thoracic aorta was 34 mm in the distal part . lung parenchyma in addition linear atelectasis and pleuroparenchymal sequelae changes were observed in both lungs more prominently in the left lung . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there is a central venous catheter on the right . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . the catheter terminates in the right atrium . osseous structures this appearance was primarily thought to be a postoperative change . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . in the left hemithorax there is an increase in density in the subcutaneous adipose tissue at the anterior level of the middle part of the scapula . the described appearance does not create a pronounced mass effect and does not give clear boundaries . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma viral pneumonias are considered in the etiology of the findings and it is one of the findings frequently described in covid-19 pneumonia . when examined in the lung parenchyma window multisegmental ground glass density increases and areas of density increase consistent with consolidation are observed in both lung parenchyma . there are millimetric nonspecific nodules in both lungs . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi were open and no obstructive pathology was detected in the lumen . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour size are natural . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image and vertebral corpus heights were preserved . abdomen as far as it can be seen within the borders of non-contrast ct in the upper abdomen sections within the image no solid mass was detected . intraabdominal free liqu- ulated collection is not observed . lung parenchyma when examined in the lung parenchyma window no significant difference was found in the irregularly bordered nodular consolidation areas in both lung parenchyma . in the left lung there is a minimal increase in ground glass density in the lingula anteriorly in the paramediastinal area . in the right middle lobe the newly developed ground glass densities in the previous examination have significantly decreased in the current examination . apart from this no significant difference was found between the examinations . apart from this the nodule adjacent to the consolidation in the lateral subpleural area in the left lung upper lobe posterior is stable . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there is no significant difference in lymph nodes . mediastinal main vascular structures heart contour size are normal . lymph nodes with a short axis of the larger ones reaching 17 mm are observed in the mediastinum and bilateral hilar region . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no relevant findings . abdomen thoracic aorta diameter is normal . lung parenchyma there is no obvious right effusion . there are minimal emphysematous changes in both lungs . occasionally atelectasis is observed in both lungs . no mass or infiltrative lesion was detected in both lungs . in the right hemithorax there is minimal air between the leaves of the pleura in the upper lobe apical segment anterior part of the lung . pleural effusion is observed on the left . the pleural effusion on the left is locally loculated . the pleural effusion measured 36 mm at its thickest point . airways no occlusive pathology was detected in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . no enlarged lymph nodes in pathological dimensions were detected . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels it is understood that the patient underwent coronary bypass surgery . minimal pericardial effusion was detected . minimal pericardial thickening was observed . heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . surgical suture materials are available in the sternum . median sternotomy is observed . abdomen free fluid was not observed . there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was observed in the sections . lung parenchyma when examined in the lung parenchyma window nonspecific parenchymal nodules with a diameter of 6 mm in the right lung lower lobe laterobasal segment and 5 mm in the left lower lobe were observed . airways when mediastinal structures are evaluated within the limits of non-contrast examination trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there is a 4 mm diameter nonspecific nodular density increase in the posterobasal segment of the lower lobe of the right lung . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures there are mild degenerative changes in bone structures especially at the level of the thoracic vertebrae . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesion was detected . abdomen no features were detected in the upper abdomen sections . lung parenchyma it is recommended to be evaluated in terms of infective processes . there are faint centrilobular densities in both lungs bronchiolitis infective processes with endobronchial spread hypersensitivity pneumonitis . a nodule with a diameter of approximately 4 mm is observed in the anterior segment of the upper lobe of the right lung and is stable according to the previous examination . in both lungs mostly in the middle-lower zones there are ground-glass-like density increases and interlobular septa thickening in places which were not observed in the previous examination . when examined in the lung parenchyma window there are findings consistent with emphysema in both lungs . intense pleuroparenchymal density increases are observed at this level . it was not detected in the previous review . the described findings are also present in the previous review of the case . the right hilus is obliterated by soft tissue density . in the area extending more caudally towards the middle lobe there are consolidative densities with the appearance of a mass that have progressed according to the previous examination . a slightly regressed consolidative parenchyma area is observed in the left lung at the posteromediobasal level according to the previous examination . in the superior segment of the right lung lower lobe there is a slightly regressed consolidative area including air bronchograms extending peripherally through the peribronchial sheath . in the right lung a progressive irregularly circumscribed mass lesion with a mm appearance is observed with the largest axial plane dimension measuring approximately mm at the central level in the upper lobe posterior segment caudal to the right lung . pleuroparenchymal sequelae changes are observed at the apical level especially on the right . there is a dense pleural appearance in the right lung . airways no relevant findings . mediastinum lymph node evaluation is not possible . in the upper mediastinum in the left upper quadrant the peritoneal fatty planes appear dirty . it is wider than normal . the aortic arch calibration is 30 mm . pulmonary trunk calibration is 29 mm and wider than normal . millimetric-sized calcific atheroma plaques are observed in the coronary arteries at the level of the aortic root in the aortic arch . no lymph node with pathological size and configuration was detected in the mediastinum and at the left hilar level . calibration of other mediastinal major vascular structures is normal . cto is within the normal range . however as far as can be observed there are lymph nodes of approximately mm . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structure . abdomen it is wider than normal . the aortic arch calibration is 30 mm . bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric-sized calcific atheroma plaques are observed in the coronary arteries at the level of the aortic root in the aortic arch . a hyperdense lung parenchyma appearance is typical . compatible with possible covid-19 pneumonia . when examined in the lung parenchyma window in both lungs infiltration areas with ground-glass density and nodular appearance which are scattered and predomit in subpleural areas are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma calcified nodules in the left lung upper lobe posterior segment and right lung middle lobe lateral segment were evaluated in favor of granulomatous infection sequelae . there is a 2 mm diameter nonspecific nodular lesion in the anterior segment of the upper lobe of the right lung which was not observed in the previous examination . there is a 6 mm diameter nodular lesion in the anterior segment of the upper lobe of the right lung and it has a similar appearance in the previous examination . when examined in the lung parenchyma window there are more prominent paraseptal and centriacinar diffuse emphysematous changes in the upper lobes of both lungs smoking . no difference was detected . it is more prominent in the upper lobes . airways trachea both main bronchi are open . mediastinum there are wall calcifications in the aortic arch . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there is short stent material in the proximal lad . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are wall calcifications in the aortic arch . thoracic aorta diameter is normal . no gross pathology was observed in the upper abdomen sections entering the image area . lung parenchyma in the evaluation of both lung parenchyma mild ground-glass density increases are observed in the anterior segment of the upper lobe of the right lung and in the lower lobes of both lungs . the first finding is a nodule with irregular contours in the lingular segment of the upper lobe of the left lung measuring approximately 13x10 mm in the current examination and irregularly contoured extensions towards the surrounding parenchyma which was slightly reduced in size from 15x11 in the previous examination and an irregularly contoured nodule with ground glass density . in addition the right lung upper lobe anterior segment is 42 mm in diameter ima the right lung middle lobe subpleural 3 mm in diameter ima the right lung lower lobe laterobasal segment 2 mm in diameter ima the left lower lobe lower lobe laterobasal segment 33 mm in diameter pet ct nodules with a diameter of 4 mm ima and 4 mm in diameter in the lower lobe posterobasal segment ima which do not show any significant change according to the examination are observed in nonspecific appearance . minimal pleural thickening is observed in the left hemithorax in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures apart from this no obvious pathology was distinguished . t11 in bone structures . hemangioma is observed in the vertebra . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . mesenteric lymph nodes and density increases are observed in the peripancreatic localization in the midline of the abdomen and were also present in the previous examination . lung parenchyma the consolidation area was not observed . calcific parenchymal nodules causing pleuroparenchymal recession in the apical segment of the right lung upper lobe were thought to belong to the sequelae of previous primary tbc . active pneumonic infiltration was not detected in the lung parenchyma . no pleural effusion was observed . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum calibrations of mediastinal major vascular structures are natural . no lymph node was observed in the supraclavicular fossa axilla and mediastinum with pathological size and appearance that can be distinguished by non-contrast ct . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no mass nodule-infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . pleural thickening-effusion was not observed . airways no occlusive pathology was detected in the trachea and lumen of both bronchi . trachea both main bronchi are open . mediastinum no lymph node was detected in mediastinal pathological size and appearance . a lymph node with a short axis of 75 mm was observed in the mediastinal lower area . at the distal end of the esophagus a nodular lesion of mm in size which to be associated with the esophageal lumen was observed . thoracic esophagus calibration was normal and no significant pathological thickening was detected in the examination margins . further examination for esophageal diverticulum is recommended . sliding type hiatal hernia was observed . heart and great vessels heart contour and size are natural . pericardial thickening-effusion was not observed . osseous structures degenerative changes were observed in the bone structures in the study area . no lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal sections included in the examination area liver density decreased diffusely hepatosteatosis in line with adiposity . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the upper abdomen is partially observed and multiple cysts are observed in both kidneys and liver . lung parenchyma in the lung parenchyma atypical pneumonic infiltration areas are observed in the form of bilateral scattered ground-glass density nodular parenchyma areas inverted halo findings towards the lower lobes and nodular consolidation areas . radiological findings were evaluated as compatible with lung parenchymal involvement of covid infection . airways no relevant findings . mediastinum calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . calcified atherosclerotic plaques are present in lad . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen there is a decrease in liver parenchyma density consistent with advanced adiposity . lung parenchyma there is no mass or infiltrative lesion in both lungs . minimal emphysematous changes are observed in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures could not be evaluated optimally because no contrast agent was given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . no lymph nodes were detected in pathological dimensions . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . pleuroparenchymal sequelae changes are observed in both lung apex . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced ct . lung parenchyma atelectasis observed in the left lung lingular segment in the previous examination regressed . the intraparenchymal nodule with irregular contours observed at the apex has regressed . bilateral pleural effusion measuring 3 cm in the thickest part of the right hemithorax and 27 cm in the left and passive atelectasis in the lung adjacent to the effusion are observed . in the evaluation of both lung parenchyma the pleural-based nodular lesion with irregular contours which was observed in the right lung apex in the previous examination regressed . airways millimetric calcific plaques are observed on the bilateral main bronchial walls . trachea and main bronchi are open . mediastinum there are calcific plaques in the aortic arch and descending aorta . no pathological lap was detected in the mediastinum . the ap diameter of the ascending aorta is 4 cm and wider than normal . heart and great vessels calcific plaques are observed in the coronary arteries . pericardial thin smear effusion is observed . osseous structures although no lytic-destructive lesion is observed in the bone structures significant spondylosis findings are observed . in addition hypodense areas which may be compatible with heterogeneity osteopenia observed in previous examinations are stable in the t9 vertebra which was also observed in previous examinations . abdomen the ap diameter of the ascending aorta is 4 cm and wider than normal . there are calcific plaques in the aortic arch and descending aorta . also available in previous review . no significant pathology was observed in the sections passing through the upper part of the abdomen and in the bilateral adrenal glands with the part entering the examination area . although the spleen has partially entered the examination area its size appears to have increased . effusions are observed in perihepatic localization . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . a mosaic attenuation pattern was observed in the basal segments of the lower lobes of both lungs . when examined in the lung parenchyma window passive atelectatic changes were observed in the medial segment of the right lung middle lobe . a few millimetric nonspecific subpleural nodules were observed in both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . thickening of segmental bronchial walls and narrowing of segmental bronchi were observed and mosaic attenuation was thought to be secondary to small airway pathology . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures there is osteoporosis in the thoracic vertebrae . abdomen a hypodense nodular lesion area with a diameter of 3 cm was observed in the anterior middle part of the right kidney cyst . as far as can be observed in the sections the liver parenchyma density has decreased diffusely consistent with fatty deposits . the gallbladder was observed to contract . spleen pancreas both adrenal glands both kidneys are normal . lung parenchyma in the lung parenchyma radiological copd findings in the form of more prominent centracinar emphysema and aeration increases in the upper lobes are observed . in the medial and lateral segments of the middle lobe of the right lung centracinar ground-glass nodules and bronchiolitis findings in the form of thickness increases in the bronchial walls are observed . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum calibrations of mediastinal main vascular structures were followed naturally . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . the esophagus is in normal calibration . heart and great vessels focal calcified atherosclerotic plaque is present in lad . no space-occupying lesion was detected in the paracardiac fat pad . pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no space-occupying lesions were observed in the adrenal glands in the upper abdominal sections . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there are sequelae changes in the left inferior lingular segment right middle lobe medial segment . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . sliding type hiatal hernia is followed at the lower end of the esophagus . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window minimal pleuroparenchymal sequelae density increases were observed in the right lung middle lobe . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen the diameter of the ascending aorta was 41 mm and showed fusiform dilatation . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . there is calcification in the disc . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the study area the liver parenchyma density was diffusely decreased in line with the adiposity . lung parenchyma there are several millimetric nonspecific nodules in both lungs . there are linear atelectasis in the medial segment of the middle lobe of the right lung and the lower lobe of the left lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are sequelae fibrotic structures in the apical segment of the upper lobe of the bilateral lung the lingular segment of the left lung the middle lobe of the right lung and the posterobasal segment of the bilateral lower lobe of the bilateral lung . no infiltrative lesion was detected in the lung parenchyma of both lungs . in the examination made in the lung parenchyma window there are paraseptal emphysematous changes that are more evident in the upper lobe apical segment of both lungs . in both lungs nonspecific nodules measuring 4 mm in size in the superior lower lobe on the right and 5 mm in size in the posterobasal segment of the lower lobe on the left some of which are calcified are millimetric in size . pleural effusion-thickening was not detected . airways trachea both main bronchi are open and no obstructive pathology is detected . mediastinum the mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures is natural . in the mediastinal area lymph nodes that are not in pathological size and appearance are observed the largest of which is at the prevascular level with a short diameter of 8 mm with occasional calcified foci . no pathological increase in wall thickness is observed in the esophagus and a sliding type hiatal hernia is observed at the lower end . heart and great vessels the mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures is natural . calcified atheroma plaques are observed in the main vascular structure and the wall of the coronary artery . heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures in the study area and linear reticular density increases consistent with osteopenia are observed in the vertebral corpuscles . vertebral corpus heights are preserved . abdomen in the abdominal sections within the image millimetric parenchymal calcifications are observed in the posterior segment of the liver right lobe . bilateral adrenal glands were normal and no space-occupying lesion was detected . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . linear atelectasis was observed in the basal segment of the lower lobe of the left lung . when examined in the lung parenchyma window a 35 mm diameter parenchymal nodule was observed in the posterobasal segment of the lower lobe of the right lung . a mm sized pleural-based nonspecific nodule was observed in the left lung lower lobe laterobasal segment . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic aorta diameter is normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . mediastinal main vascular structures heart contour size are normal . osseous structures osteoporosis was observed in bone structures within the sections . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . metallic sutures secondary to surgery were observed in the gallbladder fossa as far as can be observed within the sections . lung parenchyma when examined in the lung parenchyma window passive atelectatic changes were observed in the left lung inferior lingular segment . several nonspecific subpleural nodules with a diameter of 38 mm were observed in the right lung the largest of which was in the posterobasal segment of the lower lobe . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum although the mediastinum cannot be evaluated optimally in non-contrast examination as far as can be seen the mediastinal main vascular structures heart contour and size are normal . in the mediastinum lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . type 1 hiatal hernia was observed at the lower end of the esophagus . heart and great vessels pericardial effusion-thickening was not observed . although the mediastinum cannot be evaluated optimally in non-contrast examination as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the right adrenal gland is normal . diffuse thickening was observed in the left adrenal gland body and medial crus . further examination with mri is recommended . in the tail part of the pancreas a heterogeneous hypodense space-occupying lesion with a size of was observed . as far as can be seen in non-contrast sections no space occupying lesion was detected in the liver . no enlarged lymph node in intraabdominal pathological size was detected . an accessory spleen with a diameter of 12 mm accompanied by nodular calcification was observed at the anterior level of the splenic hilum . no intraabdominal free fluid-collection was detected . multiple scattered nodular calcifications were observed in the spleen parenchyma past granulomatous infection . lung parenchyma pneumonic infiltration was not observed in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the supraclavicular fossa and mediastinum within the section of the axilla . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen liver parenchyma density decreased in line with mild hepatosteatosis . lung parenchyma expansion in structures in the vascular structures was noted in the lesions described . findings are common findings in covid-19 pneumonia . in the examination made in the lung parenchyma window in both lungs multisegmental peripheral subpleural localized areas of density increase compatible with consolidation and ground glass density densities are observed . no pericardial or pleural effusion was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calcified atheroma plaques are observed on the walls of the aortic arch descending aorta and coronary vascular structures . calibration of mediastinal vascular structures and heart contour and size are natural . mediastinal vascular structures and heart examination iv . in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end . heart and great vessels calcified atheroma plaques are observed on the walls of the aortic arch descending aorta and coronary vascular structures . calibration of mediastinal vascular structures and heart contour and size are natural . it could not be evaluated optimally due to lack of contrast . mediastinal vascular structures and heart examination iv . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen calcified atheroma plaques are observed on the walls of the aortic arch descending aorta and coronary vascular structures . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . no intraabdominal free fluid or loculated collection is observed . in the upper abdominal sections within the image multiple hyperdense stones in millimetric sizes are observed in the gallbladder lumen . no solid mass was detected as far as can be observed within the limits of unenhanced ct . lung parenchyma there are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . there is a millimetric calcific nodule in the left lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there are atheromatous plaques in the coronary arteries . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . there is a decrease in liver parenchyma density consistent with moderate to severe adiposity . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific parenchymal nodules were observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no mass-infiltration was detected in both lungs . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum there is soft tissue density in the anterior mediastinum which is compatible with the remt thymus tissue and does not create a mass effect . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . apart from this the upper abdominal sections entering the examination area are natural . a calculi of 5 mm in diameter was observed in the middle zone of the right kidney . lung parenchyma when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no lymph node is observed in intraabdominal pathological size and appearance . no solid-cystic mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . no intraabdominal free fluid or loculated collection is observed . lung parenchyma when examined in the lung parenchyma window multilobar central-peripheral localized crazy paving and consolidation areas are observed in both lungs with patchy ground glass density which creates signs of vascular enlargement and the appearance is highly suspicious for covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the mediastinum lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the evaluation of the upper abdominal organs included in the sections 4-5 images of calculus with a diameter of 35 mm in the right kidney and two images of calculi with a diameter of 2 mm in the left kidney were observed . lung parenchyma mass lesion with distinguishable borders in both lungs no active infiltration was detected . it is suspicious low in terms of ultra-early covid-19 pneumonia . when examined in the lung parenchyma window tubular bronchiectasis which became prominent in the center of both lungs was observed . a suspicious ground glass density was observed in a focal area in the posterobasal segment of the lower lobe of the left lung . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . liver parenchymal density is diffusely decreased consistent with hepatosteatosis . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in the anterior segment of the left lung upper lobe a ground-glass density is observed . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma parenchymal nodules with a diameter of 42 mm were observed in the right lung the largest one in the middle lobe was calcified and measured 36 mm in diameter in different localizations and the diameter of multiple noncalcified ones was observed in the lower lobe superior segment adjacent to the fissure . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . in addition 4-5 nonspecific parenchymal nodules the largest of which were 2 mm in diameter were observed in different localizations in the left lung . when examined in the lung parenchyma window pleuroparenchymal fibroatelectasis sequelae changes were observed in both lung apexes . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mild sequela changes are also present in the mediobasal segment . mild sequela changes are observed in the inferior lingular segment of the left lung . when examined in the lung parenchyma window a calcific nodule with a diameter of 4 mm in the subpleural area of the right lung lower lobe laterobasal segment and millimetric-sized sequelae changes are observed in its neighborhood . no significant pneumonia pneumothorax or pleural effusion was observed . airways no relevant findings . mediastinum thoracic aorta diameter is normal . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . mediastinal main vascular structures heart contour size are normal . mild hiatal hernia is observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is a hypodense appearance at the level of the left adrenal genus measuring approximately mm and giving negative hu density values . it was evaluated as compatible with adenoma . surrounding soft tissue plans are natural . thoracic aorta diameter is normal . in the sections passing through the upper abdomen a density compatible with 2 mm calculus is observed in the gallbladder . lung parenchyma when examined in the lung parenchyma window centrilobular emphysematous appearance is present in the upper lobes of both lungs . in addition there are several nodules in both lungs the larger of which reaches 3 mm in diameter . consolidation and ground glass densities are observed extending from the peribronchial area to the pleura in the posterobasal region of the lower lobe of the left lung . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aortic arch . upper abdominal organs included in the sections are normal . in the liver entering the cross-sectional area hypodense lesions with a long axis 27 mm in diameter were observed in both lobes and in the caudate lobe the larger of which was in the caudate lobe . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma both lung parenchyma cannot be evaluated optimally because the patient is not breathing properly . however as far as can be observed no mass or infiltrative lesion was detected in both lungs . emphysematous changes in both lungs and atelectasis are observed in both lungs more prominently in the lower lobes . it is observed that the pleural effusion enters the fissures from place to place . no pleural thickening was detected . there is bilateral minimal pleural effusion . airways trachea and both main bronchi are open . no obstructive pathology was detected in the trachea and both main bronchi in this examination . mediastinum there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . the diameters of the aortic arch and descending aorta are normal . the main pulmonary artery diameter was 35 mm and wider than normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels the ascending aorta measures 50 mm in anterior-posterior diameter and is wider than normal . no pericardial effusion or thickening was detected . as far as can be observed the heart is larger than normal . it is understood that the patient underwent mitral and aortic valve replacement . osseous structures vertebral alignment and densities are normal . intervertebral disc distances were minimally narrowed . although the clear distinction between benign and maligt cannot be made it was primarily evaluated in favor of benign compression . apart from this other vertebral body heights within the sections are normal . compression and loss of height are observed in the l1 vertebra superior end plate . vertebral anteroposterior diameter is normal . the height loss is about 50 . there are surgical materials in the sternum . abdomen there are atheromatous plaques in the aorta and coronary arteries . no soft tissue component associated with height loss was detected . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . the diameters of the aortic arch and descending aorta are normal . lung parenchyma no pneumonic infiltration was detected . when examined in the lung parenchyma window there are fibrotic bands with minimal sequelae in the lungs . fibrotic densities are observed in the lung parenchyma adjacent to the osteophyte . there is a millimetric calcific nodule in the right lung middle lobe and a 4 mm nodule in the left lower lobe laterobasal . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . calcific plaques were observed in the aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures there are osteophytes in the vertebrae . sternotomy is observed . no lytic-destructive lesions were detected in bone structures . abdomen other upper abdominal organs included in the sections are normal . calcific plaques were observed in the aorta and coronary arteries . it is seen that the small intestine loops entering the section area are displaced towards the area . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . minimal adipose tissue herniation is observed in the midline in the subxiphoid area . lung parenchyma clinical laboratory correlation is recommended for infectious process . atelectatic changes were observed in the middle lobe of the right lung . there are ground glass density increases with septal thickenings in the middle lobe and lower lobe of the right lung . appearance is nonspecific . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . bilateral pleural effusion-thickening was not detected . airways bilateral peribronchial thickenings were observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be seen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen as far as can be seen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . minimal free fluid was observed in the perihepatic area . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the study area it was learned that the patient underwent liver right lobe transplantation . apart from this no intra-abdominal collection was detected . lung parenchyma in the evaluation of both lung parenchyma ground glass densities are observed in peripheral lung tissue and peribronchial location in all segments of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no obvious pathology was observed in the bilateral adrenal glands . in the sections passing through the upper part of the abdomen the liver partially entering the examination area has a appearance . no additional significant pathology was detected in the non-contrast sections . lung parenchyma no mass nodule infiltration was detected in both lungs . right lung lower lobe basal segment calcified nodule is observed . right upper-lower paratracheal narrow lymph nodes less than 1 cm in diameter are observed . in the evaluation of both lung parenchyma mosaic attenuation is observed in both lung parenchyma small airway diseasesmall vessel disease . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right paraesophageal hilar 1-2 calcified lymph nodes are observed . the ap diameter of the ascending aorta is 42 cm and the ap diameter of the descending aorta is 38 cm and it is wider than normal . no pathological lap was detected in the mediastinum . calcific plaques are observed in the coronary arteries and aortic arch . heart and great vessels the cardiothoracic index increased in favor of the heart . calcific plaques are observed in the coronary arteries and aortic arch . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no additional significant pathology was detected in the abdominal sections . the ap diameter of the ascending aorta is 42 cm and the ap diameter of the descending aorta is 38 cm and it is wider than normal . calcific plaques are observed in the coronary arteries and aortic arch . in sections passing through the upper abdomen both adrenal glands are in the medial crus and the left adrenal gland body part is thick and nodular adenoma . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . areas of atelectasis were observed in the inferior segment of the left lung . when examined in the lung parenchyma window free pleural effusion measuring 44 mm in its thickest part and atelectasis-consolidation areas in the lower lobe are observed between the pleural leaves on the right . airways trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there is an effusion measuring 15 mm in the widest part of the pericardium . pericardial thickening was not detected . as far as can be seen heart size increased . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . the gallbladder was not observed operated . upper abdominal sections entering the examination area are natural . lung parenchyma consolidation areas accompanied by peribronchial thickenings and ground glass densities were observed in the posterobasal and laterobasal segments of both lower lobes of the lung adjacent to the effusion . no mass lesion with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . the cannula extending into the tracheal lumen was observed . mediastinum calcific atheroma plaques were observed in the abdominal aorta and visceral branches . the mediastinum could not be evaluated optimally in the non-contrast examination . diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the diameters of the pulmonary trunk and both pulmonary arteries have increased . as far as can be observed the anterior-posterior diameter of the ascending aorta is 40 mm and the anterior-posterior diameter of the descending aorta is 35 mm which is larger than normal . a nasogastric tube extending from the esophagus to the stomach was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures degenerative changes were observed in the bone structures in the study area . abdomen calcific atheroma plaques were observed in the abdominal aorta and visceral branches . diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . a nasogastric tube extending from the esophagus to the stomach was observed . spleen pancreas both kidneys are normal . as far as can be observed the anterior-posterior diameter of the ascending aorta is 40 mm and the anterior-posterior diameter of the descending aorta is 35 mm which is larger than normal . when the upper abdominal organs included in the sections were evaluated liver is natural . it is recommended to be evaluated together with us for sludge . an increase in density was observed in the gallbladder lumen . lung parenchyma a few millimetric nonspecific nodules were observed in the left lung . there are linear atelectasis in the middle lobe of the right lung and the lower lobe of the left lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window sequelae linear density is observed in the basal segment of the lower lobe of the right lung . both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no relevant findings . airways no relevant findings . mediastinum no relevant findings . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesion that can be distinguished by ct was detected in the bone structures . abdomen there are mild enlargement and air images in the left intrahepatic bile ducts . a pathological lymph node with a short axis of 21 mm is observed in the portal hilus . in the abdominal sections included in the image metastatic lesions reaching large dimensions are observed in the liver parenchyma . an external drainage catheter was placed in the right intrahepatic biliary tract . there are cortical cysts in the left kidney the largest of which reaches mm in diameter . lung parenchyma in addition focal consolidation areas are observed in the paracardiac areas of the left lung upper lobe anterior and superior lingular segment . both lungs are emphysematous with the upper lobes being more prominent on the right . numerous nodules with a diameter of 78 mm 77 mm in the previous examination were observed in the upper middle and lower lobes of the right lung the largest in the lower lobe laterobasal segment . findings are radiologically compatible with pneumonic infiltration . sequelae thickening was observed in the right pleura . no effusion was detected in the right pleural space . an effusion reaching 10 mm in thickness was observed in the left pleural space 20 mm in the previous examination . as far as can be observed secondary to motion artifacts in the right lung apical segment posterior a peripheral subpleural localized mass lesion measuring mm mm in the previous examination with lobulated contours irregular borders and spicule extensions to the surrounding parenchyma and pleura was observed and it is compatible with lung ca which is indicated in the clinical preliminary diagnosis . peribronchial thickening in both lungs ground glass densities in peripheral subpleural areas and interlobular septal thickenings are observed on this ground . airways as far as can be seen no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures lytic expansile metastasis foci are observed in the first 5 thoracic sections in the and c7 vertebral bodies and in the left 1st rib . abdomen as far as can be observed in the non-contrast examination liver spleen both adrenal glands are normal . millimetric calculus was observed in the gallbladder lumen . cortical cysts were observed in both kidneys . lung parenchyma a few nonspecific nodules the largest of which reached 4 mm in diameter were observed in both lungs . when examined in the lung parenchyma window there are sequelae fibrotic changes in the upper lobes of both lungs . depandant density increases are observed in both lung lower lobes posterobasal . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . it is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes . the outlook is atypical for covid pneumonia . a nonspecific millimetric nodule with a diameter of 3 mm is observed superposed on the major fissure in the right lung . there are ground-glass-like density increases in the right lung lower lobe superior segment . bilateral pleural effusion pneumothorax were not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window passive atelectatic changes were observed in the left lung inferior lingular segment . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes were observed in the bone structures in the examination area . abdomen liver spleen pancreas and both adrenal glands are normal as far as can be seen in the sections . lung parenchyma clinical laboratory correlation and follow-up are recommended for differential diagnosis of other infectious processes . when examined in the lung parenchyma window peribronchial thickenings and cylindrical bronchiectasis are observed in both lung lower lobes more prominently in the basal segment of the left lung lower lobe and patchy nodular ground glass densities are observed . bilateral centrilobular changes are observed . findings can also be seen in covid-19 viral pneumonia but are not typical . atelectatic changes in the form of thick bands are observed in the posterobasal region of the left lung upper lobe inferior lingula and right lung lower lobe . there are several millimetric subpleural nonspecific nodules in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . calcific atheroma plaques are observed in the abdominal aorta . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is diffuse density reduction in bone structures . abdomen upper abdominal organs are partially included in the examination and were evaluated as suboptimal . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the abdominal aorta . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a few nonspecific millimetric parenchymal nodules were observed in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs including sections accessory spleen with a diameter of mm was observed in the inferior of the splenic hilus . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window a mosaic attenuation pattern was observed in the lower lobes of both lungs small airway diseasesmall vessel disease . no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures multiple fracture lines and external fixation materials are observed in the left humeral neck . no lytic-destructive lesion was detected in bone structures . there are metallic density of 2 of shrapnel the largest of which is 8 mm in diameter between the soft tissues adjacent to the right scapula inferior . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the findings were evaluated in favor of viral pneumonia in the first plan covid-19 and clinical laboratory correlation is recommended . when examined in the lung parenchyma window diffuse patchy nodular ground glass densities mild pleural thickenings and are observed in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum especially in the aorticopulmonary window . there are atherosclerotic changes in the aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . when the upper abdominal sections in the examination area are evaluated liver parenchyma density changes in favor of steatosis . there are atherosclerotic changes in the aorta . lung parenchyma when examined in the lung parenchyma window millimetric calcific nodules are observed in the right lung lower lobe laterobasal . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the lobar segmental and subsegmental branches of the main pulmonary artery and both pulmonary arteries were open and there was no finding in favor of pulmonary embolism . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size is within normal limits . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window sequela parenchymal changes are observed in both lungs . viral pneumonias are considered in the etiology of the findings and covid-19 pneumonia cannot be excluded . evaluation with clinical and laboratory findings and control after treatment are recommended . pleural effusion-thickening was not detected . in both lungs there are peripheral subpleural ground-glass densities and consolidation areas more prominent on the right . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there are calcific atheromatous plaques in the wall of the aortic arch . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the outlook was primarily evaluated in favor of adenoma . there are calcific atheromatous plaques in the wall of the aortic arch . in the upper abdominal organs included in the sections there is a 16x10 mm low-density nodular thickness increase in which fat densities are observed in the left adrenal gland body section . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window segmentary bronchiectasis and peribronchial thickening were observed in both lungs . no significant difference was detected . the described findings were also observed in the previous examination of the patient . there are irregular limited nodular density increases in the peripheral subpleural and peribronchovascular areas . patchy ground glass areas peribronchial thickenings and interlobular-intralobar septal thickenings were observed in both lungs in the peribronchovascular area and peripheral subpleural areas . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum a catheter image extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . pericardial thickening was not detected . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures widespread heterogeneity was observed in bone structures . initially it was evaluated as compatible with the bone involvement of the primary disease . abdomen no intra-abdominal free fluid was observed . liver and spleen sizes have increased as far as can be observed in the sections . lung parenchyma first of all it was evaluated in favor of opportunistic infections fungal infection . when the patient is evaluated together with the previous examination a significant progression is observed in the findings . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no nodular lesions were detected in both lung parenchyma . there is a finding consistent with a bulla measuring 8 mm in small size in the middle lobe of the right lung . clinical laboratory correlation is recommended for a parenchymal disease . when examined in the lung parenchyma window bronchiectatic changes in the upper lobes of both lungs inferior lingula on the left and inferior paracardiac area on the right and budding tree images are observed in consolidation areas . close follow-up of clinical laboratory correlation is recommended for the differential diagnosis of viral pneumonia covid-19 of the described infiltrative findings . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . a few small lymph nodes are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window near total volume losses and atelectatic changes are observed in both lungs especially in the lower lobes . there is a pleural effusion measuring 66 mm in thickness on the right and 32 mm on the left in both hemithorax . there is no significant dimensional and structural difference in the patient with known primary in the subpleural nodule seen in series 2 image 84 in the left lung upper lobe inferior lingula . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen intense is observed in the abdomen in the upper abdominal organs included in the sections and there are metastatic findings in the liver parenchyma . the liver appears to be compatible with s . liver contours are irregular in size . lung parenchyma the described manifestations were evaluated in favor of covid-19 pneumonia . no mass was detected in both lungs . in both lungs especially in the peripheral areas ground glass appearance and linear density increases and interlobular septal thickenings accompanying their frosted appearance are observed . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . atheroma plaques are observed in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen there are stones in the gallbladder . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . no upper abdominal free fluid-collection was detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma in the evaluation of both lung parenchyma significant change was observed in the right lung lower lobe superior segment with a diameter of 35 mm ima 94 in the lower lobe posterobasal segment with a diameter of 3 mm ima 125 in the left lung and 2 mm in diameter ima in the lower lobe posterobasal segment with a diameter of 3 mm ima . stable nonspecific parenchymal nodules are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . benign lymph nodes are observed in the right upper bilateral lower paratracheal aortopulmonary larger one with narrow diameter less than 1 cm . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures there is an increase in dorsal kyphosis in bone structures . minimal tapering is observed at the vertebral corpus corners . abdomen no significant pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . linear atelectasis is present in the posterobasal segment of the left lower lobe . no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . no pleural effusion was observed . airways an increase in bronchial wall thickness and calcifications in the bronchial are observed . the air passages of the trachea lobar and segmental bronchi of both main bronchi are open . mediastinum a central venous catheter is observed . there are diffuse intimal thickening and diffuse wall calcifications in the ascending aorta aortic arch and thoracic aorta . no lymph node in pathological pathological size and appearance was observed in the mediastinum . the distal end of the central venous catheter extends from the inferior vena cava to the right hepatic vein . calibrations of mediastinal major vascular structures are natural . there is a sliding type of mild hiatal hernia . heart and great vessels heart size increased . diffuse calcific atherosclerotic plaques are observed in the coronary arteries . there are diffuse intimal thickening and diffuse wall calcifications in the ascending aorta aortic arch and thoracic aorta . osseous structures degenerative changes are observed in the vertebrae . at the thoracic level kyphosis is increased . there is advanced osteoporosis . no lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance . abdomen there are diffuse intimal thickening and diffuse wall calcifications in the ascending aorta aortic arch and thoracic aorta . in the left fascia and left upper quadrant there is an increase in peritoneal thickness in the vicinity of the and contamination in the fatty planes . calcific atherosclerotic plaques are observed at the level of both renal artery and at the hilus level of the right renal artery . there is thinning of the parenchyma thickness of both kidneys in the upper abdominal sections . it would be appropriate to examine the patient with abdominal ct . lung parenchyma in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal . no nodular or infiltrative lesion was detected in both lung parenchyma . no pathological size and configuration of lymph nodes were detected at both hilar levels . there is also linear density on the left which is considered compatible with sequelae changes at baseline . a mosaic attenuation pattern is observed at the basal level of the lower lobe of the left lung . airways lumens are clear . in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal . mediastinum the aortic arch calibration is 32 mm . it is slightly above normal . calibration of other mediastinal major vascular structures is normal . cto is normal . no lymph node with pathological size and configuration was detected in the mediastinum or hilar level . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion was detected . mild degenerative changes are observed in the bone structures in the examination area . abdomen the aortic arch calibration is 32 mm . left adrenal lateral crus is slightly full . surrounding soft tissue plans are natural . it is slightly above normal . cto is normal . in uncontrasted upper abdominal sections there is an isodense view of the spleen anterior to the spleen and an accessory spleen in isodense view . lung parenchyma there are areas of dependent atelectasis in the basal segments . no nodular or mass-occupying lesion was observed in the lung parenchyma . when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no pleural effusion was observed . airways trachea both main bronchi lobar and segmental bronchi air passages are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no mass or infiltrative lesion was observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window a nodule with a diameter of 3 millimeters located in the subpleural region of the right lung middle lobe lateral is observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures evaluation with lumbar mri is recommended . in bone structures including sections at the level a probable disc herniation with calcific wall extending into the spinal canal the cord is observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a millimetric nonspecific calcific nodule was observed in the posterobasal segment of the lower lobe of the right lung . bilateral pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are pleuroparenchymal sequelae density increases in the apical left lung upper lobe . nonspecific parenchymal nodules were observed in both lungs . fibroatelectatic changes were observed in the medial segment of the middle lobe of the right lung and the upper lobe of the left lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . in the current examination the long axis of the mass was measured mm in the axial plane and 90 mm in the previous examination and it shows a slight increase . an infiltrative mass lesion was observed along the prevascular paraaortic left upper paratracheal and aorticopulmonary areas the borders of which could not be distinguished from the aortic arch left pulmonary artery and descending aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures according to the previous examination there is a stable sclerotic lesion in the right 1st rib anterior . a sclerotic lesion was observed in the left . there are multiple sclerotic metastases which were also observed in the previous examination in the corpus and manubrium sternium of the vertebrae in the study area . abdomen no dilatation was detected in the thoracic aorta . in the current examination the long axis of the mass was measured mm in the axial plane and 90 mm in the previous examination and it shows a slight increase . in the upper abdominal sections included in the examination area a 10 mm in diameter mildly hyperdense lesion was observed in the middle zone of the left kidney cyst . an infiltrative mass lesion was observed along the prevascular paraaortic left upper paratracheal and aorticopulmonary areas the borders of which could not be distinguished from the aortic arch left pulmonary artery and descending aorta . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper bilateral lower paratracheal nodes with millimetric size are observed . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma focal aeration increase in the posterobasal segment of the left lung lower lobe diffuse mild enlargement of the bronchial structures in this localization peribronchial thickness increases and mucus plugs in the distal bronchus are present . findings were also present in the patients previous ct examination and no change was detected . no newly developed mass or nodular lesion was observed in both lungs in the current examination . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum as far as can be observed the heart contour and size are natural to the mediastinal vascular structures . no lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast in the examination . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels as far as can be observed the heart contour and size are natural to the mediastinal vascular structures . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast in the examination . osseous structures no lytic-destructive lesion was observed in the bone structures within the image . abdomen no relevant findings . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . there are millimetric osteophytes in the vertebral corpus corners . intervertebral disc distances are preserved . abdomen areas of fat density were observed in this lesion and were first evaluated in favor of adenoma . no upper abdominal free fluid-collection was detected in the sections . there is a nodular lesion measuring 9 mm at its widest point on the medial leg of the left adrenal gland . lung parenchyma a few millimetric nonspecific nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . there are calcified pleural plaques in the costal pleura in the left hemithorax and in the diaphragmatic pleura in the right hemithorax . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma it may belong to the atelectasis parenchyma . the linear density increase in the upper lobe of the right lung is nonspecific . in lung parenchyma evaluation no pneumonic infiltration or consolidation area was detected in both lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels heart sizes are natural . calcified atheroma plaques are observed in lad . pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window mild sequelae changes are observed on both sides at the apical level . there is a 5x3 mm nodule in the middle lobe on the right . a peripheral nodule with a diameter of 5 mm is observed in the laterobasal segment . there is a 5x3 mm nodule in the apicoposterior segment adjacent to the fissure . in the left lung branches with buds and more prominent are observed along the bronchial tree in the apicoposterior segment of the upper lobe the lingular segment and the lower lobe segments . in the left lung there is a 4 mm diameter clear ground-glass nodule in the upper lobe segment transition . bilateral pleural effusion or pneumothorax was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . in the case there is thymic tissue that does not show a clear contour and does not show a mass effect . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary artery . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen appearance is observed adjacent to the spleen . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no significant pathology was distinguished in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window no pneumonic infiltration or consolidation area was detected in both lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was detected in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . abdomen upper abdominal organs included in the sections are normal . lung parenchyma passive atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . no mass lesion with distinguishable borders was detected in both lungs . the outlook is compatible with viral pneumonias . when examined in the lung parenchyma window patchy consolidation areas with ground glass densities were observed in both lungs more common in peripheral subpleural areas some in nodular form . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calcified atheroma plaques were observed in the abdominal aorta and visceral . the diameters of the pulmonary trunk and right-left pulmonary arteries increased by 35 mm and 27 mm and 26 mm respectively . diffuse calcified atheroma plaques were observed in the thoracic aorta its supraaortic branches and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . evaluation for pulmonary hypertension is recommended . as far as can be observed calibration of the thoracic aorta is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures syndesmophytes bridging each other at the mid-thoracic level were observed in the bone structures within the study area . abdomen spleen gallbladder pancreas right adrenal gland are normal . calcified atheroma plaques were observed in the abdominal aorta and visceral . edema-inflammatory intensity increases were observed in the subcutaneous fatty planes within the sections . diffuse calcified atheroma plaques were observed in the thoracic aorta its supraaortic branches and coronary arteries . a few sequela nodular calcifications were observed in the right lobe of the liver as far as can be seen in the non-contrast sections . a thickening was observed in the medial crus of the left adrenal gland . two nodular hypodense lesion areas were observed in the upper and lower pole of the right kidney cyst . as far as can be observed calibration of the thoracic aorta is normal . lung parenchyma in both lung parenchyma a few nonspecific nodules measuring 3 mm in size are observed in the anterior segment of the upper lobe of the right lung . active infiltration or mass lesion is not observed in both lung parenchyma . ventilation of both lungs is natural . there are several thin-walled millimetric air cysts in the anterior segment of the right lung upper lobe . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . when examined in the lung parenchyma window in bilateral bronchial structures there is diffuse mild ectasia which is more prominent in the central . mediastinum mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast . in mediastinal lymph node stations no lymph node in pathological size and appearance is observed in the bilateral axillary region . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures and heart contour and size are natural . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdomen sections within the image no solid mass free fluid or loculated collection is observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . a large mixed type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen splenic and portal vein diameters are markedly dilated . the findings described are consistent with portal hypertension . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . bilateral adrenal glands were normal and no space-occupying lesion was detected . it is compatible with chronic parenchymal disease . spleen size increased . as far as can be seen in the sections the contours of the liver are corrugated . no intraabdominal free-loculated fluid was detected . no space-occupying lesion was detected in both kidneys . lung parenchyma a few millimetric nonspecific parenchymal nodules were observed in both lungs . when both lung parenchyma windows are evaluated focal consolidation area is observed in the left lung upper lobe lingular segment . correlation of infectious process clinical and laboratory is recommended . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . as far as can be observed a triangular soft tissue appearance was observed in the anterior mediastinum remt thymus . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . sliding type hiatal hernia was observed . heart and great vessels pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are linear atelectasis in the right lung middle lobe and left lung upper lobe lingular segment and lower lobe . apart from these both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there are millimetric nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma interstitial signs are also prominent in interlobular septa . mosaic attenuation patterns are observed . when examined in the lung parenchyma window consolidation area with small air bronchogram areas and patchy ground glass densities are observed in both lungs in a diffuse patchy manner more prominently in the peripherally located lower lobe basal segments . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen upper abdominal organs included in the sections are normal . lung parenchyma when examined in the lung parenchyma window minimal fibrotic changes are observed in the middle lobe of the right lung the lingula of the left lung and both lower lobes . a few nonspecific nodules of 35 mm in size are observed in both lungs the largest of which is subpleural in the right middle lobe lateral . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . in upper abdominal sections both kidneys are atrophic . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window in both lungs patchy ground glass densities are observed more prominently in the right middle lobe and right upper lobe apical and posterior . aeration of the parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . clinical laboratory correlation and close follow-up are recommended . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is recommended to be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . ventilation of both lungs is natural . there are several millimetric nodules in both lungs . when examined in the lung parenchyma window in both lungs there are areas of increased density of multilobar indistinctly ground glass density . no mass lesions were detected in both lungs . viral pneumonias are considered in its etiology . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be observed the calibration of the vascular structures and the heart contour size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma nodules in the right lung are stable . in the left lung upper lobe anterior adjacent to the major fissure and in the right lung lower lobe laterobasal round-shaped atelectasis areas accompanied by ground glass densities were observed . in the previous examination of the left lung upper lobe posterior 3 mm in the previous examination 4 mm in examination 4 mm in diameter in the present examination which can hardly be distinguished in the previous examination of the left lung lower lobe superior in the right lung lower lobe superior major fissure superposition is 2 mm in the previous examination the diameter of which has become evident in examination is 3 mm more inferiorly two more newly developed nodules with a diameter of 4 mm were observed in the anteromedial of the lower lobe of the right lung . a minimal increase in the size of atelectasis in the anterior upper lobe of the left lung was detected short axis diameter 8 mm in the previous examination 11 mm in the present examination . no significant difference was found in these findings . when examined in the lung parenchyma window in the apex and posterior of the right lung upper lobe traction bronchiectasis accompanying sequela pleuroparenchymal recessions millimetric calcific nodules and areas consistent with consolidation-atelectasis including air bronchogram were observed . pleural effusion was not observed in both hemithorax . a newly developed 4 mm diameter nodule located close to the pleura was observed in the right lung lobe posteromediobasal . airways trachea both main bronchi are open . millimetric stable diverticular formations are observed in the right posterolateral aspect of the trachea . mediastinum thoracic aorta diameter is normal . stable lymph nodes with a short axis diameter of 15 mm were observed in the mediastinum pre-paratracheal window precarinal and left paratracheal . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures widespread osteophytic degenerative changes leading to bridging were observed in the vertebral corpus corners . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are atelectatic changes in the lung parenchyma adjacent to the effusion . air images consistent with pneumothorax are observed in the left lung . it was understood that the patient was followed up due to pleural effusion in the left cm in diameter at its thickest point and there is an appearance of a thoracic tube in the effusion area . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma there are several millimetric calcific nodules in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric stable nonspecific nodules were observed in both lungs . there are minimal emphysematous changes in both lungs . in the lower lobe posterobasal segments density increases in the form of ground glass on the subpleural area . airways the bronchial walls are slightly thickened . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph node in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions was observed . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaque is observed in lad . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a 5 mm diameter parenchymal nodule was observed in the anterobasal segment of the lower lobe of the right lung . there are bronchiectatic changes that are evident in the center of both lungs . pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . emphysematous changes were observed in both lungs . airways as far as can be seen trachea both main bronchi are open . mediastinum calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . 1-2 lymphadenopathies were observed in the right anterior diaphragmatic region the short axis of the larger one measuring 125 mm . mediastinal main vascular structures heart contour size are normal . siliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial mild effusion was observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structures in the study area . no lytic-destructive lesion was detected . abdomen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . abdominal structures were evaluated in detail in mr examination . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . linear atelectatic changes are observed in the right lung middle lobe medial and both lung lower lobe basal segments . when examined in the lung parenchyma window no millimetric subpleural calcific nodule was observed in the posterior segment of the right lung upper lobe . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is not typical for covid-19 pneumonia . when examined in the lung parenchyma window in both lungs large ground-glass opacities forming a crazy paving pattern accompanied by multilobar subsegmentary atelectatic changes and accompanying dense parenchymal air cysts were observed . no mass lesion with discernible borders was detected in both lungs . appearance is nonspecific . clinical and laboratory evaluation and follow-up are recommended . however due to the pandemic covid-19 pneumonia other viral pneumonias hypersensitivity pneumonia and nonspecific interstitial pneumonia were considered in the differential diagnosis . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum diffuse atherosclerotic wall calcifications are observed in the aortic arch its supraaortic branches and coronary arteries . in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . a hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . diffuse atherosclerotic wall calcifications are observed in the aortic arch its supraaortic branches and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs are normal as far as can be seen in the sections . diffuse atherosclerotic wall calcifications are observed in the aortic arch its supraaortic branches and coronary arteries . lung parenchyma except for bronchiectasis there are more distinct ground-glass appearances in the upper lobes of both lungs . mild thickening of the interlobular septa is observed . there is a pleural effusion in the right hemithorax measuring . in the evaluation of both lung parenchyma diffuse centriacinar and panacinar bronchiectasis are observed in both lung parenchyma . in addition there are linear pleuraparenchymal sequelae in the laterobasal segment of both lower lobes of the lungs . airways trachea and main bronchi are open . mediastinum the descending aorta is 3 cm above normal . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . calcific atherosclerotic plaque formations are observed in the aortic arch . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures nodular lytic lesions consistent with diffuse hypodense multiple myeloma are observed in the vertebrae . there is a marked increase in dorsal kyphosis . abdomen no significant pathology was detected in the abdominal sections . the descending aorta is 3 cm above normal . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific atherosclerotic plaque formations are observed in the aortic arch . lung parenchyma in lung parenchyma evaluation mild paraseptal emphysema is present in the apical segment of the upper lobe of the right lung . no mass or nodular space-occupying lesion was detected in the lung parenchyma . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no pleural effusion was observed . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a collection of air densities reaching 37 mm in the thickest part of the left lung upper lobe posterior segment and air-fluid leveling was observed empyema . at the level of the apex of the left lung a soft tissue thickening reaching approximately 25 cm was observed in the anterior part which the 2nd and 3rd . in addition there are prominent peribronchial thickenings starting from the hilar area in the left lung . when examined in the lung parenchyma window in the right lung a peribronchial mass reaching 34 mm in thickness was observed starting from the hilar area and extending posteriorly to the upper lobe . metastasis . irregularly circumscribed parenchymal nodules were observed in both lungs the largest of which was approximately 12 mm in diameter in the anterior segment of the upper lobe of the right lung . there are mild bronchiectatic changes and peribronchial thickening starting from the hilar area in both lungs more prominently on the left . nodular consolidations accompanied by ground glass were observed in the posterobasal segment of the lower lobe of the left lung correlation with the clinic is recommended for specific pneumonic infection . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum in the mediastinal prevascular area in the paratracheal area in the aortopulmonary window and in the bilateral hilar region multiple lymphadenopathies were observed the largest of which was mm in size and in diameter . the mediastinal main vascular structures and the heart are slightly deviated to the left and a pericardial effusion of approximately 15 cm is observed . the thoracic esophagus is in normal calibration . heart and great vessels the mediastinal main vascular structures and the heart are slightly deviated to the left and a pericardial effusion of approximately 15 cm is observed . osseous structures there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . sclerotic lesions were observed in the bones especially the costal values . abdomen no significant pathology was detected in the evaluation of the upper abdominal organs included in the sections . lung parenchyma the findings are in favor of pulmonary congestion . there are more prominent parenchymal ground glass density and septal prominence in the upper lobes . it was evaluated primarily in favor of pulmonary congestion . evaluation of parenchyma is suboptimal because of respiratory artifact . mild fissure edema is observed in the left fissure . there is a pleural effusion with a diameter of 25 cm between the right pleural leaves and 1 cm between the left pleural leaves . airways bronchial wall thickness increases are observed in segmental bronchi in both lungs . mediastinum numerous mediastinal lymph nodes were observed the largest of which was located in the paraaortic location with a short axis measuring 15 mm . heart and great vessels there is prominent valve calcification in the aortic valve . most there is an increase in left ventricular diameter . calcified atheroma plaques are observed in the coronary arteries . diameter increase is observed in all compartments . heart sizes were significantly increased . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma in the evaluation made in the lung parenchyma window in the current examination multilobar mostly peripherally located consolidation and ground glass density areas are observed in both lungs and viral pneumonias are considered in the etiology of the findings . clinical and laboratory evaluation is recommended for covid-19 pneumonia . nonspecific nodules measuring approximately 6 mm in diameter are observed in both lungs . there are emphysematous changes in both lungs . no mass lesions were detected in both lungs . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calcified atheroma plaques are observed in the aorta . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels although it cannot be evaluated optimally due to lack of contrast as far as can be observed the heart contour and size are normal . mediastinal vascular structures and heart examination iv . osseous structures vertebral corpus height alignment and densities are normal in the bone structures within the image . bilateral neural foramina are open . intervertebral disc distances are preserved and there are changes that tend to merge at the vertebral corpus corners . abdomen no solid mass was detected . in the upper abdominal sections within the image hyperdense stones measuring 10 mm in diameter are observed in the upper pole of the left kidney as far as can be observed within the borders of unenhanced ct and there is moderate ectasia in the left kidney system . calcified atheroma plaques are observed in the aorta . lung parenchyma in the lower lobes of both lungs the right lung upper lobe posterior segment and the left lung upper lobe lingular segment there are areas of consolidation and accompanying linear atelectasis accompanied by peripherally weighted occasional ground glass areas . a few nodules with a diameter of 5 mm are observed in both lungs the largest of which is in the lateral segment of the left lung lower lobe and no significant difference was found between their number and size . a few lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest in the right lower paratracheal area and no significant difference was found between their number and size . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . a few lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest in the right lower paratracheal area and no significant difference was found between their number and size . calcific atheroma plaques are observed in the aorta and anterior descending coronary artery . sliding type hiatal hernia is observed at the esophagogastric junction . there are several paraesophageal lymph nodes with a diameter of 3 mm . heart and great vessels heart size is normal . the left atrium is dilated . osseous structures no lytic-destructive lesions were detected in bone structures . there are millimetric osteophytes in the corners of the thoracic vertebral corpus within the sections . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . a hyperdense stone with a diameter of 1 cm is observed in the gallbladder lumen . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . calcific atheroma plaques are observed in the aorta and anterior descending coronary artery . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings are atypical for viral pneumonia and clinical and laboratory correlation and close follow-up are recommended for the onset of an early infectious process . when examined in the lung parenchyma window slight patchy ground glass densities are observed in the lower lobe basal segments of both lungs atelectatic changes in the left lung upper lobe lingula and an increase in subpleural density in the left lung upper lobe apicoposterior . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures there is a diffuse density decrease in the bone structures in the examination area and there are hypertrophic osteophytic taperings in the vertebral corpus end plates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the amount of effusion observed only at the apex has significantly decreased in the current examination . in both lung parenchyma the size and number of the nodules described in the previous examination increased in size and number the larger one showing cavitation in the right lung upper lobe and the larger one measuring 9 mm in diameter and was primarily evaluated in favor of metastasis . no pleural thickening was detected on the right . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . apart from this no lymph node showing mediastinal size change was detected . port chamber and catheter image extending to the superior vena cava were observed on the right anterior chest wall . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits . heart and great vessels the diameter of the ascending aorta was 37 mm . according to the previous pericardial examination there is a stable effusion measuring mm at its widest point . heart contour size is mm in the previous examination . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen in the upper abdominal sections in the study area when the examination in both lobes of the liver was without contrast faintly circumscribed hypodense mass lesions with a diameter of 49 mm were observed which could not be clearly characterized but first evaluated in favor of metastasis . the gallbladder was not observed . there are irregular thickness increases in the peritoneum and soft tissue densities compatible with nodular peritoneal carcinomatosis in the omentum . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . the intra-abdominal effusion observed in the previous examination is not detected in the current examination . according to the previous examination stable lymphadenopathies are present in the posterior neighborhood of the duodenum . lung parenchyma no mass or infiltrative lesion was detected in both lungs . the lung parenchyma cannot be evaluated optimally because the patient is not breathing properly during the examination . there are millimetric nonspecific nodules in both lungs . there are linear atelectasis in both lungs . both lungs have a mosaic attenuation pattern small airway disease small vessel disease . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed the heart is larger than normal . in particular both are observed to be larger than normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen the liver is left lobe hypertrophic . the described findings were evaluated in favor of chronic liver parenchymal disease . the contours of the liver are irregular and its parenchyma heterogeneous . intraabdominal free fluid is observed . there are atheromatous plaques in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window there are ground glass densities in which patchy vascular expansion is observed in crazy paving pattern mostly peripherally located in both lungs and more prominent in the left lung lower lobe basal segment . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the findings are consistent with covid-19 viral pneumonia . clinical and laboratory correlation and follow-up are recommended . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma density increases in reticular sequelae were observed in both lung apexes . apart from this a mass lesion with distinguishable borders-active infiltration was not detected in both lungs parenchymal aeration was normal and no nodular or infiltrative lesion was detected in the lung parenchyma . several nonspecific subpleural nodules with a diameter of 32 mm were observed in both lungs the largest of which was in the anteromediobasal segment of the lower lobe of the right lung . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinum was not evaluated optimally . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen on non-contrast sections the upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma patchy ground-glass-like density increases observed in all zones of both lungs in the previous examination completely regressed in the current examination . an air cyst of approximately 20 mm in diameter with a thin septum is observed in the lateral segment of the right lung middle lobe . sequelae changes are observed in the inferior lingular segment of the left lung . there is a lymph node measuring approximately 10x8 mm at the right hilar level . there is mild thickening of the pleura in the lower lobe superior segment . again the smear-like basal minimal pleural effusion observed in the previous examination was not observed in the current examination . irregular pleural thickenings observed in the previous examination in the lower zones of both lungs were not detected in the current examination . airways lumens are clear . when examined in the lung parenchyma window calibration of trachea and both main bronchi is normal . mediastinum there is a catheter appearance in the superior vena cava . calibration of mediastinal major vascular structures is natural . mild hiatal hernia is observed . heart and great vessels cto is normal . osseous structures degenerative changes are observed in the bone structure . abdomen the right adrenal genu level is slightly full . contours on the gallbladder wall have lost their in the upper abdominal sections that entered the study area . evaluation of the case in terms of diverticulitis and if necessary further examination with abdominal ct is recommended . however diverticulum findings are also present in his previous examination . multiple diverticula appearance is observed at the level of the splenic flexure and descending colon and in the sections entering the examination area there are contamination in the fat planes around the descending colon and prominent peritoneal reflections . sonographic evaluation is recommended . the changes described at the gallbladder level and the appearance of diverticulitis were not detected in the previous examination . lung parenchyma in the current examination it is seen that the defined consolidative area slightly towards the baseline . there is a smear-like effusion in the left lung . there were no pathologically sized and configured lymph nodes at both hilar levels . no significant difference was found at other levels . there are mild emphysematous changes and local sequela linear density increases in both lungs . in addition there is also a focal consolidative parenchyma area at the paracardiac level in the lower lobe of the left lung . in the case with pulmonary tumor anamnesis there is a consolidative parenchyma area in the right lung lower lobe superior segment that extends to the base in the paravertebral area and is involved in examination the largest axial plane dimension defined in the right lung was measured as mm . it is mm . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum there are several lymph nodes in the mediastinum the largest of which is in the right upper paratracheal area and measuring approximately 14x9 mm . calcific atheroma plaques are observed in the aortic arch descending aorta and ascending aorta . calibration of other major mediastinal vascular structures is natural . calibration of the aortic arch is at the maximal physiological limit . heart and great vessels cto increased in favor of the heart . pericardial effusion is present . calcific atheroma plaques are observed in the aortic arch descending aorta and ascending aorta . osseous structures according to the previous examination no significant difference was found in the appearance of metastases in the bone structure . there are appearances compatible with degeneration and metastasis in bone structures in the examination area . abdomen other upper abdominal organs included in the sections are normal . surrounding soft tissue plans are natural . calcific atheroma plaques are observed in the aortic arch descending aorta and ascending aorta . calibration of the aortic arch is at the maximal physiological limit . the gallbladder appears distended . lung parenchyma apart from this nonspecific nodules under 3 mm are observed in both lungs . there is a 3 mm diameter calcific nodule in the left upper lobe of the lung . no mass or infiltrative lesion was detected in both lung parenchyma . when examined in the lung parenchyma window there is paraseptal emphysema in both lungs . focal parenchymal thickening which causes retraction of the parenchyma with a diameter of approximately 2 cm in the superior segment of the right lung lower lobe is observed and it was evaluated in favor of sequelae in the first plan . pleural effusion-thickening was not detected . there are approximately mm subpleural nodules located in the superior lower lobe of the right lung and approximately 4 mm subpleural nodules located in the lower lobe posterobasal . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaque formation was observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition a ground glass nodule with a diameter of 49 mm was observed in the apicoposterior segment of the upper lobe of the left lung . when examined in the lung parenchyma window central tubular bronchiectasis was observed in both lungs . a parenchymal calcific nodule was observed in the middle lobe of the right lung . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes were observed in the bone structures in the study area . abdomen in the evaluation of upper abdominal organs including sections liver gall bladder spleen pancreas both adrenal glands are natural . follow-up is recommended . no stones were observed in both kidneys . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window millimetric nonspecific nodules are observed in the upper anterior of the left lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical laboratory correlation and close follow-up are recommended . patchy ground-glass densities are observed in the upper lobes of both lungs more prominently at the apical levels and at the posterobasal levels of the lower lobes . findings can be seen in covid-19 pneumonia . when examined in the lung parenchyma window patchy ground glass densities are observed at the posterobasal levels of the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures one or two bone are observed in the vertebral corpuscles . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma density increases were observed in both lungs apical . no mass-nodule-infiltration was detected in both lung parenchyma . when both lung parenchyma windows are evaluated minimal pleuroparenchymal . no effusion was detected in bilateral pleural thickening . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum no lymph node was detected in pathological size and appearance in the mediastinal unenhanced examination margins . calibration of major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels pericardial effusion-thickening was not observed . heart contour and size are natural . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with a diameter of 1 cm was observed at the level of the spleen hilus . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window multiple air cysts with increased ground glass density were observed in both lungs . subsegmental atelectasis were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . lymph nodes measuring mm in diameter were observed in the mediastinal upper-lower paratracheal aorticopulmonary the short axis of the largest in the subcarinal area . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no gallbladder was observed in the upper abdominal sections within the examination area . diffuse thickening was observed in both adrenal glands hyperplasia . lung parenchyma when examined in the lung parenchyma window one or two millimetric nonspecific nodules were observed in both lungs especially in the left lung lower lobe and upper lobe inferior lingular segment . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion in favor of metastasis was observed in bone structures . schmorl node impression was observed in t9 vertebra superior end plate . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a millimetric air cyst is observed adjacent to the minor fissure in the upper lobe anterior segment caudal . there is a 7x4 mm nodule in the middle lobe of the right lung adjacent to the minor fissure . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . sequelae changes are observed in the inferior lingular segment of the left lung . no pathological size and configuration of lymph nodes were detected at both hilar levels . mild emphysema appearance is observed in both lungs . there is a 3 mm diameter nodule at the posterobasal level of the lower lobe of the left lung . when examined in the lung parenchyma window both hemithorax are symmetrical . no pleural effusion or pneumothorax was detected in both lungs . again a subpleural 3 mm diameter nodule is observed more caudally in the middle lobe . a 2 mm diameter nodule is observed in the right lung upper lobe anterior segment lateral subpleural area . no bilateral pleural effusion or pneumothorax was detected . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum calibration of mediastinal major vascular structures is normal . thoracic aorta diameter is normal . thymic tissue without mass effect is observed in the anterior mediastinum . thymic tissue is observed in the anterior mediastinum which has undergone partial fatty and did not show any mass effect . in the mediastinum there are lymph nodes in millimetric sizes . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is recommended that the case be evaluated for covid-19 pneumonia . however since other viral pneumonias are included in the differential diagnosis it is recommended to correlate with clinical and laboratory findings . there are ground-glass-like density increases in both lungs which are widely distributed peripherally . sequelae changes are observed in the lingular segment of the left lung . when examined in the lung parenchyma window there are findings compatible with emphysema . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen in the evaluation of the upper abdominal organs included in the sections there is a slight decrease in density consistent with hepatosteatosis in the liver . lung parenchyma when evaluated in the parenchyma window of both lungs widely ground-glass density increases were observed on the right which tended to coalesce in both lungs . the outlook is observable in covid-19 pneumonia but not specific . clinical and laboratory correlation is recommended . bilateral interlobular septal thickening was observed secondary to cardiac pathology . there are atelectatic changes in the lower lobes of both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta . the diameter of the main pulmonary artery was 33 mm and increased . no lymph node was detected in mediastinal pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size has increased cardiomegaly . pericardial thickening-effusion was not detected . osseous structures multiple sclerotic metastases were observed in the bone structures included in the study area . no significant soft tissue component was detected accompanying metastases . abdomen as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta . there is moderate hydronephrosis in the right kidney . the gallbladder was not observed cholecystectomized . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . linear atelectasis was observed in the lower lobe of the left lung . when examined in the lung parenchyma window a smear-like effusion in the right hemithorax and minimal atelectatic changes were observed in the areas adjacent to the effusion in the lower lobe of the right lung . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures lytic bone lesions consistent with multiple myeloma involvement were observed in the bone structures within the sections . there is height loss in d10 vertebral corpuscles and no retropulsion was detected . abdomen liver and spleen sizes have increased as far as can be observed within the . no intraabdominal free-loculated fluid was detected . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . lung parenchyma there are sequelae changes at the apical level . a short segment at the basal level of the right lung did not enter the field of view . there is a focal ground-glass-like density increase in the inferior lingular segment in the left lung . mild emphysema appearance is observed in both lungs . a nonspecific nodule measuring 5x3 mm is observed at the laterobasal level . a subpleural nonspecific nodule with a diameter of 3 mm is observed at the laterobasal level of the right lung . no significant pleural effusion pneumothorax was detected in both lungs . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph nodes in pathological size and configuration are detected in the mediastinum and at both hilar levels . calibration of the main mediastinal vascular structures is natural . a millimetric-sized calcific atheroma plaque is observed in the descending aorta . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures there is mild irregularity consistent with possible sequelae changes in the spinous process of the vertebra . mild degenerative changes are observed in the bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . a millimetric-sized calcific atheroma plaque is observed in the descending aorta . lung parenchyma when examined in the lung parenchyma window fibrotic sequelae changes are observed at the apical levels of both lungs . there is minimal patchy ground glass density in the right lung middle lobe inferiorly in the subdiaphragmatic area . airways mild movement and breathing artifacts are observed . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures significant rotoscoliosis is observed . apart from this the bone structures included in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs were evaluated suboptimally within the limits of the examination . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymphadenopathy was detected in the mediastinal area in both lung hilum bilateral axilla and retropectoral regions in pathological size and appearance . pleural effusion-thickening was not detected . when examined in the lung parenchyma window minimal pleural thickness increases and band densities extending to the pleura are observed in the posterobasal segments of the lower lobes of both lungs . airways both main bronchi are open . trachea is open . mediastinum no lymphadenopathy was detected in the mediastinal area in both lung hilum bilateral axilla and retropectoral regions in pathological size and appearance . calcific atheroma plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures are normal . thoracic esophageal wall thickness is normal . heart and great vessels heart size was slightly increased . no pericardial effusion or increased thickness was detected . osseous structures degenerative osteophytes are observed in the bones . abdomen lesions in the liver and right adrenal gland could not be characterized because the examination was unenhanced . there are scattered hypodense appearances in the liver . calcific atheroma plaques are observed in the aorta and coronary arteries . nodular soft tissue density is observed in the right adrenal gland which is included in the imaging area . lung parenchyma when examined in the lung parenchyma window there is a 7 mm diameter nodule sitting on the fissure in the posterior segment of the upper lobe of the right lung and faint ground glass opacities are observed around this nodule . a pulmonary nodule with a diameter of 4 mm is observed in the subpleural area in the superior segment of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a millimetric nonspecific parenchymal nodule adjacent to the minor fissure was observed in the middle lobe of the right lung . pleuroparenchymal sequela fibrotic change was observed in the lingular segment of the left lung upper lobe . mass lesion with distinguishable borders - active infiltration was not detected in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma an air cyst with a diameter of 17 mm was observed in the middle lobe of the right lung . in addition ground glass density increases were observed in the left lung lower lobe laterobasal segment and inferior lingular segment . millimetric nonspecific parenchymal nodules were observed in both lungs . other viral pneumonias can be considered in the differential diagnosis . clinical and laboratory correlation is recommended . the outlook can be seen in the early stage of covid-19 pneumonia . when both lung parenchyma windows are evaluated a ground glass density increase with vascular enlargement was observed in the peripheral subpleural area in the anterior segment of the right lung upper lobe . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . mediastinal structures were evaluated as suboptimal since the examination was uncontrasted . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels as far as can be observed the diameter of the ascending aorta is 40 mm and slightly increased . pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are widespread metastatic mass lesions in both lungs the largest of which is approximately 3 cm in diameter in the medial segment of the right lung middle lobe . significant regression was observed in the size and number of lesions at follow-up . no pleural effusion was detected . airways trachea and lumens of both main and segmental bronchi are open . mediastinum thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa in the axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in the liver appearances of hypodense heterogeneous metastatic lesions in multiple numbers and diameters were observed and a significant decrease in the size and density of metastases was noted in the follow-up . the ground glass opacities defined around the metastatic lesions in the previous examination also decreased and disappeared almost completely . lung parenchyma millimetric nonspecific nodules were observed in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are minimal emphysematous changes in both lungs . there are sometimes linear atelectasis in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen were observed in both adrenal glands . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . the adenoma observed on the left was 40 mm at its widest point and 35 mm at its widest point on the right . lung parenchyma if there is a suspicion of infection after the regression of the pulmonary edema findings it would be appropriate to repeat the examination . the lesion significantly narrows the lumen of the left lung upper lobe bronchus . nonspecific nodular lesion dimensions containing coarse calcification focus in the left upper lobe of the lung are stable . metastasis is suspected in this lesion . the ground-glass parenchyma area around the segmental bronchus in the superior segment of the lower lobe of the right lung is nonspecific . is observed in the vascular structures around the right lung lower lobe bronchi . in the left lung upper lobe posterior segment adjacent to the fissure nodular lesion sizes accompanied by pleuroparenchymal recessions are stable . when examined in the lung parenchyma window significant interlobular septal thickening in the parenchyma of the lung especially in the right lung favors pulmonary congestion . there is a pleural effusion with a diameter of 2 cm on the right and 15 cm on the left between both pleural leaves . airways no relevant findings . mediastinum there is an infiltrative mass lesion in the upper mediastinum that cannot be clearly differentiated from the aortic arch and the esophagus to the right lateral . pulmonary separation could not be made due to the lack of contrast material . pathological lymph nodes located in the right upper paratracheal lower paratracheal and subcarinal mediastinum are observed . heart and great vessels there is pericardial effusion that becomes evident in the current examination . it reaches 23 cm in diameter adjacent to the left ventricular apex . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . diffuse sclerotic bone metastases are observed in all bone structures . abdomen there is an infiltrative mass lesion in the upper mediastinum that cannot be clearly differentiated from the aortic arch and the esophagus to the right lateral . lung parenchyma in both lungs there are areas of increase in density at minimal ground glass density in the current examination in the localizations of areas of increase in density consistent with the consolidation described in the previous ct examination . paraseptal emphysematous changes are observed in both lungs . no newly developed pathology was detected . findings evaluated in favor of pneumonic infiltration in the previous ct examination showed significant regression in the current examination . it followed bilateral minimal pleural effusion and was measured approximately 24 mm deep on the left at its deepest point . airways no relevant findings . mediastinum no relevant findings . heart and great vessels minimal pericardial effusion was observed . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma in the evaluation of the lung parenchyma density increases are observed in the left lung segment in favor of the sequelae of chronic radiation pneumonia in the radiotherapy locus . slight increase in parenchymal density parenchymal fibrosis and traction bronchiectasis are observed in the lower lobe basal segments which are more prominent on the right in both lungs . widespread centracinar nodules and bronchopneumonic infiltration areas in the upper lobe and lower lobe of the right lung which were observed in the previous examination and a 7 mm diameter nodular consolidated area with a faint border in the upper lobe of the right lung were not detected in the current examination . right lung lower lobe basal segment pleuroparenchymal linear density increases are consistent with linear atelectasis . there is a pleural effusion measuring approximately 7 mm in diameter in size between the leaves of the right pleura . airways no relevant findings . mediastinum a central venous catheter is observed . esophageal calibration was followed naturally . heart and great vessels no space-occupying lesion was detected in the paracardiac fat pad . the heart size compartments appear natural . pericardial effusion was not detected . osseous structures no lytic-destructive lesion was detected in the bone structures . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . abdomen in the upper abdominal sections there was a faintly circumscribed hypodense area adjacent to the portal vein in the liver in segment 4b localization and there was no difference in the previous examination focal adiposity . these findings are also present in the previous examination and are stable . lung parenchyma the outlook can be traced in covid-19 pneumonia . when examined in the lung parenchyma window ground glass density increases and crazy paving appearances were observed in the upper and lower lobes of both lungs some of which had reverse halo sign appearance . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there are increases in density consistent with atelectasis in the adjacent lung parenchyma . total atelectasis is observed in the lower lobe and there is atelectasis in the left lung lower lobe posterobasal segment and lower lobe segment and lower lobe superior segment . no active infiltration or mass was detected in both ventilated lung parenchyma . there is a pleural effusion measuring mm at its deepest point on the right and mm at its deepest point on the left more prominently on the right . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are calcified atheroma plaques in the aortic arch and coronary arteries . the widths of the main mediastinal vascular structures are normal as far as can be observed . as far as it can be observed in lymph node stations no lymphadenopathy was detected in pathological size and appearance . it could not be evaluated optimally due to lack of contrast in mediastinal main vascular structures and heart examination . as far as the thoracic esophagus can be observed no pathological increase in wall thickness was detected . heart and great vessels there are calcified atheroma plaques in the aortic arch and coronary arteries . it could not be evaluated optimally due to lack of contrast in mediastinal main vascular structures and heart examination . osseous structures a decrease in density secondary to osteopenia is observed in the vertebral bodies . transpeduncular materials can be observed in the thoracic vertebral corpuscles and are observed in the vertebral bodies at vertebral levels . there are defects secondary to surgery in the posterior elements of the thoracic vertebrae and these localizations could not be optimally evaluated due to the artifact caused by the surgical materials and no limited collection was detected as far as can be observed . abdomen there are calcified atheroma plaques in the aortic arch and coronary arteries . lung parenchyma in the evaluation of both lung parenchyma no suspicious nodule mass or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma differential diagnosis includes other infectious and processes . there are no distinguishable lymph nodes at both hilar levels . when examined in the lung parenchyma window near the major fissure in the right lung slightly more prominent on the right in both lungs faintly ground glass density areas are observed at the posterobasal level which do not give clear contours . although the findings are not typical for they may be compatible with viral pneumonia . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum there are millimetric lymph nodes . no pathological size and configuration lymph nodes were detected in the mediastinum . calibration of mediastinal major vascular structures is natural . heart and great vessels focal pericardial prominence is observed adjacent to the right ventricle . cto is normal . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen both adrenals are natural . an accessory spleen is present anterior to the spleen . in the evaluation of the upper abdominal organs included in the sections there is a decrease in density consistent with hepatosteatosis in the liver . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . calcific atheroma plaques are observed in the coronary arteries and aortic arch . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries and aortic arch . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings in the end plates of the vertebral body . abdomen calcific atheroma plaques are observed in the coronary arteries and aortic arch . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a nonspecific nodule with a diameter of 37 mm is observed in the anterior segment of the left lung upper lobe . in the evaluation of both lung parenchyma bronchiectasis wall thickening and accompanying tree with bud view are observed in the anterior segment of the right lung upper lobe . in addition ground glass densities are observed in the mediobasal segment of the lower lobe of the left lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper-bilateral lower paratracheal right paraesophageal right hilar calcified lymph nodes are observed . in addition right upper-bilateral lower paratracheal aortopulmonary lymphadenomegaly with a narrow diameter of 1 cm and several lymph nodes the largest of which is left lower paratracheal are observed . mediastinal vascular structures have a natural appearance . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper abdomen no significant pathology was detected in the bilateral adrenal glands in the non-contrast examination . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a 35 mm diameter nonspecific parenchymal nodule was also observed in the mediobasal segment of the lower lobe of the right lung . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window a nonspecific parenchymal nodule of 43 mm in diameter located subpleural was observed in the posterior segment of the left lung upper lobe . airways minimal bronchiectatic changes were observed in the bilateral central region . no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious space-occupying lesion is observed in mass or nodular structure . airways trachea both main bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not observed . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no features were detected in the upper abdomen sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window mm in size irregularly circumscribed solid pulmonary nodule is observed in the paraaortic area in the apicoposterior segment of the left lung upper lobe . emphysematous changes are observed in both lungs . both lungs have a mosaic lung pattern . no pericardial or pleural effusion was observed . airways trachea both main bronchi are open . mediastinum since the examination is unenhanced the evaluation of solid organs vascular structures and mediastinum is suboptimal . the diameters of the main mediastinal vascular structures are normal . the short axis of the largest of these lymphadenopathies was approximately 16 mm and no significant difference was observed . calcific atheroma plaques are observed in the aorta and coronary arteries . pathological lymphadenopathies are observed at the aortopulmonary level . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the previous examinations of the patient were and the examination was about 1 . heart contour size is normal . osseous structures widespread degenerative changes are observed in the bone structures in the study area . abdomen calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was observed in both lungs . there are areas of linear atelectasis in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . an appearance compatible with thymic remt is observed in the anterior mediastinum . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . there is a vacuum phenomenon consistent with degeneration at the level of the left glenohumeral joint . abdomen as far as it can be evaluated within the non-contrast ct limits there is no discernible mass in the upper abdominal organs . lung parenchyma when examined in the lung parenchyma window ventilation of both lungs is normal and there is no active infiltration consolidation or space-occupying lesion . airways no relevant findings . mediastinum mediastinal main vascular structures appear natural . no lymph nodes were detected in pathological size and appearance in both axillary regions . in the mediastinum multiple lymphadenopathies are observed in the aortopulmonary window in the pretracheal area and in the subcarinal region the largest with a short axis of 19 mm in the aortopulmonary window image . heart and great vessels no pericardial effusion or increased thickness was detected . heart size and contours are normal . a port catheter extending into the right atrium is observed in the patient . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures included in the examination . multiple lymphadenopathies are observed in both supraclavicular areas with the short axis of the largest being 14 mm in the right supraclavicular area and the short axis of the largest one on the left is 14 mm . abdomen evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast . lymphadenopathy with a diameter of 24 mm is observed adjacent to the anterior abdominal wall in the thorax adjacent to the left lobe of the liver . both adrenal glands included in the examination have a natural appearance . lung parenchyma apart from this no significant infiltration was detected in both lung parenchyma . atelectatic changes continue in the middle lobe on the right . bilateral newly developing pleural effusions of 26 mm on the right and 29 mm on the left and atelectasis are observed in the vicinity of the effusion especially on the left . airways no relevant findings . mediastinum no relevant findings . heart and great vessels there is a newly developing pericardial effusion measuring 10 mm in size . osseous structures there is no significant difference in bone and soft tissue involvement due to multiple myeloma . abdomen no relevant findings . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window a nodular appearance of approximately mm was observed in the left lung fissure . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . control is recommended . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . lymph nodes with a short diameter of up to 5 mm were observed in the aortopulmonary window prevascular area bilateral hilar region and lower paratracheal area . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant mass wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook is highly suspicious for covid-19 pneumonia . other viral pneumonias were considered in the differential diagnosis . apart from this no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window nodular ground-glass consolidations were observed in both lungs mostly in the peripheral parenchyma . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . bilateral adrenal glands were normal and no space-occupying lesion was detected . a millimetric calculi image was observed in the middle part of both kidneys . no intraabdominal free-loculated fluid was detected . upper abdominal organs included in the sections are normal . an accessory spleen with a diameter of 16 mm was observed inferior to the splenic hilus . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma ground glass densities and consolidations are observed in the lower lobes and peripheral lung tissue in both lungs . the outlook is typical for covid-19 pneumonia . pleural effusion-thickening was not detected in both hemithorax . subpleural linear parenchymal bands are observed in both lung lower lobe basal segments . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in the bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the case with clinical knowledge of atelectasis due to these findings may develop due to but the diagnosis of is a pathological diagnosis . an area of parenchymal ground glass opacity is observed around the nodules . several nodules with a diameter of 9 mm are observed around the lower lobe superior segment bronchi . irregularly circumscribed nodular density increases and centrilobular nodules are observed in the anterior and posterior segments of the upper lobe . it causes a significant decrease in the calibration of the upper lobe anterior and posterior segment bronchi . imaging findings are nonspecific . it may belong to nodules due to . the middle lobe bronchus is collapsed and the right lung middle lobe is total atelectasis . in the lower lobe basal segment increased aeration secondary to volume loss is observed . however infection could not be ruled out due to the presence of ground glass density around the nodules . nodules associated with each other in a focal area in the upper lobe of the left lung the largest of which is based on the pleura and measuring 26 mm in diameter are observed . airways no relevant findings . mediastinum there are calcified lymph nodes located in the and peribronchial areas . soft tissue densities are observed around the right main bronchus and intermediate bronchus in the mediastinum . calcified atheroma plaques are observed in the aortic arch and thoracic aorta . it measures 21 mm in diameter . calcified atheroma plaques are observed in the abdominal aorta and its branches . no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . sliding type mild hiatal hernia is present . heart and great vessels pericardial effusion was not detected . there is punctate calcified atherosclerotic plaque in lad . heart dimensions and compartments appear natural . no space-occupying lesions were observed in the paracardiac fat . osseous structures degenerative changes are observed in bone structures . in the axilla and supraclavicular fossa no lymph node in pathological size and appearance was observed in the cross-section . abdomen calcified atheroma plaques are observed in the abdominal aorta and its branches . calcified atheroma plaques are observed in the aortic arch and thoracic aorta . its correlation with clinical and laboratory and its comparative evaluation with previous imaging will in the diagnosis . no features were detected in the upper abdomen sections . lung parenchyma there are millimetric nodules in both lungs . pleural effusion-thickening was not detected . when examined in the lung parenchyma window emphysematous changes and subpleural air cysts are observed in the upper lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels multiple calcific plaques are observed in the coronary arteries and stent-like appearance is observed in the rca on the right . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral are observed . bone structures in the study area are natural . abdomen thoracic aorta diameter is normal . low-density lesions of mm and mm on the left are observed in the right adrenal gland genus . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma although unilateral lesion appearance in this is not very typical for covid-19 pneumonia it was thought that this appearance could still be covid-19 pneumonia during the pandemic process . round shaped ground glass appearance and interlobular septal thickenings in ground glass appearance are observed in the central part of the left lung lower lobe superior segment . it is recommended to evaluate the patient together with laboratory findings . apart from this no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window mild linear atelectatic changes and mosaic attenuation patterns are observed in both lungs especially in the lower lobes . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . linear material is observed in the pulmonary arteries . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . the ascending aorta measures 42 mm and is wider than normal . osseous structures there are tapering in the end plates of the vertebral corpuscles . there is diffuse density reduction in bone structures . thoracic kyphosis slightly increased . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the lower lobes are almost completely atelectatic except for the superior segments . apart from these there are sometimes linear atelectasis in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . minimal emphysematous changes were observed in both lungs . there is atelectasis adjacent to the effusion in both lung lower lobes . the effusion measured 75 mm on the right at its thickest point . bilateral pleural effusion was observed . airways no occlusive pathology was detected in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . there is an appearance of a stent at the origin of the aorta . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels there are also calcifications in the tricuspid valve . pericardial thickening was not detected . as far as can be observed the heart is larger than normal . there is pericardial effusion measuring 10 mm in its thickest part . osseous structures there are osteophytes in the vertebral corpus corners . median sternotomy is observed . vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are narrowed . intervertebral disc distances are narrowed . abdomen in the process localization in the region there is a cystic measuring approximately mm in the widest part of the subcutaneous adipose tissue . there is an appearance of a stent at the origin of the aorta . no upper abdominal free fluid-collection was detected in the sections . when evaluated together with the patients surgical history the views described were primarily considered to be collections . there are atheromatous plaques in the aorta and coronary arteries . lung parenchyma it may belong to new metastatic lesions . asymmetric parenchymal infiltration areas predomitly in the form of ground glass density and areas of consolidation in both lungs were evaluated in favor of pneumonic infiltration and there is a radiological pattern compatible with covid pneumonia . pleural effusion with a diameter of 12 mm between the leaves of the right pleura and 10 mm in diameter between the leaves of the left pleura is observed . airways it caused compression in the bronchial lumens . trachea and both main bronchi appear collapsed . the was performed in expiration . mediastinum metastatic lymph nodes were observed in the supraclavicular fossa lateral to the right axilla minor muscle and in the mediastinum . calibration of the mediastinal main vascular structures is normal . heart and great vessels heart sizes are normal . osseous structures in the case with bone metastases no space-occupying lesion that can be distinguished by ct was observed in the bone structures . abdomen in the upper abdominal sections an increase in liver size and metastatic lesions in the parenchyma are observed . contrast-enhanced examination will be appropriate . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . there was no finding compatible with pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in both lungs . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are normal . at the thoracic level left-facing scoliosis was observed . abdomen as far as can be observed in the non-contrast examination liver spleen pancreas are normal . no stones were observed in both kidneys . lung parenchyma clinical laboratory correlation and close follow-up of the findings are recommended for the onset of early viral pneumonia covid-19 . when examined in the lung parenchyma window minimal nodular ground glass densities are observed in the posterobasal segments of the lower lobe of the left lung . there are mild atelectasis in the medial and lateral parts of the right lung middle lobe . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . when the upper abdominal organs included in the sections were evaluated there is an appearance with hepatosteatosis in the liver . lung parenchyma when examined in the lung parenchyma window emphysematous changes are observed in both lungs diffuse honeycomb appearance in the lower lobes of both lungs and thickness increases in the interlobular septa are observed . in addition patchy areas of consolidation are noted in the middle lobe of the right lung the lower lobe and the upper lobe of the left lung . on this background consolidation areas with air bronchogram in the left lung lower lobe laterobasal segment and upper lobe draw attention . the outlook was initially evaluated in favor of infectious processes . there is a free pleural effusion with a thickness of 21 mm on the right and 17 mm on the left . airways bilateral peribronchial thickenings are observed . no occlusive pathology was detected in the trachea and lumen of both main bronchi . trachea both main bronchi are open . mediastinum the diameter of the main pulmonary artery was 35 mm and it shows dilatation . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . there are lymph nodes measuring mm in size in the upper-lower paratracheal prevascular precarinal subcarinal area . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there is an effusion measuring 5 mm in the thickest part of the pericardium . heart sizes are slightly increased . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . the diameter of the ascending aorta is 50 mm and shows fusiform aneurysmatic dilatation . osseous structures in the thoracic vertebrae bridging spur formations are observed in the right anterolateral . it is recommended to be evaluated in terms of dish disease . no lytic-destructive lesion was detected in bone structures . there are metallic suture materials of sternotomy on the anterior thorax wall . abdomen a cortical cyst of 35 mm in diameter is observed in the upper pole of the right kidney . it is recommended to be evaluated for liver parenchymal disease . bilateral adrenal glands are normal . the liver contours are irregular in the upper abdominal sections in the examination area . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . the caudate and left lobes are slightly hypertrophied . there is minimal free fluid in the perihepatic and perisplenic space . lung parenchyma minimal effusion was observed in the fissure on the left . ground glass densities are observed in the area adjacent to the effusion in the basal segment of the lower lobe of the right lung and the appearance is nonspecific . nodular consolidation areas were observed in the right lung lower lobe basal and left lung lingular segments and the appearance was evaluated in favor of pneumonic infiltration . thickening of the interlobular and intralobar septa were observed in both lungs . no mass lesion with distinguishable borders was detected in both lungs . linear subsegmentary atelectatic changes were observed in the basal segments of both lung lower lobes . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . minimal sequela thickening was observed in the posterior costal pleura in the left hemithorax . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calcific plaques are observed in the walls of the aortic arch and coronary artery and in the descending aorta . diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen calibration of mediastinal major vascular structures is natural . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . the described findings were evaluated in favor of cardiac stasis . calcific plaques are observed in the walls of the aortic arch and coronary artery and in the descending aorta . osseous structures surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . widespread osteodegenerative changes were observed in the bone structures in the study area . fascia defect at the lower end of the sternum at the epigastric level and intraperitoneal adipose tissue with herniation to the anterior abdominal wall were observed . abdomen calcific plaques are observed in the walls of the aortic arch and coronary artery and in the descending aorta . bilateral adrenal glands were normal and no space-occupying lesion was detected . diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . there is a millimetric stone in the gallbladder lumen . lung parenchyma the appearance of the described ground glass area is not specific . emphysematous changes are present in both lungs . a ground glass area is observed in the anterior segment of the left lung upper lobe . there are millimetric nodules in both lungs . the described appearance is not one of the typical findings in covid-19 pneumonia . therefore optimal evaluation could not be made especially in terms of focal lesion . many pathologies can cause this appearance . no mass was detected in both lungs . in addition there are appearances evaluated in favor of linear atelectasis and sequelae changes in both lungs . no pleural or pericardial effusion was detected . there is bilateral minimal pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were observed . mediastinal structures cannot be evaluated optimally because contrast material is not given . aberrant right subclavian artery is observed . there are milimetric lymph nodes and lymph nodes in mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no significant difference was found between their number and size . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion or thickening was detected . a few nodules with a diameter of 4 mm are observed in the subpleural area the largest of which is in the lateral segment of the right lung middle lobe in both lungs and there was no significant difference in number and size between the examinations . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the diameter of the descending aorta was measured as 30 mm and was within the physiological upper limits . a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no significant difference was found between their number and size . there are calcific atheroma plaques in the aorta . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels calcific atheroma plaques are observed in the coronary arteries . osseous structures no lytic-destructive lesion was observed in bone structures . within the sections millimetric osteophytes in the corners of the thoracic vertebral corpus and vacuum phenomena secondary to degeneration are observed in the intervertebral disc distances . abdomen the diameter of the descending aorta was measured as 30 mm and was within the physiological upper limits . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . there are calcific atheroma plaques in the aorta . sliding type minimal hiatal hernia is observed at the esophagogastric junction . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window multilobar multisegmental central-peripheral crazy paving pattern and nodular ground glass consolidations showing signs of vascular enlargement were observed in both lungs and the appearance is compatible with covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures at this level degenerative osteophytes were observed in the vertebral corpus corners . bone structures in the study area are natural . intervertebral disc distance is reduced and the end plates facing the disc are irregular . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen inside the sections liver dimensions have increased and parenchymal density has decreased diffusely which is compatible with hepatosteatosis . millimetric calculus was observed in the gallbladder lumen . lung parenchyma when examined in the lung parenchyma window atelectatic changes are observed in the middle lobe of the right lung and the inferior lingula of the left lung upper lobe . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic-ostephoitic taperings in the anterior of the vertebral corpus endplates . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen hyperdense findings with multiple dimensions of 65 mm in the gallbladder were evaluated in favor of calcules . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . there are changes in favor of steatosis in the liver parenchyma entering the section area . lung parenchyma in the left lung upper lobe inferior lingular segment there is an area of increase in density consistent with nodular consolidation with a diameter of approximately 20 mm in which a ground-glass halo is observed in the periphery . although the outlook is not typical for covid-19 pneumonia it cannot be excluded . no mass lesions were detected in both lungs . when examined in the lung parenchyma window there are paraseptal emphysematous changes in the apex of both lungs . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node was observed in pathological size and appearance . in the mediastinum no lymph nodes were observed in pathological size and appearance in both axillary regions . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen it is recommended to be evaluated together with clinical and laboratory findings . free fluid loculated collection is not observed . as far as can be seen within the limits of non-contrast ct in the upper abdominal sections within the image a diffuse decrease in liver parenchyma density secondary to hepatosteatosis was observed . no solid mass was detected within the limits of unenhanced ct . lung parenchyma linear atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment . a few millimetric nonspecific nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . millimetric atheroma plaques are observed in the aortic arch and left coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are millimetric lymph nodes in the mediastinum and hilar regions . no pathological wall thickness increase was observed in the esophagus within the sections . sliding type hiatal hernia is observed at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . millimetric atheroma plaques are observed in the aortic arch and left coronary arteries . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no pathologically enlarged lymph node was observed . millimetric atheroma plaques are observed in the aortic arch and left coronary arteries . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass or appearance compatible with pneumonic infiltration was detected in both lungs . diffuse emphysematous changes in both lungs and localized linear atelectasis and minimal pleuroparenchymal sequelae changes were observed in both lungs . there are millimetric nonspecific nodules in both lungs . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . pericardial thickening was not detected . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen however the upper pole of the right kidney entered the sections and minimal dilatation was observed in the right kidney upper pole collecting system . there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window linear fibroatelectasis changes were observed in the left lung upper lobe lingular and lower lobe anteromediobasal segment . millimetric nonspecific parenchymal nodules were observed in both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the parenchyma of both lungs there is a mosaic attenuation pattern which is more prominent in the lower lobes . when examined in the lung parenchyma window there are areas of increased ground glass density in the lower lobe basal segments of both lungs primarily considered secondary to the dependent effect . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . there are calcified atheroma plaques on the walls of the abdominal aorta and the main vascular structures arising from the aorta but no evidence of or stenosis was detected . widespread calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in thoracic esophagus wall thickness is observed . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels as far as can be seen calibration of the vascular structures is natural . heart size increased . mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures in bone structures within the image left-facing scoliosis was observed in the thoracic vertebral column . there are degenerative changes . grade i was observed at level . no lytic-destructive lesion was observed . abdomen however it was first thought to belong to the cyst . in the upper abdominal sections within the image within the limits of non-contrast ct in both kidneys there are lesions with hypodense fluid density cortical localized and exophytic extension . no intraabdominal free fluid or loculated collection is observed . it has not been clearly characterized within the limits of unenhanced ct . there are calcified atheroma plaques on the walls of the abdominal aorta and the main vascular structures arising from the aorta but no evidence of or stenosis was detected . widespread calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . linear subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular right lung middle lobe medial and both lung lower lobe basal segments . when examined in the lung parenchyma window patchy ground glass consolidations forming a central-peripheral crazy paving pattern were observed in both lungs and the appearance is highly suspicious for covid-19 pneumonia or other viral pneumonias . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques were observed in aortic arch supraaortic branches and coronary arteries . atheroma plaques were observed in the abdominal aorta . as far as can be observed mediastinal main vascular structures heart contour size are normal . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in aortic arch supraaortic branches and coronary arteries . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . vertebral corpus heights are preserved . abdomen a lesion area with 2 cm diameter nodular fluid density was observed in the middle part of the left kidney cyst . chronic sequelae changes were observed in the left kidney parenchyma . intra-abdominal free fluid-loculated fluid was not detected and no lymph node was detected in intra-abdominal and bilateral inguinal pathological dimensions and appearance . calcific atheroma plaques were observed in aortic arch supraaortic branches and coronary arteries . atheroma plaques were observed in the abdominal aorta . two millimetric calculi images were observed in the upper and middle part of the left kidney . as far as can be seen in the sections the right kidney is normal . lung parenchyma there are nodules in both lungs many of which are calcific . emphysematous changes were observed in both lungs . in addition there are linear density increases evaluated in favor of pleuroparenchymal sequelae changes in the upper lobes of both lungs especially in the right lung . no mass was detected in both lungs . minimal ground-glass appearances and cystic changes and linear density increases were observed in ground-glass appearances more prominently in the peripheral regions of both lungs . when the patients medical history was examined it was learned that he had covid-19 pneumonia and the described findings were primarily evaluated in favor of sequelae changes . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are lymph nodes in the mediastinum and hilar regions the largest measuring 10 mm in short diameter . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the coronary arteries . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma the outlook is consistent with covid-19 pneumonia . when examined in the lung parenchyma window multilobar multisegmental central-peripheral localized crazy paving pattern and patchy-nodular ground glass consolidations showing signs of vascular enlargement were observed in both lungs . mass lesion with distinguishable borders in both lungs no active infiltration was detected . consolidations are accompanied by linear atelectatic sequelae changes . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum calibration of other mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window emphysematous changes are observed in both lungs . a 6 mm diameter faint ground glass nodule is observed at the central level in the upper lobe of the right lung . one or two nonspecific nodules with a diameter of 2 mm are observed in the left lung laterobasal segment . in the right lung nodules with a diameter of 3 mm at the apical level in the upper lobe 4 mm in diameter in the anterior segment lateral subpleural area 4 mm in diameter in the lower lobe laterobasal segment and 3 mm in diameter superposed to the major fissure on the right are observed . no significant pleural effusion or pneumothorax was detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes are observed in the bone structures entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window diffuse patchy mild ground glass densities atelectasis in both lungs slight thickening of the walls of the bronchial structures in the right lung are observed . there are reticular opacities and thickening of the septal structures especially in the posterobasal segments . the findings were primarily evaluated in favor of and clinical laboratory correlation is recommended for differential diagnosis due to the current covid-19 viral pneumonia . airways when examined in the lung parenchyma window diffuse patchy mild ground glass densities atelectasis in both lungs slight thickening of the walls of the bronchial structures in the right lung are observed . trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles in the bone structures within the study area . no height loss was found in the vertebral corpuscles . abdomen upper abdominal organs are partially included in the examination and were evaluated as suboptimal . calcific atheroma plaques are observed in the aortic arch . lung parenchyma no mass nodule or infiltration was detected in both lungs . the outlook is atypical for covid-19 pneumonia . when examined in the lung parenchyma window mosaic pattern was observed in both lungs small airway disease small vessel disease . pleuroparenchymal sequelae density increases were observed in the left lung inferior segment . focal ground glass density increase was observed in the anterior segment of the right lung upper lobe . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . short lymph nodes smaller than 7 mm were observed in the mediastinal upper-lower paratracheal subcarinal area . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . as far as can be seen heart size increased . there are post-operative changes in the pericardium . osseous structures there are metallic suture materials belonging to sternotomy in the sternum . degenerative changes were observed in bone structures . partial compression is present in the t12 vertebra causing significant height loss . no significant retropulsion was detected . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma density increases and minimal effusion structural distortion which are evaluated in favor of pleuroparenchymal sequelae changes are observed in both lung apexes . minimal bronchiectasis and minimal peribronchial thickening are observed in both lungs especially in the lower lobes especially in the central parts . both lungs have millimetric nonspecific nodules some of which are calcific . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . the diameters of the pulmonary arteries are normal . the diameters of the aortic arch and descending aorta are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are no pathologically enlarged lymph nodes in the sections . no pathologically enlarged lymph node was detected . there are calcific atheromatous plaques in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . the anterior posterior diameter of the ascending aorta was 42 mm and was wider than normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . no fracture was observed . abdomen the diameters of the aortic arch and descending aorta are normal . the lesions described are of fluid density and were primarily thought to belong to cysts . no upper abdominal free fluid-collection was detected in the sections . there are hypodense lesions in the right kidney that cannot be characterized because contrast agent is not given . there are millimetric stones in the gallbladder . it is recommended to be evaluated together with previous examinations . there are calcific atheromatous plaques in the aorta and coronary arteries . lung parenchyma pleuroparenchymal sequelae density increases were observed in both lung parenchyma . no mass-infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window in both lung parenchyma central bronchiectatic changes were observed . several nonspecific parenchymal nodules were observed in both lung parenchyma the largest of which was 4 mm in diameter in the upper lobe of the left lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in pathological size and appearance . lymph nodes with a short axis smaller than 1 cm were observed in the window and subcarinal area in the upper-lower paratracheal area . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the study area 11 mm diameter calculi was observed in the middle zone of the left kidney . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . pleural effusion - no thickening was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma densities compatible with pleuroparenchymal sequelae are observed in the inferior lingular segment of the left lung . in the left lung there is a faint and focal ground-glass-like density increase in the upper lobe anterior segment caudal . both lung mosaic attenuation patterns are present small airway disease small vessel disease . subpleural densities are observed in both lungs which may be compatible with the dependent vascular density in the lower lobe superior segments . airways when examined in the lung parenchyma window calibration of trachea and main bronchi is normal and their lumens are clear . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures mild degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the upper abdominal organs including sections a decrease in density consistent with steatosis is observed in the liver . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . the described appearance was first evaluated in favor of sequelae change . follow-up is recommended . when both lung parenchyma windows are evaluated in the upper lobe of the right lung parenchymal density increases and areas of bronchiectasis were observed which were primarily considered compatible with sequelae causing structural distortion and volume loss . bilateral pleural thickening-effusion was not detected . the largest of the nodules was measured 4 mm in diameter at subpleural localization in the middle lobe of the right lung . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . bilateral mild peribronchial thickenings were observed . mediastinum no lymph node was detected in pathological size and appearance in the non-contrast examination limits . calcified millimetric lymph nodes with a short axis smaller than 1 cm were observed in the right upper-lower paratracheal area . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels pericardial effusion-thickening was not detected . heart contour and size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in the previous examination of the patient the consolidation areas in the lower lobe of the right lung and the middle part of the right lung upper lobe did not significantly increase but the centracinar ground glass opacities in the other parts of the lung increased significantly . airways tracheostomy cannula is observed . trachea is slightly dilated . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures lytic lesions are observed in the lumbar vertebrae . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen edema is observed in the subcutaneous fatty tissue of the abdomen . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook includes typical-probable signs of covid-19 pneumonia . when examined in the lung parenchyma window in both lungs there are ground-glass density increases in the upper and lower lobes prominent in the lower lobes and septal thickenings that tend to coalesce in the lower lobes . other viral pneumonias can be considered in the differential diagnosis . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . multiple lymph nodes measuring 11 mm in diameter were observed in the upper-lower paratracheal prevascular aorticopulmonary window and subcarinal area the largest of which was located in the subcarinal region . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . osseous structures mild degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the study area the liver parenchyma density decreased diffusely in line with the adiposity . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . there are millimetric atheroma plaques in the left anterior descending coronary artery and aortic arch . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there are millimetric atheroma plaques in the left anterior descending coronary artery and aortic arch . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen the lesion could not be characterized as no contrast agent was given . there is a hypodense lesion measuring approximately 35 mm in diameter in the anterior segment of the liver right lobe at the junction of segments . there are millimetric atheroma plaques in the left anterior descending coronary artery and aortic arch . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mild nodular patchy ground glass densities are observed in both lung lower lobe basal segments . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . there is a small hiatal hernia . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . changes in favor of steatosis are observed in the liver parenchyma . lung parenchyma segmental pneumonic infiltration area in the form of consolidation and ground glass density is observed in the basal segment of the lower lobe of the right lung . there is a nonspecific pulmonary nodule with a diameter of 5 mm in the superior segment of the lower lobe of the right lung . early infectious parenchymal findings in the form of a ground glass nodule are observed in the upper lobe lingula superior segment of the left lung . radiological findings were evaluated primarily in favor of lung parenchymal involvement of covid infection in the first degree case with covid . airways is observed in the accompanying segment bronchi . mediastinum there are right upper paratracheal bilateral lower paratracheal subcarinal and right peribronchial mediastinal enlarged lymph nodes in the mediastinum . calibrations of mediastinal major vascular structures are natural . its shortest diameter was measured 19 mm the largest of which was in the right peribronchial area . heart and great vessels pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections there is a hypodense lesion that cannot be characterized due to its small size of 8 mm in segment 2 localization of the liver . lung parenchyma linear subsegmental atelectatic changes were observed in the right lung middle lobe left lung upper lobe inferior lingular and both lung lower lobe basal segments . it may be compatible with covid-19 pneumonia during the resolution period . appearance is nonspecific . slight ground glass opacities were observed in both lungs which formed a peripherally located crazy paving pattern . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures at the thoracic level left-facing scoliosis was observed . degenerative changes were observed in the bone structure . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen on non-contrast sections the upper abdominal organs are normal . it is recommended to be evaluated together with clinical and laboratory . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequela parenchymal changes are observed in both lung lower lobe posterobasal segment left lung inferior lingular segment right lung middle lobe medial segment . both lungs have a mosaic attenuation pattern small airway disease small vessel disease . when examined in the lung parenchyma window in the anterior segment of the left lung upper lobe a well-defined nonspecific nodule of 65 mm is observed . there are smooth septal thickness increases observed more prominently in the lower lobes of both lungs and were primarily evaluated as secondary to cardiac stasis . in the bilateral pleural space free effusion is observed up to 40 mm in the deepest part on the right and up to 45 mm in the deepest part on the left . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . no pathologically enlarged lymph nodes were detected in both axillary regions and mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion was not detected . an increase in heart size is observed . the ascending aorta is wider than normal with an ap diameter of 41 mm and a pulmonary conus 36 mm . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . there is an increase in thoracic kyphosis and osteophytic degenerative changes that tend to coalesce at the vertebral corpus corners . abdomen there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . no solid mass was detected in the upper abdominal organs included in the sections as far as can be observed within the limits of non-contrast ct . lung parenchyma there are several millimetric nonspecific nodules in both lungs . bronchiectasis is observed in the anterior segment of the right lung upper lobe . no mass that can be evaluated in favor of pneumonic infiltration in both lungs or with distinguishable margins was detected . further investigation is recommended . pleuroparenchymal sequelae changes were observed at the apex of both lungs . no pleural or pericardial effusion was detected . airways trachea and both main bronchi are open . in this localization an appearance of soft tissue density is observed around the upper lobe anterior segment bronchus . there is minimal luminal narrowing in the described bronchus . however this appearance could not be characterized . no occlusive pathology was detected in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . abdomen no intraabdominal free fluid-collection or pathologically enlarged lymph nodes were detected . lung parenchyma a nonspecific ground-glass nodule with a diameter of 4 mm was observed in the posterobasal segment of the lower lobe of the right lung . cystic bronchiectasis foci are observed in the anterior segment of the right lung upper lobe . air trapping areas are observed in the parenchyma . parenchymal air trapping areas secondary to small airway involvement are observed in the lower lobe basal segments . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . when examined in the lung parenchyma window tubular bronchiectasis foci are present in the upper lobe of the right lung . in both lungs there are a few focal nodular density increases with diameters less than 5 mm that do not give mass contours . airways there are bronchial wall thickness increases in segmental bronchi in both lungs . mediastinum there are calcified atheroma plaques in the abdominal and thoracic aorta . no lymph node in pathological size and appearance was observed in the mediastinum . siliding type hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there are calcified atheroma plaques in the coronary arteries . heart size increased . pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are calcified atheroma plaques in the abdominal and thoracic aorta . in the upper abdominal sections lobulation and occasionally focal parenchymal thinning areas are observed in both kidney contours . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window in the right lung middle lobe medial and left lung lower lobe laterobasal segment millimetric nonspecific nodules were observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen accessory spleen with a diameter of 1 cm was observed adjacent to the spleen hilus . bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen in the sections the upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . in the right bilateral lower lobe segment bronchi secretions and mucus plugs causing filling defects are observed . airways there is an increase in bronchiectatic diameter and an increase in wall thickness in segment bronchi in both lungs . tracheomegaly is present . the diameters of both main and lobar bronchi have increased . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . foreign body material with metallic artifact was observed at the level of the left third rib . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is atelectatic change or another area of consolidation in the right lung lower lobe superior . when examined in the lung parenchyma window a ground glass density area measuring up to 29 mm is observed in the apicoposterior of the upper lobe of the right lung . the finding is considered new . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a density change in favor of hepatosteatosis is observed in the liver entering the cross-sectional area . bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . thoracic aorta diameter is normal . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . as far as it can be observed secondary to motion artifacts centriacinar emphysematous changes were observed in the upper lobes of both lungs . subsegmental atelectatic changes were observed in the right lung middle lobe left lung upper lobe inferior lingular and both lung lower lobe basal segments . sequelae thickening was observed in the bilateral posterior costal pleura . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . atherosclerotic wall calcifications were observed in the thoracic aorta its supraaortic branches and coronary arteries . calibration of pulmonary arteries is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the anterior-posterior diameter of the ascending aorta was 35 mm and the anterior-posterior diameter of the descending aorta was 30 mm . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures bone structures in the study area are natural . as far as can be observed surgical suture materials secondary to previous bypass surgery were observed in the anterior mediastinum of the sternum . vertebral corpus heights are preserved . abdomen atherosclerotic wall calcifications were observed in the thoracic aorta its supraaortic branches and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . a nodular lesion with 55 cm diameter and fluid density was observed in the upper pole of the left kidney cyst . in the gallbladder an increase in density was observed in the plastering style and it was evaluated together with us in terms of . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . the anterior-posterior diameter of the ascending aorta was 35 mm and the anterior-posterior diameter of the descending aorta was 30 mm . lung parenchyma no suspicious mass or nodular space-occupying lesion was observed . areas of subpleural ground glass density in both lung lower lobe basal segments were evaluated in favor of dependent atelectasis and no areas of pneumonic infiltration or consolidation were detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window azygos fissure variation was observed in the upper lobe of the right lung . nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs . apart from this no mass lesion with distinguishable borders was detected in both lungs . nodular ground glass densities were observed in the central and peripheral interstitium of both lungs and the appearance is highly suspicious for covid-19 pneumonia . it is recommended to be evaluated together with clinical and laboratory . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed the diameter of the ascending aorta is 41 mm which is wider than normal . heart contour size is normal . osseous structures mild degenerative changes were observed in the bone structures in the study area . abdomen contours of the liver are lobulated as far as can be seen on non-contrast sections . both adrenal glands both kidneys and pancreas are normal . the spleen measured mm in its long axis and is above normal . the outlook is compatible with chronic parenchymal disease . further examination with mri is recommended . a hypodense lesion area of 12 mm in diameter was observed at the level of the liver dome and could not be characterized in the non-contrast examination . the diameter of the portal vein was 15 mm at its widest point and the diameter of the splenic vein was 11 mm at its widest point portal hypertension . lung parenchyma no nodular lesions were detected in both lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window in the lungs there are subpleural weighted ground glass densities which are more prominent in the lower lobe and posterobasal areas and slight consolidations especially in the lower lobes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are lymph nodes with a short axis not exceeding 1 cm in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peripheral weighted ground glass densities are present in both lung parenchyma . minimal pleural effusion is observed on the right and there is minimal consolidation adjacent to it . airways trachea both main bronchi are open . mediastinum there are lymph nodes with a short axis not exceeding 1 cm in the mediastinum . other mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the coronary arteries . the ascending aorta is slightly ectatic 37 mm . minimal thickening is observed in the pericardium . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the spleen measured mm . in the upper abdominal organs included in the sections there are millimetric stone densities in the gallbladder . lung parenchyma density reduction consistent with emphysema is observed in both lungs . pleural effusion-thickening was not detected . airways lumens are clear . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window centrilobular emphysematous changes are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs are partially included in the examination and were evaluated as suboptimal . lung parenchyma there are atelectatic changes at the basal level of the lower lobe of the right lung . there are thickenings of the interlobular septa especially centriacinar ground glass densities at the apical levels . the findings were evaluated in favor of the first plan small airway disease small vessel disease . clinical laboratory correlation is recommended for differential diagnosis of suspected infectious processes . when examined in the lung parenchyma window mild mosaic attenuation patterns are observed in both lungs especially in the lower lobes . airways trachea both main bronchi are open . mediastinum there is a fuller appearance at the level of the renal hiluses in the paraaortic area and in soft tissue density which enters the images partially . thoracic aorta diameter is normal . more than one lymph node in the mediastinum the largest of which is 10 mm in short axis is observed in the aorticopulmonary window . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is a fuller appearance at the level of the renal hiluses in the paraaortic area and in soft tissue density which enters the images partially . both kidneys are atrophic . in case of doubt further examination upper abdomen ct or mri is recommended . conglomerate lymph node or space-occupying lesion kidney cannot be made within the limits of the non-contrast examination . there are free fluid in the perihepatic and perisplenic areas in the upper abdomen mild edematous appearances in the fatty planes and millimetric nodular formations . there is a partially observed double catheter in the left kidney . thoracic aorta diameter is normal . lung parenchyma nonspecific nodules measuring mm are observed in both lung parenchyma the largest of which is superposed to the major fissure on the left . in the current examination it is observed that a 32 mm nodule in the right lung upper lobe anterior segment and 3 mm in size peripherally located in the anterior segment of the right lung . when the lung parenchyma window is examined there are emphysematous changes in both lungs . active infiltration was not detected in both lung parenchyma . pericardial pleural effusion is not observed . airways no relevant findings . mediastinum mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures the contour and size of the heart are natural . calcified atheroma plaques are observed in the wall of the coronary artery aortic arch and descending aorta . there are no lymph nodes in pathological size and appearance in mediastinal lymph node stations and the bilateral hilus examination could not be evaluated optimally because of the lack of contrast . there are calcified atheroma plaques in the abdominal aortic wall . heart and great vessels mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures the contour and size of the heart are natural . calcified atheroma plaques are observed in the wall of the coronary artery aortic arch and descending aorta . osseous structures no lytic-destructive lesion is observed in the bone structures within the image and degenerative changes are present . a schmorl nodule is observed in the superior end plateau of the posterior l1 vertebra corpus . abdomen a nodular lesion of mm fat density is observed in the left adrenal gland and it was evaluated in favor of adenoma stable . calcified atheroma plaques are observed in the wall of the coronary artery aortic arch and descending aorta . apart from this no solid mass was detected in the abdominal sections within the image as far as it can be observed within the limits of non-contrast ct . there are calcified atheroma plaques in the abdominal aortic wall . lung parenchyma a calcified nonspecific parenchymal nodule with a diameter of 2 mm is observed in the lower lobe of the left lung . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures in the supraclavicular fossa no lymph nodes were detected in pathological size and appearance in both axillary regions . no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma a few millimetric stable nonspecific nodules were observed in the right lung . focal ground-glass density was observed in the anterobasal segment of the lower lobe of the right lung . the appearance was also present in the previous examination and no difference was detected . there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . in the previous examination this level of light ground glass density was observed . however its density has increased in the current review . the appearance may be compatible with viral infections involving the interstitium . when examined in the lung parenchyma window in the right lung lower lobe laterobasal segment volume loss and linear density increases were observed which may be compatible with sequelae atelectasis . there is minimal effusion in the pericardial and bilateral pleural space . pericardial-pleural thickening was not detected . airways trachea and both main bronchi are in the midline and no obstructive pathology was detected in the lumen . mediastinum mediastinal main vascular structures appear normal . central venous catheter is seen on the right . mediastinal structures cannot be evaluated optimally because no contrast material is given . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the catheter terminates at the superior-right atrium junction of the vena cava . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were observed in bone structures . periosteal reaction was not detected . abdomen it is recommended to be evaluated together with clinical and laboratory . no lymph nodes in pathological dimensions were observed . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window both hemithorax are symmetrical . pleural effusion-thickening was not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a nodular lesion compatible with the millimetric accessory spleen is observed in the spleen hilum . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are nodules in both lungs some of which are irregularly circumscribed but less numerous on the right and they were found to be metastases . no mass or infiltrative lesion was detected in both lungs . there are appearances evaluated primarily in favor of atelectasis in the upper and lower lobes of the left lung the middle lobe of the right lung and the lower lobe of the right lung . however some have minimal increases in size . the largest of the described metastatic lesions are observed in the superior segment of the right lung lower lobe measuring 19 mm and 14 mm at their widest points respectively . there is bilateral minimal pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . the port chamber is visible on the right and the port catheter terminates at the superior vena cava-right atrium junction . no pathologically enlarged lymph nodes were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures no fractures or lytic-destructive lesions were observed in the bone structures within the sections . abdomen there are hypodense lesions in the liver especially in the right lobe and it was understood that they were metastases when evaluated together with the patients previous examinations . no upper abdominal free fluid-collection was detected in the sections . the described metastatic lesions cannot be evaluated clearly because contrast material is not given . lung parenchyma findings are consistent with viral pneumonia covid-19 pneumonia . no mass infiltrative lesion was detected in both lungs . a 3 mm diameter calcific nodule is observed in the right lung lower lobe superior segment . in both lungs there are nodular ground-glass areas that are more widespread scattered locally confluent and consolidated in the lower lobes . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum lymph nodes with a diameter of 7 mm are observed in the prevascular pre-paratracheal and subcarinal areas the largest in the right paratracheal area . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because no contrast material is given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . calcific atheroma plaques are observed in the coronary arteries . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen a hyperdense stone with a diameter of 45 mm is observed in the gallbladder . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma patchy large areas of consolidation with ground glass areas were observed accompanied by diffuse linear subsegmental atelectasis changes located centrally and peripherally in both lungs and the appearance is highly suspicious for covid-19 pneumonia . when examined in the lung parenchyma window azygos fissure variation was observed in the upper lobe of the right lung . no mass lesion with delineated borders was detected in both lungs . airways trachea both main bronchi are open . mediastinum the examination was considered suboptimal since no contrast agent was given . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the examination was considered suboptimal since no contrast agent was given . as far as can be seen mediastinal main vascular structures heart contour size are normal . pericardial effusion-thickening was not observed . osseous structures hemangioma focus was observed in l1 vertebral body . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a band atelectatic change was observed in the anterior segment of the right lung upper lobe . millimetric nonspecific parenchymal nodules were observed in both lungs . emphysematous changes were observed in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum mediastinal structures could not be evaluated optimally in the non-contrast examination . pulmonary lymph nodes with millimetric short axis less than 1 cm were observed on the major fissure and minor fissure on the right . as far as can be observed mediastinal main vascular structures heart contour size is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . an accessory spleen with a diameter of 15 cm was observed on the anterior surface of the spleen . both adrenal glands both kidneys spleen and pancreas are normal . a 3 cm diameter calculus was observed in the gallbladder lumen . no intraabdominal free-loculated fluid was detected . as far as can be observed in the sections the liver parenchyma density is diffusely decreased which is compatible with fatty deposits . lung parenchyma no mass or infiltrative lesion was observed in both lungs . there are several millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window a few millimetric nonspecific parenchymal nodules were observed in both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . calcified atheroma plaques were observed in lad . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window segmentary tubular bronchiectasis was observed in both lungs . paraseptal emphysematous changes and increases in pleuroparenchymal sequelae density were observed in both lung apical segments . mild passive atelectatic changes were observed in the left lung inferior lingular segment and right lung middle lobe medial segment . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no lymph node was observed in the mediastinum and in both axillae in pathological size and appearance . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are stents in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the liver spleen both kidneys and right adrenal glands are normal as far as can be seen on non-contrast images . thickening was observed in the medial crus of the left adrenal gland . lung parenchyma when examined in the lung parenchyma window there are minimal sequela fibrotic changes in the upper lobes of both lung parenchyma . millimetric nonspecific nodules were observed in both lungs . in addition minimal emphysematous appearance is observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window pleuroparenchymal sequelae changes were observed in the right lung middle lobe medial left lung upper lobe inferior lingular and right lung lower lobe posterobasal segment . no mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the right adrenal gland lodge was normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . thickening was observed in the left adrenal gland . lung parenchyma when examined in the lung parenchyma window a 4 mm nonspecific nodule is observed in the posterobasal segment of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pleural effusion-thickening was not detected . airways thickening of the bronchial walls in the central and sequela fibrotic changes in both lungs are observed . trachea both main bronchi are open . mediastinum there are lymph nodes with a short axis not exceeding 1 cm in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . at the level of the left ventricular apex calcifications in the form of are observed in the of . mediastinal main vascular structures heart contour size are normal . calcifications in the coronary arteries and appearances that may be compatible with the stent are observed . the ascending aorta is slightly ectatic 38 mm . osseous structures changes related to sternotomy are observed . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen within the sections there is a millimetric stone density in the middle part of the right kidney . lung parenchyma there are several millimetric nonspecific nodules in the right lung . no mass or infiltrative lesion was detected in both lungs . there are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . atheroma plaques are present in the aorta and coronary arteries . there are no enlarged lymph nodes in pathological dimensions . mediastinal structures could not be evaluated optimally because no contrast agent was given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are present in the aorta and coronary arteries . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen atheroma plaques are present in the aorta and coronary arteries . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . in the liver parenchyma density a decrease in density is observed which is compatible with moderate and severe adiposity . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window subsegmental atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen millimetric calculus images were observed in the gallbladder lumen as far as can be seen in the sections . bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma nonspecific millimetric parenchymal nodules were observed in both lungs . atelectatic changes were observed in the right lung middle lobe and lower lobe anterobasal segment . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window in both lungs patchy ground glass consolidations forming a more common central-peripheral crazy paving pattern were observed in the lower lobes and the appearance is highly suspicious for covid-19 pneumonia . it is recommended to be evaluated together with clinical and laboratory . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window emphysematous changes which are more prominent in the upper lobes of both lungs are observed . pleural effusion-thickening was not detected . stable pulmonary nodules are observed in both lungs the largest of which is 5 mm in diameter located subpleural in the right lung lower lobe superior segment when evaluated together with several previous examinations in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window sequelae fibrotic changes are observed in the upper lobe apex of both lungs posterior right lower lobe and left lower laterobasal . apart from this no nodular or infiltrative lesion was detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window multilobar peripherally located nodular-patchy ground glass consolidations forming a crazy paving pattern were observed in both lungs and the appearance is highly suspicious for covid-19 pneumonia . no mass lesion with discernible borders was detected in both lungs . it is recommended to be evaluated together with the clinical laboratory . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of mediastinal main vascular structures as far as can be observed is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart sizes are slightly increased . a small amount of effusion was observed in the pericardial space . osseous structures hemangioma was observed in the d7 vertebral body . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no nodular or infiltrative lesion was detected in both lung parenchyma . pericardial-pleural thickening or effusion is not observed . when examined in the lung parenchyma window minimal ground glass density was observed in the subpleural area in the medial segment of the right lung middle lobe . airways trachea both mediastinal main vascular structures heart contour size are normal . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . trachea both mediastinal main vascular structures heart contour size are normal . heart and great vessels trachea both mediastinal main vascular structures heart contour size are normal . osseous structures when the bone is examined in the window right-weighted syndesmophytes are observed in the thoracic vertebral column with an increase in thoracic kyphosis . no lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax . abdomen in the upper abdominal organs entering the examination area there is a decrease in density compatible with diffuse fat in the liver . both adrenal glands are normal . no free or loculated fluid was observed in the abdomen . the gallbladder is normal . contour size and parenchymal density of liver spleen and pancreas are normal . lung parenchyma consolidation area was observed in the superior segment of the left lung lower lobe and again no significant change was detected . millimetric-sized parenchymal stable nodules are observed in the consolidation neighborhood . according to the previous examination stable soft tissue density is observed in the left lung lingular segment approximately 15x11 mm in size without calcification . no newly emerged nodule-infiltration area was detected in the current examination . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the lumen . trachea and main bronchi are open . mediastinum there was no significant change in the size and number of lymph nodes in the previous examination . there are some calcified lymph nodes with a millimetric size with a mediastinal short axis smaller than 5 mm . as far as can be seen on the right the image of the catheter extending to the superior vena cava is seen on the anterior chest wall . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels pericardial thickening-effusion was not detected . heart contour and size are natural . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs included in the examination area have a natural appearance . lung parenchyma in lung parenchyma evaluation a ground glass nodule with a diameter of 9 mm was observed in the upper lobe of the right lung . it is non-specific it will be appropriate to follow up . airways no relevant findings . mediastinum no lymph node in pathological pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no space-occupying lesion was detected in a massive structure . in the upper abdominal sections there is a nodular lesion compatible with an 8 mm diameter adenoma in the right adrenal gland . no features of other upper abdominal organs were detected including the section . lung parenchyma no pneumonia was detected . a peripheral subpleural localized 19 mm diameter nodule is observed in the posterior segment of the right lung upper lobe it is a nodule with a maligt pathological diagnosis . the pleural effusion observed in the previous examination has completely disappeared . airways the trachea and air passages of both main bronchi lobar and segmental bronchi are open . mediastinum nonspecific mediastinal lymph nodes with short diameters less than 1 cm located in the paraaortic right upper paratracheal and peribronchial mediastinum were observed . heart and great vessels heart size increased . pericardial effusion was not detected . a short stent is observed in lad . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . abdomen no space-occupying lesions were observed in the adrenal tracts . in the upper abdomen sections no feature was detected within the section . sleeve gastrectomy was performed . lung parenchyma although both main bronchi calibrations are normal diffuse mild luminal narrowing is observed especially in the upper lobes in lobar bronchus calibrations . volume loss is not observed in the parenchyma areas of ground glass density in the upper lobes . two non-specific nodular lesions with a diameter of 6 mm were observed in the lower lobe of the left lung . in the differential diagnosis of mosaic attenuation observed in the lower lobes it is recommended to evaluate it in terms of pathologies that cause airway involvement such as . it is recommended to rule out atypical pneumonic infections . therefore the diagnosis of is included in the differential diagnosis of alveolar hemorrhage in the present case . mosaic atteniation is present in both lung parenchyma . no pleural effusion was detected . airways no relevant findings . mediastinum there are nonspecific lymph nodes located in the right upper and lower paratracheal and subcarinal mediastinum . it is recommended to be examined for pulmonary hypertension . the patients pulmonary trunk diameter is observed clearly with 35 mm . its short diameter was 13 mm the largest of which was located in the lower right paratracheal location . calcified atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta and abdominal aorta . heart and great vessels heart size increased . calcified atherosclerotic plaques are observed in the coronary arteries . metallic mitral valve replacement is available . pericardial effusion was not detected . diameter increase is observed . osseous structures significant osteoporosis is observed in bone structures . abdomen it is in favor of chronic liver parenchymal disease . in segment 6 localization a hypodense area with a diameter of 24 mm is observed . exclusion of possible space-occupying mass would be appropriate . calcified atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta and abdominal aorta . there is lobulation and thinning of parenchyma thickness in both kidney contours . in upper abdominal sections there is microlobulation in the liver contour . lung parenchyma the largest measured mm mm in the previous examination in the posterobasal segment of the lower lobe of the right lung and extends to the extrapleural space . in addition there is another pleural plaque adjacent to the mediobasal segment of the lower lobe of the left lung . when examined in the lung parenchyma window pleural plaques were observed in both lung lower lobe posterobasal left lung lower lobe diaphragmatic and upper lobe superior lingular segments . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . a siliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels focal pericardial effusion was observed in the anterior neighborhood of the right ventricle . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . pericardial effusion-thickening was not observed . osseous structures in the right anterior neighborhood of the manubrium sterni in the lateral neighborhood of the right 6th and 7th ribs in the anterolateral neighborhood of the left 3rd rib well-circumscribed mass lesions measuring mm in size mm in the previous examination were observed in the intercostal muscle planes at the level of the right ribs and were evaluated in favor of the implant . height losses and surgical filling materials were observed in vertebral bodies . in addition there is a loss of height in the t6 vertebra superior end plate . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a mass lesion of 13x8 . upper abdominal organs included in the sections are normal . millimetric calculus was observed in the gallbladder lumen . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma reactive airway secondary to small airway involvement was evaluated in the present case with a diagnosis of this pattern . in lung parenchyma evaluation there are bronchial wall thickness increases in segment bronchi in the lung parenchyma . areas of increased parenchymal aeration are observed towards the lower lobes . parenchymal coarse calcification foci in the lung parenchyma favor the sequelae of previous granulomatous infection . sequelae were evaluated in favor of change . it was thought that the parenchyma areas in the ground glass density may belong to the collapsed parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . no pneumonic consolidation area was detected in the lung parenchyma that can be distinguished by this examination . pleuroparenchymal density increases are observed in the apical segment of the right lung upper lobe . airways no relevant findings . mediastinum calibrations of mediastinal major vascular structures are natural . widespread varicose venous structures are observed . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in the bone structures . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . abdomen similar appearance is also observed in segment 2 localization . spleen size slightly increased . no space-occupying lesion was detected in the liver parenchyma within the non-contrast ct limits . there are solid nodular lesions partially in with the liver parenchyma adjacent to segment 4a superior . paraesophageal varicose veins are observed in upper abdominal sections . significant regression in the dimensions of the left lobe of the liver microlobulation in its contour is consistent with chronic liver parenchymal disease . the umbilical vein is . there is an increase in peritoneal thickness in the abdomen and slight contamination in oily planes . it may belong to the atrophic parenchyma . calculus images with a leveling of less than 5 mm in diameter are observed in its lumen . the gallbladder appears distended . it will be appropriate to examine the patient with upper abdomen mri for the liver parenchyma . lung parenchyma in the evaluation made in the lung parenchyma window a nonspecific nodule of 4 mm in diameter was observed in the anterolateral segment of the lower lobe of the left lung . in addition there is a 6 mm diameter semisolid nodule in the superior lingular segment of the left lung upper lobe and follow-up is recommended . no active infiltration or mass lesion was detected . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour size are natural . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image no solid mass was detected . no lymph node was detected in pathological size and appearance . intraabdominal free liqu- ulated collection is not observed . lung parenchyma it is recommended that the patient be evaluated and followed up with previous examinations if any . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . there is a slightly irregularly circumscribed nodule of approximately mm in the superior segment of the left lung lower lobe series 2 section . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is accompanied by atelectasis in the superior part of the lower lobe of the left lung . in the evaluation of both lung parenchyma in the previous examination the size of the alveolar consolidation area in which multiple millimetric cavities are observed in the left lung lower lobe and lingular segment is stable and a significant increase in the size of the cavities is observed . apart from this multiple consolidation areas in the form of patches are observed in the upper lobes of both lungs more prominently in the middle lobe of the right lung and in the lingular segment of the left lung . apart from this no change was detected . patchy consolidation areas are observed in the upper lobes of both lungs more prominent in the middle and lower lobe superior segment of the right lung and in the lingular segment of the left lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum apart from this right upper-lower paratracheal aortopulmonary lymph nodes are observed and their narrow diameters are less than 1 cm . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no nodular lesions were detected in both lung parenchyma . when examined in the lung parenchyma window locally emphysematous changes are observed in the parenchyma . although the appearance is not typical for covid-19 pneumonia covid-19 pneumonia is also included in the differential diagnosis . in the apical segment of the upper lobe of the right lung and in the anterior segment areas of consolidation-ground glass density including air bronchograms extending to the pleural-based peribronchovascular area are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window patchy ground glass densities halo signs crazy paving pattern consolidation areas are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . clinical and laboratory correlation follow-up recommended upper abdominal organs included in the sections are natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no significant consolidation area was detected in both lungs . no pathological size and configuration lymph nodes were detected at both hilar levels . again in the right lung there is a smear-like effusion at the base which was not observed in the previous examination . density increases consistent with pleuroparenchymal sequelae are observed in the inferior lingular segment of the left lung . in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchus is natural . it is recommended to evaluate the case with clinical and laboratory findings in terms of infective processes . there are sequelae changes at both axillary levels . in the right lung the upper lobe posterior segment and basal level the left lung upper lobe caudal in the perihilar area and the lingular segment bud branch views are observed in the previous examination . density increases that do not give a clear contour are observed in the subpleural area at the posterobasal level in both lungs and at the mediobasal level in the right lung . airways peribronchial sheath thickening is observed at the central and lingular levels . in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchus is natural . mediastinum catheter appearance is observed in the superior vena cava . calibration of the main mediastinal vascular structures is normal . no lymph node was detected in the mediastinum in pathological size and configuration . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures widespread heterogeneity lytic lesions and trabecular are observed in the bone marrow consistent with multiple myeloma involvement . abdomen in the anterior of the spleen a well-circumscribed nodular formation approximately 16x13 mm in size compatible with the accessory spleen is observed . lung parenchyma however infection could not be ruled out . there are milimetric parenchymal nodules in miliary pattern in both lungs . when examined in the lung parenchyma window in the upper and middle zones of both lungs frosted glass appearances containing intense air bronchograms peribronchial thickenings appearances septal prominence were observed especially in the upper and middle zones . some of the nodules show calcifications . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum in the current examination lymphadenopathies with an increase in size and number were observed in the mediastinal prevascular area aortopulmonary window paratracheal area and bilateral hilar region with a short diameter reaching 15 mm in diameter . in the previous examination its short diameter reaches 85 mm . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . the port chamber is observed in the right hemithorax and the port catheter terminates in the superior vena cava . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures multiple sclerotic lesions are present in the bone structures within the study area . no lymph node reaching pathological size was detected in the bilateral supraclavicular region . metastasis . similarly multiple mass nodule lesions are present in several hypodense sternum as well as in other vertebrae . in addition a lesion causing hypodense vertebral collapse was observed in the t3 vertebral body . abdomen multiple hypodense lesions were observed in the liver entering the cross-sectional area and gastric greater curvature wall thickening was observed . in the patient with gastric ca diagnosis the appearances were primarily evaluated as lymphangitic spread . however it did not enter the field of view clearly . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . lung parenchyma the appearances described during the pandemic process were evaluated in favor of covid-19 pneumonia . no mass was detected in both lungs . peripherally located round-shaped consolidations in the lower lobe of both lungs and left lung upper lobe apicoposterior segment posterior subsegment and ground glass areas are observed around them . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no nodular lesions were detected in both lung parenchyma . this appearance is one of the frequently observed findings in covid-19 pneumonia . pleural effusion-thickening was not detected . when examined in the lung parenchyma window subpleural localized patchy consolidation-ground glass density opacities are observed in all lobes of both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aortic walls . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed in the aortic walls . lung parenchyma there is a faint ground-glass-like nodule of approximately 6 mm in size in the posterior segment of the right lung upper lobe . a 2 mm diameter nodule is observed at the laterobasal level . sequelae changes are observed in the dorsal apicoposterior segment of the left lung . there is a nonspecific nodule with a diameter of 2 mm slightly more caudally . there is a subpleural nonspecific nodule with a diameter of 3 mm in the anterior segment of the right lung upper lobe . there was no finding compatible with bilateral pleural effusion-pneumothorax or pneumonia . there is a subpleural 2 mm diameter nodule in the lingular segment on the left . in the middle lobe two subpleural nodules with a diameter of 3 mm are observed . airways when examined in the lung parenchyma window calibration of trachea and main bronchi is normal and their lumens are clear . mediastinum cto is within the normal range . the aortic arch is at the maximal physiological limit . calibration of other mediastinal vascular structures is natural . no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures the lesion in the lateral part of the 7th rib on the left has an expansile character heterogeneous internal structure and lytic appearance . however there are hypodense areas in the vertebral column that cannot be clearly evaluated due to the of the millimetric trabecular structures . in the case with multiple myeloma anamnesis degenerative changes in bone structure are observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the posterior of the spleen isodense with the spleen and nodular formation compatible with the accessory spleen are observed . surrounding soft tissues are normal . cto is within the normal range . upper abdominal organs included in the sections are normal . the aortic arch is at the maximal physiological limit . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are subsegmental atelectasis in the right lung middle lobe and left lung upper lobe lingula . in bilateral lungs the bronchi are partially dilated . when examined in the lung parenchyma window there are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung . bronchiectasis are observed in the posterior segment of the right lung upper lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are several lymph nodes anterior prevascular upper lower paratracheal aortopulmonary subcarinal the largest mm in size . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there are several nodules of nonspecific millimetric size in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . pleuroparenchymal sequelae changes are observed in the lower lobe basal levels in the right middle lobe and both lungs . in the left lung pleuroparenchymal sequelae changes are observed at the level of the laterobasal and lingular segments . when examined in the lung parenchyma window both hemithorax are symmetrical . however due to the nodular appearance of the pleural-based lesions defined in places possible cannot be excluded . there is no significant pleural effusion or significant volume loss in both lungs and no significant pathological lymph nodes are observed in the mediastinum . nodular thickenings and soft tissue appearances with coarse calcification in the pleura are observed at the pleural surfaces in the diaphragmatic and upper zones of both lungs and at the mediastinal level in the lower zone of the right lung . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calcific atheroma plaques are observed at the level of the aortic root and coronary arteries in the aortic arch and in the descending aorta . the aortic arch calibration is 34 mm larger than normal . cto is within the normal range . calibration of other mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed at the level of the aortic root and coronary arteries in the aortic arch and in the descending aorta . osseous structures there are degenerative changes in the bone structure . abdomen other upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed at the level of the aortic root and coronary arteries in the aortic arch and in the descending aorta . the aortic arch calibration is 34 mm larger than normal . right adrenal glands were normal and no space-occupying lesion was detected . in the right kidney a suspicious lesion is observed in the exophytic appearance which cannot be evaluated because it does not enter the cross-section plan clearly . bilaterally a more prominent appearance is observed on the left . cto is within the normal range . sonographic examination is recommended . if necessary pet-ct examination is recommended . a hypodense lesion with a diameter of 15 mm and a density of 12 hu is observed at the level of the left adrenal medial crus and genu . lung parenchyma there are areas of increase in density compatible with atelectasis in the adjacent lung parenchyma decreased aeration in the lower lobes of both lungs and widespread interlobular septal thickness increases at these levels . no mass lesion is observed in both lung parenchyma that is ventilated . therefore although the evaluation was suboptimal no obvious pneumonia focus was detected . there are emphysematous changes . when examined in the lung parenchyma window in the bilateral pleural area an effusion measuring 27 mm in the deepest part on the right and 22 mm in the deepest part on the left is observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node in pathological size and appearance was detected in mediastinal lymph node stations . the diameter of the ascending aorta ap was 43 mm and the descending aortic ap diameter was measured as 29 mm and increased . there are widespread calcific atheroma plaques on the walls of the arcus aorta descending aorta and coronary arteries . due to the lack of contrast in the examination mediastinal main vascular structures and the heart could not be evaluated optimally . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion was not observed . due to the lack of contrast in the examination mediastinal main vascular structures and the heart could not be evaluated optimally . osseous structures no lytic-destructive lesion was observed in the bone structures within the image . abdomen there is free fluid in the perihepatic perisplenic area in the abdominal sections within the region . irregular irregularities are observed in the liver contour . there are widespread calcific atheroma plaques on the walls of the arcus aorta descending aorta and coronary arteries . the diameter of the ascending aorta ap was 43 mm and the descending aortic ap diameter was measured as 29 mm and increased . there are marked edematous intensity changes in subcutaneous fatty tissue in all . no solid mass was detected in parenchymal organs . lung parenchyma the outlook is nonspecific and not typical for covid-19 pneumonia . however covid-19 pneumonia and other viral pneumonias were considered in the differential diagnosis due to the pandemic . when examined in the lung parenchyma window more extensive interlobar - intralobular septal thickening in the lower lobes of both lungs followed . more extensive ground glass densities were observed in the peripheral subpleural areas of both lungs in the basal segments of the lower lobe of the left lung . airways as far as can be seen trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the catheter extends to the superior-right atrium junction of the vena cava . in the non-contrast examination the mediastinal was not evaluated optimally . mediastinal main vascular structures heart contour size are normal . there is a stent starting from the distal part of the esophagus and extending to the proximal part of the duodenum in the patient followed up for gastric tumor . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the examination performed without contrast no evaluation could be made in terms of thickening of the stomach wall and density increases in the omentum . soft tissue density which may be compatible with residue is observed in the stent lumen . hydronephrosis was observed in the right kidney and is new in the current investigation . lung parenchyma no mass lesion active infiltration and newly emerged nodule in the lung parenchyma were observed in the current examination . pleuroparenchymal sequelae changes were observed in the left lung inferior lingular segment and right lung middle lobe . two parenchymal air cysts are observed in the apex of the right lung the largest of which is 12 mm in diameter . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . minimal peribronchial thickening and emphysematous changes were observed in the segmental bronchi of both lungs . mediastinum locally calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . calibration of other mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the diameter of the ascending aorta was 45 mm and was above normal . heart contour size is natural . osseous structures degenerative osteophytes were observed in the vertebral corpus corners in the study area . abdomen locally calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . lung parenchyma there are emphysematous changes in both lungs . atelectasis was observed in the middle lobe of the right lung and the lower lobe of both lungs . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . the shortest diameter of the largest of the described lymph nodes was approximately 10 mm . there are atheromatous plaques in the aorta and coronary arteries . numerous lymph nodes were observed in both regions mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma there are minimal bronchiectatic changes in the lower lobe bronchi of both lungs . when examined in the lung parenchyma window linear atelectasis areas in the form of thick bands are observed in both lungs especially in the lower lobes and basal segments . airways trachea both main bronchi are open . mediastinum in the mediastinal area no lymph nodes were detected in pathological size and appearance in both axillary areas . mediastinal main vascular structures heart contour size are normal . calcific atheroma plaques are observed in the aortic walls . the size of the nodular lesion adjacent to the aortic arch is stable when evaluated together with previous examinations . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . a port catheter extending from the right anterior chest wall to the right atrium is observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen when evaluated together with the previous examinations of the patient the dimensions of the described lesion decreased . the size of the nodular lesion adjacent to the aortic arch is stable when evaluated together with previous examinations . calcific atheroma plaques are observed in the aortic walls . a mass lesion is observed in the right adrenal gland included in the examination . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . multilobar central-peripheral irregular nodular-patchy consolidation areas were observed in both lungs . the described findings are compatible with viral pneumonias especially covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed calibration of mediastinal major vascular structures is natural . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures mild degenerative changes were observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a nodular lesion area of 2 cm diameter fluid density was observed in the upper pole lateral part of the left kidney cyst . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . a hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen two images of calculus with a diameter of 6 mm were observed in the gallbladder lumen . thoracic aorta diameter is normal . as far as can be observed in the sections the liver parenchyma density has decreased diffusely consistent with hepatosteatosis . a 10 mm diameter nonspecific hypodense lesion area was observed in the liver segment 7 localization . lung parenchyma when examined in the lung parenchyma window there is a mosaic attenuation pattern in both lungs small vessel disease . there are dependent zone density increases in both lungs . no active infiltration consolidation space-occupying lesion was detected in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are not observed in the aortic walls . other mediastinal main vascular structures heart contour size are normal . minimal hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures no fractures lytic or destructive lesions were observed in the bones . abdomen the upper abdominal organs included in the examination have a natural appearance . thoracic aorta diameter is normal . calcific plaques are not observed in the aortic walls . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . bilateral peribronchial diffuse thickness increase and secretions were observed . in places there are sequela parenchymal changes . there are minimal emphysematous changes in both lungs . a few nonspecific nodules some of them purely calcified are observed in the right lung . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance . as far as can be seen it shows aneurysmatic dilatation with a diameter of 42 mm ascending aorta and 32 mm descending aorta . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . calcific atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels there is a pericardial effusion measuring approximately 40 mm in its deepest part . an increase in heart size is observed . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures thoracic kyphosis has increased . left-facing scoliosis was observed in the thoracic vertebral column . vertebra corpus height their alignment is natural . no lytic or destructive lesions were detected in the bone structures within the image . there are osteophytic taperings at the vertebral corpus corners . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . calcific atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures . as far as can be seen it shows aneurysmatic dilatation with a diameter of 42 mm ascending aorta and 32 mm descending aorta . no lymph node was observed in pathological size and appearance . no intraabdominal free fluid loculated collection was detected . lung parenchyma the outlook is consistent with the frequently reported imaging features of covid-19 pneumonia . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . clinical and laboratory correlation is recommended . bilateral pleural thickening-effusion was not detected . when evaluated in the parenchyma window of both lungs nodular ground glass density increases were observed in the peripheral subpleural area in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in the evaluation of both lung parenchyma minimal pleuroparenchymal sequelae densities are observed in both lung apex . no mass nodule or infiltration was detected in both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways a triangular density secondary to the thymic remt is observed in the anterior mediastinum trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there are a few millimetric nonspecific nodules in the basal segments of the lower lobes of both lungs . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window mild density increases in the left lung upper lobe lingula and inferior were evaluated primarily in the direction of atelectasis . it is atypical in terms of an infectious process . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . a few small lymph nodes measuring 4 mm in short axis are observed in the mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window there are sequelae fibrotic bands at the apex of both lungs . nonspecific nodules with a size of 65 mm in the posterobasal segment of the lower lobe of the left lung and 4 mm in size in the lateral segment of the right lung middle lobe are observed with a ground glass density . no active infiltration or mass lesion was detected . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum there are short lymph nodes calcified in the left hilar region less than 1 cm in diameter which do not appear in a pathological size and appearance apart from this there are no pathological lymph nodes in both axillary regions and in the supraclavicular fossa . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are normal . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no solid mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma in the mediastinal area at the level of both lung no lymphadenopathy was detected in the aortopulmonary region paraaortic paratracheal area subcarinal region both lung hiluses and axillae in pathological size and appearance . when examined in the lung parenchyma window ventilation of both lungs is normal . there are nonspecific millimetric pulmonary nodules in both lungs . nonspecific ground glass density is observed in the right lung lower lobe laterobasal segment . mosaic attenuation pattern is observed in bilateral lungs . airways trachea both main bronchi are open . mediastinum in the mediastinal area at the level of both lung no lymphadenopathy was detected in the aortopulmonary region paraaortic paratracheal area subcarinal region both lung hiluses and axillae in pathological size and appearance . thoracic aorta diameter is normal . the widths of the main mediastinal vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no significant changes were detected in the areas of cystic bronchiectasis and sequelae change in both lung parenchyma . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen the free fluid observed in the abdomen is stable . lung parenchyma these appearances which were evaluated together with the patients clinical knowledge were first evaluated in favor of viral pneumonia . no mass was detected in both lungs . peripheral and centrally located ground glass areas and nodules with ground glass areas around them are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung . these findings are frequently observed in covid 19 pneumonia . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . the diameters of the aortic arch and descending aorta are normal . no pathologically enlarged lymph nodes were observed . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . the diameters of the aortic arch and descending aorta are normal . lung parenchyma there are calcific nodules in the upper lobe of the right lung the largest measuring approximately 25 mm in diameter . minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs . no mass or infiltrative lesion was detected in both lungs . apart from these there are other millimetric noncalcified nodules in both lungs . minimal emphysematous changes were observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . diffuse atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . it is understood that the patient underwent coronary by-pass surgery . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . there is one stone each measuring 8 mm in diameter in the upper pole of the left kidney and in the upper pole of the right kidney . diffuse atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma both lungs have a mosaic attenuation pattern small airway disease small vessel disease . there is linear atelectasis in the lingular segment of the left lung upper lobe . no mass or infiltrative lesion was detected in both lungs . there are several millimetric nonspecific nodules in both lungs . there is no pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the diameters of the aortic arch and descending aorta are normal . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are millimetric atheroma plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . pulmonary artery diameters are normal . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels the ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal . as far as can be observed the heart is minimally larger than normal . there is minimal pericardial effusion . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen the diameters of the aortic arch and descending aorta are normal . pericholecystic free fluid was not detected . the gallbladder diameter is 42 mm and is hydropic . there are millimetric atheroma plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . there is a hyperdense appearance in the gallbladder bile . no dilatation was detected in the intra and hepatic bile ducts . there is no increase in gallbladder wall thickness . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window reticulonodular sequelae density increases were observed in both lung apexes . linear pleuroparenchymal fibroatelectasis sequelae which also causes parenchymal distortion were observed in the middle lobe of the right lung . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . it is recommended to be evaluated together with usg . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this fibrotic changes and minimal central bronchiectasis are seen in both lungs . when examined in the lung parenchyma window there are linear atelectasis in the lower lobe of the left lung and in the left lingula . there are mosaic density differences in both lungs . nodules up to 35 mm in diameter are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . other mediastinal main vascular structures heart contour size are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . lymph nodes reaching 12 mm in diameter are observed in the mediastinum the larger of which is located in the short axis of the right lower paratracheal region . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures vertebrae are degenerative . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma consolidation areas with diffuse air bronchograms were observed in the peribronchovascular area in the upper lobes and in the lower lobes in both lungs . clinical and laboratory correlation is recommended . in the apical left lung calcified parenchymal nodules measuring 1 cm in diameter are observed . consolidation areas with air bronchograms are observed in the posterobasal segments of the lower lobes and the inferior lingular segment of the left lung . the outlook may be compatible with the infectious process . a free pleural effusion with a thickness of 16 mm on the right and 18 mm on the left was observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum diffuse calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . lymph nodes with a short axis smaller than 1 cm are observed in the mediastinal upper and lower paratracheal prevascular and subcarinal areas . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial minimal effusion was observed . as far as can be seen the diameter of the ascending aorta is 40 mm and shows fusiform dilatation . osseous structures degenerative changes are observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . diffuse calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls . in the upper abdominal sections examined a hyperdense lesion is observed in the gallbladder lumen . usg control is recommended . no space occupying lesion was detected in the liver . lung parenchyma there are atelectasis in the right lung upper lobe anterior segment right lung middle lobe left lung upper lobe lingular segment and both lung lower lobes . there are emphysematous changes in both lungs . millimetric nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . there are lymph nodes in the mediastinum and hilar regions the largest measuring 10 mm in short diameter . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed the heart is minimally larger than normal . osseous structures there are bridging osteophytes at the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . intervertebral disc spaces and neural foramina are narrowed . thoracic vertebral corpus heights and alignments are normal . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma in the upper and lower lobes of both lungs and in the middle lobe of the right lung there are peripheral and centrally located ground glass areas and linear density increases in the peripheral areas . the described findings can often be observed in covid-19 pneumonia . there are atelectasis in both lungs . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . there is a stone with a diameter of 10 mm in the middle part of the left kidney . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma nodular in millimeters are observed in both lungs the largest of which is measured as 7 millimeters in the lateral segment of the right lung middle lobe . in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . emphysematous changes are observed in both lung parenchyma and there is a thin-walled millimetric air cyst in the posterobasal segment of the lower lobe of the right lung . there are smooth interlobular septal thickness increases more clearly observed in the lower lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . pericardial and pleural effusion are not observed . airways trachea and main bronchi are open . mediastinum calcified atheroma plaques are observed on the walls of the vascular structures . no pathological lap was detected in the mediastinum . no lymph node was detected in the mediastinum in pathological size and appearance . no pathological increase in wall thickness was observed in the esophagus . there is no pathological increase in wall thickness in the thoracic esophagus and there is a sliding type hiatal hernia at the lower end . heart and great vessels appearance considered primarily secondary to cardiac pathology . an increase in the cardiothoracic ratio in favor of the heart is observed . osseous structures lytic or destructive lesion is observed in the bone structures within the image and osteopenia and osteophytic degenerative changes are observed . abdomen calcified atheroma plaques are observed on the walls of the vascular structures . there is a nodular lesion compatible with a millimeter-sized adenoma . there are lesions in the right kidney that cannot be clearly characterized due to the lack of contrast in the examination in the hypodense fluid density of cortical localization the largest of which is 23 millimeters in the lower pole . lung parenchyma the outlook is in favor of viral pneumonia . when examined in the lung parenchyma window scattered patchy ground-glass areas are observed in both lung parenchyma . these findings are frequently observed in covid-19 pneumonia . these frosted glass areas create minimal consolidation in places . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical and laboratory evaluation is recommended . no pericardial pleural effusion or thickness increase was detected . in the evaluation made in the lung parenchyma window multisegmental peripheral subpleural ground-glass densities are observed in both lungs and covid-19 pneumonia is considered in the etiology of the described findings . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum it could not be evaluated optimally due to the lack of contrast in cardiac examination in the mediastinal main vascular structures . there are no pathological lymph nodes in the mediastinum bilateral axillary region and supraclavicular level . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen abdominal solid organs in the upper abdomen sections within the image could not be evaluated optimally due to the lack of contrast in the examination and as far as can be observed a hyperdense stone of 3 mm in size is observed in the middle zone of the right kidney . lung parenchyma when examined in the lung parenchyma window in bilateral hemithorax effusion with the largest diameters of 39 mm on the right and 25 mm on the left and prominent atelectasis adjacent to the effusion in the lower lobes are observed . there are thickenings in bilateral major fissures . subsegmental linear atelectasis is observed in the upper lobe anterior in the left lung . airways trachea both main bronchi are open . the bronchial walls are thickened centrally . mediastinum there is an appearance of a stent in the aortic root . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . coronary stents are observed . the heart is larger than normal . osseous structures vertebrae have a degenerative appearance . thoracic kyphosis has increased . abdomen there is an appearance of a stent in the aortic root . calcific plaques are observed in the aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is compatible with the infective process . in addition there are patchy focal small consolidations in the upper lobes of both lungs prominent on the right . in the evaluation of both lung parenchyma ground glass densities and peribronchial soft tissue densities accompanying the consolidations in the lower lobes of both lungs are observed . there are pleural effusions in both hemithorax . airways tracheal tube is observed . mediastinum right upper-lower paratracheal aortapulmonary subcarinal lymphadenomegaly reaching 15 cm in narrow diameter of the larger one is observed . calcific plaques are observed in the walls of the coronary artery in the aortic arch . heart and great vessels calcific plaques are observed in the walls of the coronary artery in the aortic arch . osseous structures an osteopenic appearance is observed in the vertebrae and ribs . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific plaques are observed in the walls of the coronary artery in the aortic arch . there are cortical cysts in both kidneys . lung parenchyma ventilation of both lungs is natural . no active infiltration or mass lesion was detected in the bilateral lung . sequelae fibrotic bands are observed in the posterobasal segment of the lower lobe of the left lung and the lateral segment of the middle lobe of the right lung . when examined in the lung parenchyma window in the anterior segment of the upper lobe of the right lung an intrapulmonary nodule with a ground glass density of 3 mm is observed and there is a 4x2 mm subpleural nodule compatible with a lymph node superposed to the major fissure . a 35 mm subpleural nodule is observed in the posterobasal segment of the lower lobe of the left lung . airways trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum there is a catheter extending from the right subclavian vein to the superior right atrium of the vena cava . no lymph node was observed in the mediastinal area and bilateral hilar hilus in pathological size and appearance . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are natural . no pathological increase in wall thickness is observed in the esophagus . heart and great vessels pericardial effusion and thickness increase are not observed . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen a full appearance in the dimensions of the liver and spleen was noted in the abdominal sections within the image . lung parenchyma other findings are stable . the prevalence and intensity of covid-19 pneumonia in the lung parenchyma is regressed . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma clinical-laboratory correlation and control is recommended . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mild emphysematous changes were observed in both lungs . the outlook is . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window a subpleural ground-glass nodule with a diameter of 72 mm was observed in the left lung lower lobe laterobasal segment in both lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma a 45 mm diameter parenchymal nodule was observed in the anterior segment of the left lung upper lobe . when examined in the lung parenchyma window linear-band atelectatic changes were observed in right lung middle lobe medial left lung upper lobe lingular and both lung lower lobe basal segments . in addition millimetric calcific nodules were observed in the right lung upper lobe posterior and left lung lower lobe anteromediobasal segment . a nonspecific calcific lymph node was observed in the right hilum . traction bronchiectasis was observed in a central focal area in the superior segment of the lower lobe of the right lung . apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window azygos fissure and lobe are observed . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the infective process identified in the previous ct examination was not observed in the current examination . the area of focal consolidation observed in the anterior segment of the left lung upper lobe is markedly reduced . other findings are stable . wider band atelectatic changes were observed in both lung lower lobe basal segments and areas adjacent to the effusion on the left . in the previous examination the effusion observed between the pleural leaves on the right was 11 mm at its deepest point . in the current examination bilateral pleural effusion has increased . in the case followed up with covid-19 pneumonia in both hemithorax effusion was observed between the pleural leaves reaching 18 mm in the deepest part on the right and 25 mm in the deepest part on the left . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma there is a density compatible with pleuroparenchymal sequelae in the superior segment of the right lung lower lobe . sequelae changes are observed in the lingular segment of the left lung . there is a calcific nodule of approximately 3 mm in diameter in the anterior segment of the right lung upper lobe . when examined in the lung parenchyma window mild sequela changes are observed in the middle lobe of the right lung . there was no finding compatible with pleural effusion pneumothorax or pneumonia in both lungs . airways no relevant findings . mediastinum the aortic arch calibration is 30 mm . fatty thymic tissue with trigonal configuration is observed in the anterior mediastinum without mass effect . no pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level . calibration of other mediastinal major vascular structures is normal . it is larger than normal . cto is normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels no relevant findings . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is nodular formation in the spleen hilum which is considered compatible with the accessory spleen . the aortic arch calibration is 30 mm . it is larger than normal . cto is normal . in the evaluation of the upper abdominal organs included in the sections densities secondary to possible cholecystectomy are observed in the gallbladder bed . lung parenchyma when examined in the lung parenchyma window diffuse multiple patchy consolidation areas and concomitant ground-glass density increases are observed in both lungs . interlobular septal thickenings are noted in the lower lobes of both lungs secondary to cardiac pathology . bilateral peribronchial thickenings are observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum there are lymph nodes measuring mm in size in mediastinal upper-lower paratracheal precarinal and subcarinal localizations . no dilatation was detected in the pulmonary arteries . the examination was performed without contrast and the mediastinal structures were evaluated as suboptimal . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels pericardial minimal effusion is observed . heart contour size is natural . as far as can be seen the diameter of the ascending aorta is 40 mm and it shows fusiform dilatation . osseous structures slight loss of height is observed in the vertebral corpus . multiple levels of sclerotic lesions are observed in bone structures within the study area . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the study area a few hypodense lesions measuring 7 mm in diameter were observed in the liver the largest of which was at segment 6 level . a hypodense lesion with a diameter of 19 mm is observed in the upper pole of the left kidney cortical cyst . lung parenchyma there are metallic sutures of the operation materials at the level of the posterobasal segment of the lower lobe of the right lung . the lower lobe of the right lung was not observed operated . the right hemidiaphragm is elevated . both lung parenchyma are emphysematous . there are extensive subsegmental atelectasis in both lungs . particularly on the right focal consolidations in both lungs areas of ground glass density in their neighborhood and thickening of the right lung upper lobe posterior middle lobe and interstitial elements are observed . when examined in the lung parenchyma window there is a minimal pleural effusion in the right hemithorax locally locating with free air images at the lower lobe level . there is minimal pleural effusion in the left hemithorax and passive atelectasis in the adjacent lung parenchyma . in the right hemithorax at the level of the lower lobe prominent thickenings of the pleural surfaces are observed . there is pleural calcification at the level of the posterobasal segment of the left lung lower lobe . airways trachea both main bronchi are open . mediastinum the diameter of the pulmonary conus is 32 mm and it has a dilated appearance . there are wall calcifications in the aorta and coronary arteries . an image of a possible port catheter with its distal end in the superior vena cava is observed . there are several laps the upper lower paratracheal aortopulmonary the largest mm in size . there are metallic sutures in the sternum and anterior mediastinum possibly secondary to previous operation . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cardiothoracic index increased in favor of the heart cardiomegaly . the diameter of the ascending aorta is mm and it has an aneurysmatic appearance . osseous structures on the right the ribs appear to be fused in a short segment in the lateral sections . bone structures in the study area have a porotic appearance and widespread degenerative changes are present . there are metallic sutures in the sternum and anterior mediastinum possibly secondary to previous operation . abdomen there are metallic sutures secondary to a possible previous operation in the right lobe of the liver and a defect secondary to possible in the liver parenchyma . bilateral adrenal glands were normal and no space-occupying lesion was detected . there are wall calcifications in the aorta and coronary arteries . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mild bronchiectatic changes were observed in the center of both lungs . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen it could not be characterized in this examination . upper abdominal sections entering the examination area are natural . no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . a well-defined nodular density of 18 mm in diameter was observed in the left adrenal gland body part . lung parenchyma there are millimetric calcific nodules in the left lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . intervertebral disc distances were minimally narrowed . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . vertebral corpus heights alignments and densities within the sections are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window there are ground glass densities in the paracardiac area in the left lung upper lobe inferior and mild bronchiectatic changes at this level . there are mild bronchiectatic changes in the lower lobe basal segments of both lungs . clinical laboratory correlation is recommended for findings infiltration . a calcific nodule is observed in the posterobasal part of the right lung upper lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mild dimensional progression is observed in the lymph nodes observed in the aorticopulmonary window in the paracardiac area in the upper mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no new bone lesion was found . there are lytic and sclerotic metastatic changes in the thoracic vertebrae and some costal vertebral junctions . abdomen thoracic aorta diameter is normal . no gross pathology was found in the upper abdominal organs included in the sections . lung parenchyma mild emphysematous changes are observed in both lungs . there is a ground glass-style density increase adjacent to it on the right . there were no pathologically sized and configured lymph nodes at both hilar levels . sequelae changes are observed in the middle lobe of the right lung and the lingular segment of the left lung . again there are density increases in both lungs compatible with pleuroparenchymal sequelae at the base . no bilateral pleural effusion or pneumothorax was detected . airways when the lung parenchyma is examined in the window the calibrations of the trachea and main bronchi are normal and their lumens are clear . mediastinum there are milimetric lymph nodes some of which have a calcific appearance in the mediastinum . millimetric sized calcific atheroma plates are observed in the aortic arch . a mild air appearance is observed in the pulmonary trunk . calibration of mediastinal major vascular structures is natural . there is a hiatal hernia in the case . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures there are sequelae changes in rib structures in the upper-middle zone of the left hemithorax . mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric sized calcific atheroma plates are observed in the aortic arch . in the sections passing through the upper abdomen a decrease in density consistent with steatosis is observed in the liver . lung parenchyma when examined in the lung parenchyma window a mild mosaic attenuation pattern is observed at the lower lobe basal levels in both lungs small airway disease small vessel disease . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the right lung upper lobe posterior there are 2 closely adjacent oval nodules measuring up to 11 mm in series 3 image 135 . upper abdominal organs are partially included in the examination . thickening is observed in the interlobular septa . the findings were evaluated in terms of infectious process accompanied by pulmonary edema and clinical laboratory correlation and close follow-up are recommended due to the current pandemic . there is a small amount of effusion in both lungs . when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lungs . pleural thickening is observed especially in the upper lobe and lower lobe of the right lung . there are significant atelectatic changes in the posterobasal segment of the lower lobe of the left lung in the areas extending anteriorly to the pleura in the upper lobes of both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there are calcific atheroma plaques in the thoracic aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . contrast-enhanced mri or ct is recommended in case of doubt for better differential diagnosis . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings and bridging tendencies in the anterior of the vertebral corpus endplates . diffuse density reduction is observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . the right kidney is atrophic . there are calcific atheroma plaques in the thoracic aorta and coronary arteries . there is an oval-shaped finding in fluid attenuation 37 mm in size in the pancreatic body part . lung parenchyma there are multiple nodules in both lungs the largest of which is mm in size adjacent to the fissure in the left lung lower lobe superior segment and there are multiple nodules with in the contours of some of them and an increase in their size was detected between examinations mm in the previous examination . there are subsegmental areas of atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment and there are areas of linear atelectasis in both lungs . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . minimal tubular bronchiectasis is observed . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no significant difference was detected . a few lymph nodes with a short diameter of less than 5 mm are observed in the mediastinum and no enlarged lymph nodes in pathological size and appearance were detected . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels minimal pericardial effusion is observed . heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the limits of non-contrast ct a few millimetric lymph nodes the largest of which is 5 mm in diameter are observed in the paraaortic area and no significant difference was detected . no discernible mass was detected in the upper abdominal organs . lung parenchyma mass lesion with distinguishable borders in both lungs no active infiltration was detected . appearance is nonspecific . when examined in the lung parenchyma window pleuroparenchymal fibroatelectasis sequelae changes and subpleural streaks were observed in the right lung middle lobe left lung upper lobe inferior lingular and both lung lower lobe basal segments . a smear-like effusion was observed in the right pleural space . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific parenchymal nodules were observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . atelectatic changes observed in the previous examination were observed in both lungs . in the case with known primary pleural fissure nodular pattern was evaluated as suspicious in favor of metastasis . on the left stable minimal pleural effusion was observed according to the previous examination . airways bilateral peribronchial thickenings were observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion was not detected . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures it is also observed in the previous examination and no significant change is detected . there are multiple metastases that cause extensive expansion in bone structures . no lymph nodes in pathological size and appearance were detected in the supraclavicular fossa . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . stable thickening was observed in the bilateral adrenal gland . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window focal nodular ground glass opacity is observed in the peripheral subpleural area in the superior segment of the right lung lower lobe and the appearance is suspicious for ultra-early covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the mediastinum lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed . sliding type hiatal hernia was observed at the lower end of the esophagus . concentric minimal wall thickness increase was observed in the esophageal wall just proximal to the esophagogastric junction . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . there is a stent placed in the lad . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . there is a millimetric nonspecific nodule in the lower lobe of the right lung . pleural or pericardial effusion or absent . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . intervertebral disc distances are preserved . abdomen in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as can be observed within the limits of non-contrast ct . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window peripheral patchy ground glass densities and crazy paving patterns are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ventilation of both lungs is normal and there is no mass or infiltrative lesion in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma it should be evaluated for pulmonary edema . chronic findings of covid pneumonia should be considered in the differential diagnosis . sequelae may be due to changes . in the evaluation of both lung parenchyma in both lungs there are centrally located faint ground glass densities which are more prominent on coronal images . there are millimetric non-specific nodules in the bilateral lung . there are parenchymal distortion traction bronchiectasis and pleuroparenchymal bands in the of the right lower lobe . pleural effusion-thickening was not detected in both hemithorax . airways it is and suboptimal . trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures there are degenerative changes in bone structures . abdomen no significant pathology was detected in the abdominal sections . calcific atheroma plaques were observed in the main vascular structures . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window focal ground-glass-like density increase is observed at the posterobasal level of the lower lobe of the left lung . a faint ground-glass-like density increase is observed in both lower lobe superior segments of both lungs and was not detected in the previous examination . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures it was evaluated as compatible with a compact islet of bone . in the bone structures within the study area nodular hyperdense formation is observed in the vertebral corpus . abdomen surrounding soft tissue plans are natural . gall bladder spleen pancreas both kidneys bilateral adrenal glands are normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are sequelae changes in the left inferior lingular segment and an appearance of 15 mm diameter ground glass density may be related to the onset of pneumonic infiltration . clinic and lab . when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . evaluation and close follow-up are recommended along with the findings . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . the mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination and the main vascular structures heart contour and size were normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination and the main vascular structures heart contour and size were normal . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen thoracic aorta diameter is normal . no pathology was detected in the upper abdominal sections included in the sections . lung parenchyma when both lung parenchyma windows are evaluated bilateral peribronchial thickenings were observed . emphysematous changes are present in both lungs . millimetric sized nonspecific parenchymal nodules were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . other mediastinal major vascular structures heart contour size are normal . lymph nodes with a short axis smaller than 1 cm in the prevascular area were observed in the upper-lower paratracheal area . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . a few millimetric lymph nodes were observed in the paraesophageal area . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . sliding type hiatal hernia is observed . heart and great vessels pericardial effusion - no thickening was detected . the size of the heart has increased and there is dilatation especially at the level of the left atrium . as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . other mediastinal major vascular structures heart contour size are normal . osseous structures degenerative changes were observed in bone structures . abdomen in the upper abdominal sections included in the examination area mm calcification in the right adrenal gland and an average of 8 hypodense lesions with a hu value were observed . as far as can be observed calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . lung parenchyma a few reactive fusiform lymph nodes were observed in the right axilla the largest of which was 11 mm in diameter on the short axis . apart from this no appearance in favor of active infiltration was detected in both lungs . a few pulmonary nodules which were evaluated primarily in favor of sequelae were observed in both lungs the largest of which was a nodule of approximately 6 mm in diameter containing calcification and adjacent to the paracardiac area in the superior segment of the left lung lower lobe . when examined in the lung parenchyma window in the right lung pleura in the posterobasal part especially adjacent to the lower lobe superior segment sequelae increase in thickness and sequela fibrotic densities are observed in the pleura . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no pathological lymph node was detected in the mediastinal area . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures thoracic kyphosis is flattened . abdomen the structures included in the examination are normal . thoracic aorta diameter is normal . other upper abdominal organs are normal . liver density increased minimally in favor of hepatosteatosis . lung parenchyma there was no finding in favor of the infective process . when examined in the lung parenchyma window in the left area mild atelectic changes are followed in the left lung upper lobe inferior lingula . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a few nonspecific parenchymal nodules with diameters less than 5 mm were observed in the lung parenchyma . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen within the sections liver gall bladder spleen pancreas both adrenal glands both kidneys are normal . a 2 mm diameter calculus was observed in the lower pole of the right kidney . lung parenchyma no mass nodule infiltration was detected in both lungs . evaluation for infectious processes including or bacterial infections and post-treatment control are recommended . in the evaluation of both lung parenchyma interlobular septal thickening with diffuse ground glass densities in both lungs and more common consolidated areas in alveolar pattern are observed in the lower lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum a central venous catheter is observed . right upper-bilateral lower paratracheal aortopulmonary and hilar lymph nodes with prominent fat content are observed . millimetric sized calcific plaques are observed in the aortic arch descending aorta and coronary arteries . the diameter of the descending aorta is 3 cm and has increased . heart and great vessels the cardiothoracic index increased in favor of the heart . millimetric sized calcific plaques are observed in the aortic arch descending aorta and coronary arteries . osseous structures there is a well-contoured nodular lesion compatible with a hyperdense hemangioma in the probable 8th vertebral body in the examination area . no obvious pathology was detected in bone structures . abdomen the right kidney is small in size has a thin parenchyma and an exophytic cyst of 14 mm in diameter is observed in the middle . the left kidney was not observed operated . in the localization of the fascia a hypodense area of approximately 4x2 cm is observed . millimetric sized calcific plaques are observed in the aortic arch descending aorta and coronary arteries . the diameter of the descending aorta is 3 cm and has increased . in addition double renal artery is observed and renal artery calcification and millimetric calculus are selected . the liver in the examination area is large . hernia and herniation of mesenteric fatty tissue into subcutaneous fatty tissue are observed in the left lateral wall of the abdomen . lung parenchyma no mass or infiltrative lesion was detected in both lungs . several nonspecific nodules with a diameter of 2 mm are observed in both lungs the largest of which is in the apicoposterior segment of the left lung upper lobe . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen liver parenchyma density was measured as 22 hu and decreased in favor of hepatosteatosis . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma there are appearances compatible with tubular bronchiectasis which are more prominent in the bilateral lower lobe of the lung and at the central level . in addition there are sequel fibrotic bands in both lungs more prominently in the upper lobe apical segment . when examined in the lung parenchyma window emphysematous appearance is present in both lungs and bulla-bleb formation is present in the bilateral lower lobe mediobasal segment mediobasal segment and upper lobe apical segment of the bilateral lung . no pericardial pleural effusion or thickening was detected . in both lungs there are intrapulmonary subpleural millimetric nonspecific nodules some of which are calcified . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are lymph nodes in the mediastinal area and at the bilateral hilus level the largest of which is 8 mm in diameter which is not pathological in size and appearance . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibrations of mediastinal vascular structures are natural . no pathological increase in wall thickness was observed in the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . heart contour and size are natural . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibrations of mediastinal vascular structures are natural . osseous structures no lytic-destructive lesions were observed in the bone structures within the image and linear density increases consistent with osteoporosis were observed in the vertebral corpuscles . an increase is observed in thoracic kyphosis . there are osteophytic taperings in the vertebral corpus end plateaus and mild height loss below 50 in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . the upper abdominal organs within the image are natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass or infiltration was detected in both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways examination is suboptimal due to motion artifacts . trachea and main bronchi are open as far as can be observed . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures there are degenerative changes in bone structures and osteoporosis . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific atheroma plaques were observed in the main vascular structures . a mm cyst in the middle part of the right kidney and an angiomyolipoma of mm in the lower pole were observed . lung parenchyma there are subsegmental atelectasis in the middle lobe of the right lung . secondary pulmonary are prominent in both lungs venous stasis . focal patchy consolidation areas which were more prominent in the right lung in the previous examination regressed in the current examination . in the evaluation of both lung parenchyma sequelae which were also selected in previous examinations are observed in the anterior segment of the right lung upper lobe and the left lung apex . no nodules were observed in both lung parenchyma . there is a left hilar calcified lymph node . mosaic perfusion is present in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways millimetric sized calcific nodularities are observed in the walls of both main bronchi . trachea and main bronchi are open . mediastinum right upper-lower paratracheal narrow diameter of the pulmonary aorta and a few mediastinal lymphadenomegaly reaching 1 cm and millimetric lymph nodes are observed . calcific plaques are observed in the aortic arch and coronary arteries . heart and great vessels calcific plaques are observed in the aortic arch and coronary arteries . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the body part of the left adrenal gland and the medial crus are slightly thickened . sonographic evaluation is recommended . calcific plaques are observed in the aortic arch and coronary arteries . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination and the main vascular structures heart contour and size were normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination and the main vascular structures heart contour and size were normal . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . there is a mild atelectatic lung segment adjacent to it . there is pleural effusion in both lungs extending from basal to apex reaching 23 mm in the right and 15 mm in the left in its thickest part . airways calibration of the trachea and main bronchi is normal . mediastinum calibration of mediastinal major vascular structures is natural . it cannot be evaluated clearly in non-contrast examination centrally partially necrotic lymph nodes superposed on each other pathology originating from vascular wall . there are calcific atheroma plaques in the aortic arch coronary arteries and descending aorta . in addition a few millimetric lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum . possible vascular pathologies could not be excluded in the non-contrast examination . starting from the right lateral of the aortic arch and ascending aorta extending superiorly and indistinguishable from the aortic aortic arch wall a central soft tissue formation is observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels it is also partially present in the old review . contrast imaging is recommended . cto is normal . pericardial mild effusion is observed . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen the spleen is slightly enlarged . surrounding soft tissue plans are natural . both adrenal glands are normal . he did not enter the field of view in his previous review . it cannot be evaluated clearly in non-contrast examination centrally partially necrotic lymph nodes superposed on each other pathology originating from vascular wall . there are calcific atheroma plaques in the aortic arch coronary arteries and descending aorta . multiple millimetric calculi are observed in the gallbladder . sonographic examination is recommended . there is mild effusion in the perihepatic area . in the sections passing through the upper abdomen there is a mild hepatosteatosis appearance in the liver . possible vascular pathologies could not be excluded in the non-contrast examination . a thickening is observed in the left peritoneal at the level passing through the inferior poles of the kidney . pericholecystic mild effusion is observed . starting from the right lateral of the aortic arch and ascending aorta extending superiorly and indistinguishable from the aortic aortic arch wall a central soft tissue formation is observed . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window in both lungs patchy ground glass density increases were observed in the peripheral subpleural area and in the lower lobes . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcific atherosclerotic changes were observed in the wall of the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected . diffuse degenerative changes were observed in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . calcific atherosclerotic changes were observed in the wall of the thoracic aorta . lung parenchyma the outlook was evaluated in favor of pneumonic infiltration . when examined in the lung parenchyma window infiltrative focal consolidation areas with ground glass areas were observed in the middle lobe of the right lung and in the mediobasal segment of the lower lobe of the left lung . pleuroparenchymal fibroatelectasis sequelae were observed in the left lung lower lobe lobe inferior lingular segments and right lung middle lobe . airways it is recommended to be evaluated together with us . no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum a cystic lesion of mm in size with a well-defined fluid density was observed in the anterior neighborhood of the aorta ascending in the anterior mediastinum . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen when the upper abdominal organs included in the sections were evaluated in the upper pole of the left kidney a 37 mm diameter lesion area with a well-defined fluid density was observed cyst . bilateral adrenal glands were normal and no space-occupying lesion was detected . a cystic lesion of mm in size with a well-defined fluid density was observed in the anterior neighborhood of the aorta ascending in the anterior mediastinum . no space-occupying lesion was detected in the liver entering the cross-sectional area . lung parenchyma when examined in the lung parenchyma window azygos fissure variation was observed in the upper lobe of the right lung . suspicious for ultra-early covid 19 pneumonia . focal nodular ground-glass density was observed in the area adjacent to the minor fissure of the upper lobe of the right lung . appearance is nonspecific . apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . airways peribronchial thickening was observed in the segmental bronchi of both lungs . trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum calcific atheroma plaques were observed in the aortic arch and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of other vascular structures of the mediastinum is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the aortic arch and coronary arteries . as far as can be observed the anterior-posterior diameter of the ascending aorta is 40 mm which is wider than normal . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . the spleen and pancreas are normal . as far as it can be seen in the sections the liver has hypodense lesion areas the largest of which is at the level of segment junction with dimensions of mm and others in millimeters in both lobes . the right adrenal gland locus is normal and no space-occupying lesion was detected . no intraabdominal free-loculated fluid was detected . calcific atheroma plaques were observed in the aortic arch and coronary arteries . a 12 mm diameter adenoma was observed in the medial crus of the left adrenal gland . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific parenchymal nodules were observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma the findings were atypical for viral pneumonia covid-19 and were primarily evaluated in the direction of small airway disease . when examined in the lung parenchyma window in both lungs interstitial signs especially in the upper lobes are prominent and there are light centriacinar ground glass densities . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures a slight decrease in density in the bone structures in the examination area and mild degenerative changes in the vertebral coprus end plates are observed . abdomen thoracic aorta diameter is normal . there is an azygos fissure and lobe . there is a small hiatal hernia . in the upper abdominal organs included in the sections a millimetric calcific focus is observed in the right lobe of the liver . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . esophageal calibration is natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla . abdomen no features of other were detected in the section . in the upper abdomen sections cortical cysts in the right kidney and parapelvic located in the left kidney were observed . lung parenchyma there is no mass or infiltrative lesion in both lungs . there are minimal emphysematous changes in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window there are centrilobular paraseptal emphysema in both lungs especially at the apical levels . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . intervertebral disc space is reduced . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . the upper abdominal organs are partially included in the study and there is a finding consistent with an adenoma of 18 mm in the right adrenal gland . there is a density change compatible with steatosis in the liver parenchyma . lung parenchyma in the previous examination a newly appeared mass lesion in the left lung lower lobe superior segment was measured 35 cm in diameter in the current examination . in the case known to have a metastatic mass on the left chest wall the metastatic mass lesion is located 2nd 3rd from the left in the apical segment of the left lung upper lobe . in the previous examination there was an increase in the size of the metastatic lesion in the anterior segment of the left lung upper lobe in the current examination . in his old review it was 15 cm in diameter . a new subpleural metastatic focus is observed in the upper lobe of the right lung . the amount of effusion between the leaves of the left pleura increased . airways there are fibrosis findings in the form of bronchial wall thickness increases traction bronchiectasis parenchymal distortion areas and ground glass density in the segment bronchi of the lung parenchyma . mediastinum sliding hiatal hernia is observed . heart and great vessels no relevant findings . osseous structures by the 4th and 4th ribs it extends to the posterior part of the major muscle fascia on the left the intercostal muscles on the lateral and anterior wall of the thoracic cavity . it is 13 cm in the old examination . left and 4 ribs appear by the mass . abdomen it was evaluated in favor of metastasis . there are pathological lymph nodes measuring 16 mm in the short axis of many large ones in the sma bifurcation localization to the mesentery root in the upper abdominal sections that fall into the image area . the right kidney was not observed . no space-occupying lesion was detected in the right adrenal gland . a nodular lesion with a diameter of 27 cm in the left adrenal gland is in the form of nodular thickening in the left adrenal gland in the previous examination and it shows an increase in size in the current examination . it was understood that it was not present in the old imaging and has developed recently . lung parenchyma there is a diameter nodule in the anterior segment of the left lung upper lobe . mild sequelae changes are observed at the apical level . there is a 3 mm diameter nodule at the level of the interlobar fissure on the left . bilateral pneumonia pleural effusion pneumothorax were not detected . airways in the evaluation of the lung parenchyma window trachea both main bronchi are open . mediastinum there are no pathologically sized and configured lymph nodes in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is natural . in the anterior mediastinum there is thymic tissue with trigonal configuration which shows fatty involution and does not cause mass effect . mild hiatal hernia is observed in the esophagus . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands are normal . no space-occupying lesion was detected in the liver in the sections passing through the upper abdomen . lung parenchyma the described manifestations were evaluated in favor of covid-19 pneumonia . there are nodules in both lungs measuring approximately 6 mm in diameter the largest in the right lung . no mass was detected in both lungs . peripheral and centrally located ground glass areas and local consolidations are observed in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there is a decrease in liver parenchyma density consistent with minimal adiposity . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there is an appearance consistent with subsegmental atelectasis in the basal segment of the lower lobe of the left lung . when examined in the lung parenchyma window active infiltration is not observed in both lungs . a millimetric nonspecific nodule observed in the medial segment of the right lung middle lobe in the previous ct examination was not detected in the current examination . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . the anterior-posterior diameter of the descending aorta was 36 mm and increased . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels no pericardial effusion or thickness increase was observed . mediastinal main vascular structures were not evaluated optimally due to the lack of contrast in the heart examination and an increase in the diameter of the left ventricle is observed as far as can be observed . heart contour size is natural . osseous structures no lytic or destructive lesions are observed in the bone structures in the examination area and there are degenerative changes . abdomen there is diffuse density decrease secondary to hepatosteatosis in liver parenchyma density . in the upper abdominal sections within the image a millimetric cortical located hyperdense hemorrhagic cyst is observed in the left kidney . the anterior-posterior diameter of the descending aorta was 36 mm and increased . in addition a lesion of 19 mm diameter hypodense fluid density which cannot be clearly characterized is observed within the borders of non-contrast ct with cortical exophytic extension in the upper pole of the right kidney simple cyst . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . interlobular-intralobar septal thickenings and accompanying ground glass densities were observed in both lungs . linear atelectasis was observed in both lungs . mosaic attenuation was thought to be secondary to small airway stenosis . in both lungs there is peribronchial thickening and luminal narrowing in the bronchi which are more common in the lower lobes . mosaic attenuation pattern was observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . as far as can be seen the diameter of the ascending aorta was 40 mm and the anterior-posterior diameter of the descending aorta was 27 mm . in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in pathological dimensions were detected . calibration of pulmonary arteries is increased . in the mediastinum lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart dimensions increased . compatible with cardiac stasis . osseous structures there is osteoporosis in the bone structures included in the study area . in the l2 vertebra superior end plate an old collapse fracture characterized by a more prominent 50 loss of height in the central was observed . dextroscoliosis is present at the thoracic level with left-facing opening . abdomen the pancreas is atrophic . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . as far as can be seen the diameter of the ascending aorta was 40 mm and the anterior-posterior diameter of the descending aorta was 27 mm . the left kidney is atrophic . linear sequelae calcification was observed in the spleen capsule . it is recommended to be evaluated together with clinical and laboratory in terms of chronic parenchymal disease . no upper abdominal free fluid-collection was detected in the sections . the right kidney is normal . the gallbladder was not observed secondary to the operation . as far as can be seen in non-contrast sections liver contours are irregular . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . in the evaluation of the parenchymal window of both lungs trachea calibration is natural . in the middle lobe of the right lung especially in the medial segment in the lingular segment of the left lung and in the basal segments of the lower lobe infiltrative branch with buds is observed . sequelae changes in the middle lobe accompany the appearance . in the posterobasal segment mild thickening of the diaphragmatic pleura and an increase in consolidative density are observed . mild pleuraparenchymal density increases are observed at the apical level consistent with sequelae changes . airways in the evaluation of the parenchymal window of both lungs trachea calibration is natural . however slight prominence in bronchial calibrations and an increase in peribronchovascular sheath in mid-lower zones are observed in almost all zones . mediastinum millimetric-sized multiple lymph nodes are observed in almost all stations in the mediastinum . it is wider than normal . calcific atheroma plaques are present in the abdominal aorta . calibration of other major vascular structures is natural . however its short axis does not exceed 10 mm . however 15x11 mm lymph nodes are observed in the subcarinal area . cto is normal . the aortic arch calibration was measured as 30 mm . thoracic esophagus calibration was normal and no pathological wall thickness increase was detected . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structure . a lobulated contoured sclerotic lesion is observed at the level of the right of the l3 vertebra compact islet of bone . abdomen it is wider than normal . surrounding soft tissue and muscle structures are normal . calcific atheroma plaques are present in the abdominal aorta . cto is normal . the aortic arch calibration was measured as 30 mm . lung parenchyma there is minimal emphysematous appearance in both lungs and minimal bronchiectasis in the center . on the right newly developed minimal effusion and ground glass densities are seen in the posterobasal lower lobe . airways tracheostomy cannula is observed . mediastinum millimetric lymph nodes in the mediastinum are stable . thoracic aorta diameter is normal . other mediastinal major vascular structures heart contour size are normal . heart and great vessels calcific plaques are present in the coronary arteries . pericardial effusion is regressed . other mediastinal major vascular structures heart contour size are normal . osseous structures there are degenerative changes in the thoracic vertebrae . abdomen thoracic aorta diameter is normal . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no infiltration was observed in the lung parenchyma . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the findings were evaluated in favor of disease in the first place . when examined in the lung parenchyma window pleural thickenings with diffuse pleural calcific plaques and nodular appearances are observed in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen the size of the left adrenal gland was measured up to mm . in case of doubt advanced examination with contrast upper abdomen ct is recommended . upper abdominal organs are included in the study partially and evaluated as suboptimal . it is larger than normal . the finding was evaluated in favor of adenoma and it was evaluated as suboptimal in the non-contrast examination . lung parenchyma when examined in the lung parenchyma window centriacinar millimetric nodules are observed in both lung parenchyma especially in the upper lobes and are primarily secondary to tobacco smoking . pleural effusion-thickening was not detected . airways bronchiolitis clinical correlation is recommended . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma several nonspecific stable parenchymal nodules reaching 6 mm in diameter were observed in both lungs the largest of which was in the posterior segment of the right lung upper lobe located close to the fissure . when examined in the lung parenchyma window sequela fibrotic changes were observed in bilateral lung apical segments . ground glass appearances and consolidation observed in the superior segment of the left lung lower lobe in the previous examination have been resorbed in the current examination . there are fibroatelectatic changes in bilateral lung basals . no pleural thickening or fluid was detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum calcified atheromatous plaques were observed in the main vascular structures . in the bilateral axillary region oval-shaped lymph nodes with fatty hiluses were observed . stable lymph nodes with a short diameter of up to 75 mm were observed in the mediastinal prevascular area aortopulmonary window and bilateral hilar region in the paratracheal area . the mediastinum major vascular structures and heart were evaluated as suboptimal because the examination was unenhanced . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the mediastinum major vascular structures and heart were evaluated as suboptimal because the examination was unenhanced . osseous structures bone structures in the study area are natural . no lymph node reaching pathological size was detected in the bilateral supraclavicular region . vertebral corpus heights are preserved . abdomen calcified atheromatous plaques were observed in the main vascular structures . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical laboratory correlation and close follow-up of the findings in terms of viral pneumonia onset are recommended . when examined in the lung parenchyma window nodular patchy ground glass densities are observed in the posterobasal parts of the lower lobe more prominently in the middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there was no sign of active infiltration . there are minimal emphysematous changes and mild to moderate bronchiectasis in both lungs . a paramediastinal 15 cm diameter air cyst was observed in the posterior segment of the right lung upper lobe . there is a nonspecific fibrotic band in the right lung lower lobe mediobasal segment . a 56 mm diameter nodule which is with pleural thickening was observed in the lateral segment of the right lung middle lobe . no pleural effusion was detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures right-facing scoliosis is present in the thoracic vertebrae . a 50 loss of height was observed in the t8 vertebral body . other vertebral corpus heights are preserved . there are degenerative changes in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . a nonspecific nodular density of 3 mm in diameter is observed in the anterior segment of the right lung upper lobe . subsegmental linear atelectasis areas are observed in the left lung upper lobe lingula inferior segment and lower lobe laterobasal segment . no suspicious nodular or mass-occupying lesion was observed in the lung parenchyma . airways no relevant findings . mediastinum in the supraclavicular fossa within the cross-section in the axilla and mediastinum no lymph node in pathological size and appearance was observed . the esophagus was monitored in normal calibration . heart and great vessels mitral valve replacement is available . heart dimensions and compartments appear natural . pericardial effusion was not detected . osseous structures sternotomy lines are observed in the sternum . no lytic-destructive lesions were detected in bone structures . abdomen sliding type mild hiatal hernia is present in upper abdominal sections . focal parenchymal thinning in the posterior part of the left kidney is consistent with sequelae change . calcification foci are observed in the parenchyma in the right adrenal gland . lung parenchyma there are pleuroparenchymal sequelae density increases in the left lung inferior lingular segment and right lung middle lobe . when both lung parenchyma windows are evaluated mosaic attenuation pattern was observed in both lung parenchyma small airway disease small vessel disease . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected . heart and great vessels pericardial minimal effusion was observed . as far as can be observed minimal calcified atherosclerotic changes were observed in the coronary artery wall . heart contour size is normal . osseous structures mild degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no gallbladder was observed in the upper abdominal organs included in the sections cholecystectomized . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window the effusion reaching 37 cm in thickness in the thickest part in the left hemithorax and 27 cm in diameter in the thickest part in the right hemithorax was observed . acute interstitial edema and other viral pneumonias are considered in the differential diagnosis . there is a phantom tumor in the major fissure on the left . no mass lesion with distinguishable borders was detected in both lungs . more extensive interlobular-intralobar septal thickenings were observed in the upper lobes of both lungs . ground-glass consolidations were observed in both lungs in which subpleural areas extending from the central to the periphery were preserved and the appearance is not typical for covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques were observed in the abdominal aorta and visceral branches . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal structures cannot be evaluated optimally because contrast material is not given . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structures in the study area . vertebral corpus heights are preserved . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . abdomen calcific atheroma plaques were observed in the abdominal aorta and visceral branches . a nodular lesion with a diameter of 2 cm and a fluid density was observed in the lower pole of the left kidney cyst . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . a 5 cm fascia defect was observed on the anterior abdominal wall at the epigastric level and herniated intraperitoneal adipose tissue was observed inside the hernia sac . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma minimal pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment . a calcified nonspecific parenchymal nodule with a diameter of 5 mm was observed in the anterior segment of the right lung upper lobe . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . in addition millimetric-sized nonspecific parenchymal nodules were observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be seen in the anterior mediastinum a triangular soft tissue density without significant mass effect was observed remt thymus . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density in the upper abdominal sections in the study area decreased diffusely in line with adiposity . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window more peripherally located ground glass densities are observed in both lungs in a patchy manner . clinical laboratory correlation and close follow-up are recommended . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma a few nodules the largest of which are 4 mm sitting in the left lung upper lobe posterior and at the level of the left lung lingular segment are observed in major fissures . when examined in the lung parenchyma window in both lungs there are ground-glass densities with a prominent peripheral localization tendency in the upper lobes on the left and prominent in the lower lobes on the right . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook is in favor of viral pneumonia . when examined in the lung parenchyma window widespread patchy ground glass densities are observed in both lungs . findings are frequently observed in covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequelae changes are observed at the apical level in both lungs . mild atelectatic lung segments are observed on both sides adjacent to it . it is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes . slight ground-glass-like density increases are observed in the lower zone of the left lung . in the right lung branches with buds are observed especially at the apical level in the upper lobe . the lower lobe is also partially present in the superior segment . consolidative density increase is observed in the posterobasal segment of the left lung lower lobe . it is suspicious for infection . evaluation of the hilar lymph node cannot be made clearly in the non-contrast examination . it is partially observed in the middle lobe . there are also fine reticulonodular density increments in the left lung . when examined in the lung parenchyma window in both lungs there is a pleural effusion that extends from the basal to the apex on the right and reaches 38 mm in the right at its thickest point . airways no relevant findings . mediastinum the descending aorta is 20 mm . it is slightly obvious . it is at the maximal physiological limit . pulmonary trunk calibration is 29 mm . however no significant lymph node was detected . its calibration in the aortic arch was measured as 36 mm . multiple lymph nodes are observed in the mediastinum in the upper-lower paratracheal area at the prevascular level in the aorticopulmonary window and the largest is measured in the right lower paratracheal area measuring 20x13 mm . there are calcific atheroma plaques in the aortic arch descending aorta and abdominal aorta entering the examination area . heart and great vessels it is wider than normal . calcific atheroma plaques are observed in the coronary arteries . cardiac chambers are observed as dilated especially in the right atrium . cto increased in favor of the heart . the ascending aorta calibration is 40 mm . osseous structures significant degenerative changes are observed in the bone structure . there is left-facing scoliosis in the dorsal region . abdomen in the sections passing through the upper abdomen densities are observed along the posterior segment contour of the right lobe of the liver . the descending aorta is 20 mm . it is slightly obvious . it is at the maximal physiological limit . both adrenals are natural . its calibration in the aortic arch was measured as 36 mm . there are calcific atheroma plaques in the aortic arch descending aorta and abdominal aorta entering the examination area . lung parenchyma atelectasis which do not differ significantly in the form of thick bands are observed in the middle lobe of the right lung and the superior lingula of the left lung upper lobe . the findings were evaluated as secondary to covid-19 viral pneumonia because the patient was known to be covid . when examined in the lung parenchyma window in both lungs especially in the lower lobes new ground glass densities are observed at the posterobasal levels in a slightly patchy subpleural peripheral location . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no active infiltration was detected in a mass lesion with distinguishable borders in both lungs . when examined in the lung parenchyma window nonspecific parenchymal nodules with a diameter of 12 mm in the upper lobe posterior segment of the right lung and 43 mm in diameter in the lower lobe anterobasal segment were observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma these findings are also observed in covid-19 pneumonia . when examined in the lung parenchyma window widespread patchy ground-glass areas are observed in both lungs which in places into areas of consolidation and there are diffuse centracinar style nodular opacities in the central parts of both lungs . these appearances were primarily evaluated in favor of viral pneumonia . pleural effusion reaching 7 mm in the thickest part of the left lung and compression atelectasis in the accompanying lung parenchyma are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . in the supraclavicular fossa and axilla no lymph node in pathological size and appearance is observed . abdomen no features were detected in the upper abdomen sections . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma widespread focal consolidations more prominent in the lower lobes of both lungs and areas of ground glass density were observed around them . when examined in the lung parenchyma window a few nodules smaller than 5 mm were observed in both lungs . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid pneumonia . findings that may be compatible with viral pneumonias . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . a few oval-shaped lymph nodes with diffuse cortical thickening were observed in the upper left lower paratracheal one the largest of which was mm . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a similar finding is also observed in the anterior segment of the upper lobe of the right lung . the outlook may be compatible with covid 19 pneumonia . when examined in the lung parenchyma window evaluation of parenchyma is suboptimal due to respiratory artifact in bilateral lungs and nodular ground-glass-like patchy opacities are observed in the lower lobe basal segments of both lungs as far as can be observed extending from the area to the subpleural area . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window minimal emphysematous changes are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is atypical in terms of an infiltrative finding . primarily atelectasis it has been evaluated in its direction . in the middle lobe of the right lung there are two nonspecific nodules with a size of 45 mm in serial 202 image 95 and subpleural 4 mm in size in series 202 image immediately inferior to this nodule . when examined in the lung parenchyma window a slight linear density increase is observed in the area extending to the subpleural area in the middle lobe of the right lung . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are partially included in the study . thoracic aorta diameter is normal . the gallbladder is not observed . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when both lung parenchyma windows are evaluated pleuroparenchymal sequelae density increases were observed in both lungs apical . no mass-nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mediastinal and bilateral axillary pathological lymph nodes were not detected . mediastinal structures are suboptimal because the examination is unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels pericardial thickening-effusion was not detected . heart contour and size are natural . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no suspicious nodule mass or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma sequela parenchymal changes are observed in the inferior lingular segment of the left lung upper lobe . in the examination made in the lung parenchyma window there is a mosaic attenuation pattern in both lung parenchyma small airway disease small vessel disease . no pericardial and pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calibration of mediastinal vascular structures and heart contour and size are natural . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of mediastinal vascular structures and heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma there are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . there are millimetric nodules in both lungs the largest of which is in the upper lobe of the right lung and calcific . no mass or infiltrative lesion was detected in both lungs . minimal emphysematous changes are observed in both lungs . in the right lung lower lobe superior lateral pleural thickening is observed which does not differ significantly . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . aberrant right subclavian artery is observed . atheroma plaques are observed in the aorta . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen upper abdominal organs are partially observed and millimetric stones are observed in the gallbladder . atheroma plaques are observed in the aorta . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma several pulmonary nodules are observed in both lungs . the described appearances may be changes . mosaic attenuation pattern is observed in both lungs . it is stable when evaluated together with the previous examination of the patient . there are linear atelectasis in both lungs . these appearances were also present in the previous examination of the patient but increased in the current examination . the largest of the described pulmonary nodules is observed in the anterior segment of the upper lobe of the left lung and its diameter was measured as 85 mm . when examined in the lung parenchyma window ventilation of both lung parenchyma is normal . airways trachea both main bronchi are open . mediastinum evaluation of solid organs vascular and mediastinal structures is suboptimal because the examination is non-contrast . no difference was observed in the number and size of the other pulmonary nodules described . lymph nodes are observed in the mediastinal area the largest being 12 mm in diameter in the paratracheal area 8 mm in the previous examination and increased . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen thoracic aorta diameter is normal . other upper abdominal organs included in the examination were considered normal . calcific atheroma plaques are observed in the aorta and coronary arteries . an increase in the wall thickness of the colon is observed at the level of the hepatic flexure on the right which is included in the imaging area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen thoracic aorta diameter is normal . no pathology was detected in the upper abdominal sections included in the sections . lung parenchyma when examined in the lung parenchyma window both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma . millimetric sequela calcific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is linear atelectasis in the middle lobe of the right lung . apart from this both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma in the evaluation of both lung parenchyma mass nodule-infiltration was not detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands appear natural . in addition hypodense lesions with a diameter of 6-7 mm are observed in the lateral segment of the left lobe the largest of which is in the liver that is in the examination area . in the sections passing through the upper part of the abdomen there are appearances in the left kidney some of which are hyperdense some are hypodense cortical and some are possibly hemorrhagic cysts . they were primarily evaluated as cysts . lung parenchyma in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . nonspecific nodules in millimetric dimensions were observed . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes were observed in pathological size and appearance . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections as far as it can be observed within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma this finding from covid-19 pneumonia . in both lungs especially in the upper lobes there are ground glass appearances interlobular septal thickening in places and cystic areas within ground glass areas . the views described are nonspecific . however differential diagnosis cannot be made due to the prevalence of the findings . when the patient the previous examination there is no difference in the findings . although these findings can be observed in many pathologies infections due to opportunistic pathogens are primarily considered in the differential diagnosis viral pneumonia pneumonia . however the diagnosis of covid-19 pneumonia has not been completely excluded . although there may be similar appearances in covid-19 pneumonia subpleural areas are frequently involved in covid-19 pneumonia . in this examination it is observed that the subpleural area is preserved in places . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma it is recommended to evaluate the patient together with laboratory findings . although the described lesions are very small clear characterization cannot be made but it was thought that these appearances may be compatible with covid-19 pneumonia during the pandemic process . no mass was detected in both lungs . enlarged vascular structure was observed in one of the ground glass appearance . ground-glass appearances are observed in the peripheral areas of both lung lower lobes . the frosted glass views are very small . there are pleuroparenchymal sequelae changes in both lung apex . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window widespread ground glass densities and consolidations in the lower lobes are observed in both lungs especially in the lower lobes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the heart is slightly larger than normal . pericardial effusion reaching 11 mm in diameter is observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are a few millimetric nonspecific nodules mostly in the upper lobes of both lungs . when examined in the lung parenchyma window emphysematous changes are observed in both lungs mostly in the upper lobes . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . in the mediastinum there are several small lymph nodes with a short axis measuring up to 5 mm . calcified atheroma plaques are observed in the aortic arch and coronary arteries . no lymph node was detected in bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atheroma plaques are observed in the aortic arch and coronary arteries . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . calcified atheroma plaques are observed in the aortic arch and coronary arteries . upper abdominal sections entering the examination area are natural . lung parenchyma the outlook may be compatible with early covid-19 pneumonia . clinical and laboratory correlation is recommended . when examined in the lung parenchyma window subpleural focal ground glass density increases were observed in the right lung lower lobe superior segment and left lung upper lobe anterior segment . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . bilateral minimal peribronchial thickenings were observed . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there is minimal focal effusion measuring 1 cm in thickness in the anterior pericardial area . heart contour size is natural . osseous structures no lytic-destructive lesion was detected in bone structures . there is a slight loss of height in the l1 vertebra upper end plate . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density in the upper abdominal sections included in the study area was slightly decreased compatible with adiposity . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion is observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . since the patient was not breathing properly during the examination optimal evaluation could not be made especially in terms of focal lesion . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities within the sections are normal . intervertebral disc distances are preserved . abdomen there is no discernible mass in the upper abdominal organs within the sections . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma ventilation of both lungs is normal . when examined in the lung parenchyma window active infiltration or mass lesion is not observed in both lung parenchyma . bilateral hilus could not be evaluated optimally . pericardial pleural effusion or thickness increase is not observed . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are normal . thoracic aorta diameter is normal . no pathologically enlarged lymph nodes were detected in the mediastinum . sliding type hiatal hernia is observed at the lower end . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal organs including sections in the left adrenal gland corpus there is an increase in nodular thickness with stable fat densities and it was evaluated in favor of adenoma . no free or loculated collections were detected . lung parenchyma nonspecific parenchymal nodules the largest of which is 2 mm in the right lung are observed in both lungs stable . no pathological wall thickening was detected . when examined in the lung parenchyma window paraseptal emphysema findings in both lungs and peripherally located bulla-bleb formations especially in the upper lobes were observed . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum stable lymph nodes with a short diameter of up to 5 mm were observed in the mediastinal prevascular area aortopulmonary window paratracheal area and subcarinal area . the mediastinal main vascular structures and heart were evaluated as suboptimal because the examination was unenhanced . thoracic esophagus is in normal calibration . heart and great vessels no pericardial effusion or thickening was detected . however no obvious pathology was detected . the mediastinal main vascular structures and heart were evaluated as suboptimal because the examination was unenhanced . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen right adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs entering the imaging field are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the left adrenal gland corpus an appearance of 1 cm diameter hypodense fat density was observed adenoma and it is stable . lung parenchyma subsegmental atelectasis area in the middle lobe of the right lung is remarkable . when examined in the lung parenchyma window peribronchial thickening and bronchiectatic changes were observed in both lung parenchyma . mosaic atteniation areas were observed in both lung parenchyma small vessel disease small airway disease . a few millimetric nonspecific pulmonary nodules were observed in both lung parenchyma . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . no lymph nodes were detected in pathological size and appearance . lymph nodes measuring 5 mm in the short axis of the larger one were observed in the upper-lower paratracheal subcarinal localization . the thoracic aorta measures 40 mm in diameter and shows mild fusiform dilatation . artery diameter was measured 29 mm . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion was detected in bone structures . a compression fracture was observed in the l1 vertebra in a loss of height of approximately 50 . abdomen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . the thoracic aorta measures 40 mm in diameter and shows mild fusiform dilatation . no significant pathology was detected in the upper abdominal sections within the non-contrast scan limits . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . abdomen the liver parenchyma entering the section area has a heterogeneous appearance and its contours are corrugated . thoracic aorta diameter is normal . the right adrenal glands were normal and the left adrenal gland was evaluated as suboptimal secondary to varicose the bone structures in the examination area are natural . upper abdominal organs included in the sections are normal . it was evaluated in favor of parenchymal disease . there is an increase in the size of the spleen . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . dependent density increases and areas of linear atelectasis are present in both lung lower lobe posterior segments . no mass or infiltrative lesion was detected in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures minimal scoliosis is observed in the thoracic region with its opening to the left . no lytic-destructive lesion was observed in bone structures . abdomen as far as it can be evaluated within the non-contrast ct limits there is no discernible mass in the upper abdominal organs . lung parenchyma there are millimetric nonspecific nodules in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . a catheter that is inserted from the right and terminates in the superior vena cava is observed . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are stable nodules the largest of which is 10 mm in diameter in the apical and posterior parts of the upper lobe of the right lung . when the lung parenchyma window is examined there is a soft tissue mass obliterating the lower lobe bronchus of the right lung and the mass cannot be distinguished from lower lobe atelectasis . in the right lung middle lobe posterior segment consolidation areas with air bronchograms and density increases in ground glass density were observed . emphysematous changes were observed in both lungs . the lower lobe of the right lung has a total atelectatic appearance . there are thickenings in the interlobular septa in the ventilated right lung . loculated pleural effusion reaching a depth of approximately 3 cm is observed on the right and is an additional finding . airways trachea both main bronchi are open . mediastinum a large number of lymph nodes mm in size are observed in the paratracheal aortopulmonary window subcarinal area hilar regions the largest in the anterior paratracheal area and there is an increase in lymph node size and number . thoracic aorta diameter is normal . mediastinal structures are slightly deviated to the right . the anterior paratracheal lymph node size described in his previous examination was measured as . diffuse increase in esophageal wall thickness persists . heart and great vessels pericardial effusion up to 8 mm is an additional finding . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a lesion with a diameter of 15 mm was observed in the left adrenal gland and it is an additional finding . thoracic aorta diameter is normal . right adrenal glands were normal and no space-occupying lesion was detected . lung parenchyma in the previous examination of the patient it is understood that the consolidations ground glass areas and cystic areas observed in both lungs especially in the lower lobes have almost completely disappeared . the described appearance may be of round atelectasis-pneumonia or a soft tissue mass . in addition there are sometimes linear atelectasis in both lungs . there are diffuse emphysematous changes in both lungs . close monitoring is recommended . this distinction was not made in this study . no pleural or pericardial effusion or thickening was detected . a consolidated area is observed in the peripheral subpleural area in the posterobasal segment in the lower lobe of the left lung . airways trachea and both main bronchi are normal . there is no obstructive pathology in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . no pathologically enlarged lymph nodes were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen many hypodense lesions are observed in the liver that cannot be characterized because contrast agent is not given . it is also present in previous examinations and no difference was found in its dimensions and appearance . it was thought to be a hyperdense cyst . the described lesions are observed in the previous examination of the patient and no significant difference was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . there is a millimetric hyperdense appearance in the upper pole of the right kidney . no upper abdominal free fluid-collection was detected in the sections . it could not be characterized as no contrast agent was given . lung parenchyma no mass active infiltration or consolidation was observed in both lungs . a 4 mm nodule is observed in the lower lobe laterobasal part of the left lung . when examined in the lung parenchyma window both lung ventilation is normal . sequelae ectatic band formations and areas of linear atelectasis are observed in the anterior middle lobe of the right lung . airways the trachea is in the midline and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were observed in the pretracheal prevascular subcarinal hilar-axillary regions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma evaluation together with clinical and laboratory findings and follow-up examination after treatment is recommended . mild sequelae changes are observed in the middle lobe on the right . mild emphysematous findings are present in both lungs . when examined in the lung parenchyma window consolidative areas that tend to merge more clearly on the right are observed in the lower lobe of both lungs covid pneumonia . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . at the level of the dorsal 5-6 neural foramen the spinal root is clearly observed . abdomen in the middle part of the left kidney and in the inferior pole there are two calculi the largest of which is 3 mm in diameter with a density compatible with it . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . a slight decrease in density consistent with steatosis is observed in the liver . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are density increases at the posterobasal level in the left lung . when examined in the lung parenchyma window sequelae changes are observed at the apical level in the upper lobe of the right lung . a 6 mm diameter nodule is observed in the lower lobe superior segment and pleuroparenchymal density increases are also present in the lower lobe superior segment . a linear irregular density increase is observed consistent with band atelectasis or sequelae changes at the apical level of the upper lobe of the right lung and the posterobasal lower lobe . there are sequelae changes in the middle lobe at the pleuroparenchymal and lower lobe basal levels extending towards the superior segment . there are density increases more caudally laterally and anteriorly which are also considered compatible with pleuroparenchymal sequelae . airways no relevant findings . mediastinum calibration of mediastinal major vascular structures is natural . lymph nodes are observed in the upper-lower paratracheal area in the aorticopulmonary window and in the subcarinal area at the prevascular level with the largest measuring mm in the right lower paratracheal area . heart and great vessels cto is normal . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are several scattered sequelae of calcific pulmonary nodules in both lungs . parenchymal aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no fracture or lytic-destructive lesion was observed in the bone structures within the . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal organs including sections liver density was diffusely decreased consistent with hepatosteatosis . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the distribution and appearance of the described findings are in the style frequently observed in covid-19 pneumonia and the findings were evaluated in favor of covid-19 pneumonia during the pandemic process . in both lungs especially in the lower lobes especially in the peripheral areas consolidations and sometimes accompanying ground glass areas are observed . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no nodular or infiltrative lesion was detected in both lungs . clinical laboratory correlation is recommended . when examined in the lung parenchyma window thickening of the interlobular septa in both lungs patchy ground glass densities mild bronchiectasis at the lower lobe basal level are observed . calcific lymph nodes are observed in both hilar regions . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum post-op changes are observed in the mediastinum and mild effusion is observed at the level of the aortic arch in the posterior of the sternum . double extension is observed in the pacemaker to the superior vena cava . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there are calcific atheroma plaques in the coronary arteries and aorta . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size increased . replacement material is monitored . the findings were initially evaluated in favor of the onset of suspected infectious processes accompanied by cardiac stasis . osseous structures there is a diffuse density decrease in the bone structures in the examination area . fluid measuring 28 mm are observed in the anterior of the sternum . abdomen post-op changes are observed in the mediastinum and mild effusion is observed at the level of the aortic arch in the posterior of the sternum . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are partially included in the examination and were evaluated as suboptimal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . there are calcific atheroma plaques in the coronary arteries and aorta . lung parenchyma there was no appearance that could be evaluated in favor of a mass or infiltrative lesion in both lungs . other than that no significant difference was found in the findings . there is almost complete loss of ventilation in the lower lobe of the right lung except for the superior segment . bilateral pleural effusion and loss of aeration in the lung adjacent to the pleural effusion are observed more prominently on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . heart and great vessels pericardial effusion was not observed . osseous structures no relevant findings . abdomen no intraabdominal free fluid-collection was detected . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities within the sections are normal . intervertebral disc distances are preserved . abdomen the thickness of the right kidney parenchyma is thinned in places and there is minimal dilatation in the right kidney calyces . the described manifestations were evaluated primarily in favor of sequelae changes . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . no upper abdominal free fluid-collection was detected in the sections . the right kidney is minimally smaller than normal . lung parenchyma a few millimetric nonspecific parenchymal nodules were observed in the lower lobe of the left lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window both lungs are emphysematous . it is nonspecific . in all lobes of the right lung and upper lobe of the left lung peripheral faintly circumscribed nodular ground glass opacities are observed and the appearance is highly suspicious for early covid-19 pneumonia . a few nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs . it is recommended to be evaluated together with clinical and laboratory . no mass lesion with distinguishable borders was observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be seen mediastinal main vascular structures heart contour size are normal . a calcific lymph node measuring mm was observed at the level of the aortopulmonary window . hiatal hernia was observed in the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . findings consistent with diffuse idiopathic bone hyperostosis were observed at the level of the thoracic vertebrae . abdomen accessory spleen with a diameter of 75 mm was observed in the anterior neighborhood of the upper pole of the spleen . liver sizes increased in the upper abdominal organs included in the sections . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . millimetric hypodense nodular lesions were observed in both kidneys cyst . the parenchymal density is diffusely decreased consistent with adiposity . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . tracheal diverticulum with dimensions of mm was observed on the right posterior to the trachea in the mediastinal . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . tracheal diverticulum with dimensions of mm was observed on the right posterior to the trachea in the mediastinal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections a nonspecific hypodense lesion of approximately 1 cm in diameter was observed in segment 8 at the level of the liver dome close to the inferior vena cava . in both kidneys nodular lesion areas with a hypodense fluid density of 22 cm in diameter were observed in the upper pole of the right kidney cyst . lung parenchyma when examined in the lung parenchyma window no area of pneumonic infiltration or consolidation was detected on this imaging . in the basal segment of the lower lobe of the right lung there is a solid nodular lesion containing 18 mm diameter punctate calcification foci adjacent to the segment bronchi . resolution of parenchyma sections is suboptimal due to respiratory artifact . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is natural . sliding type hiatal hernia is present . heart and great vessels pericardial effusion-thickening was not observed . heart dimensions and compartments appear natural . calcific atheroma plaques are observed in lad . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen in the upper abdominal sections parapelvic cysts are observed in both kidneys . tissue diagnosis would be appropriate due to its size and presence of punctate calcification focus . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are linear atelectasis in the medial segment of the middle lobe of the right lung and the lower lobe of the left lung . minimal emphysematous changes were observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma nodular consolidated areas are observed in the superior segment of the left lung lower lobe . in the left lung lingula inferior segment a 3 mm diameter non-specific focal lesion without nodular configuration is stable . it favors bronchopneumonic infiltration . there are bronchial wall thickness increases in both lung segment bronchi . airways no relevant findings . mediastinum no lymph node was observed in pathological size and appearance in both axillae . no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels heart dimensions and compartments were observed naturally . calcified atheroma plaques are present in lad . osseous structures in both supraclavicular fossas no lymph node in pathological size and appearance was observed in the cross-section . bone structures are of natural appearance . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window in the lower lobe segments of the right lung scattered faint ground-glass-like density increases are observed in several foci . no pleural effusion or pneumothorax was detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . a calcific atheroma plaque is observed at the level of the aortic arch . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the right adrenal medial crus is full . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . a calcific atheroma plaque is observed at the level of the aortic arch . lung parenchyma no finding compatible with pneumonia was observed . sequelae changes are observed in the inferior lingular segment on the left . when examined in the lung parenchyma window sequelae changes are observed in the middle lobe on the right . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum the aortic arch calibration is 30 mm . mediastinal other major vascular structures heart contour size are normal . thoracic aorta diameter is normal . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . cto is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal other major vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen the aortic arch calibration is 30 mm . if necessary us examination is recommended . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . there is a density compatible with calculus into the gallbladder . thoracic aorta diameter is normal . cto is normal . upper abdominal organs included in the sections are normal . hyperdense nodular appearance in the superior pole lateral of the right kidney indistinguishable from artifact may be consistent with a hemorrhagic cyst . a decrease in density consistent with steatosis was observed in the liver . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window in the apical segment of the left lung upper lobe mm soft tissue density with irregular borders was observed and the sequelae were evaluated in favor of atelectatic change in the first plan . pleural effusion-thickening was not observed . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the non-contrast examination a 5 mm diameter hypodense nodular space-occupying lesion area was observed in the left lobe lateral segment of the liver as far as can be observed . it could not be characterized in the non-contrast examination cyst . no stones were observed in both kidneys within the sections . gallbladder spleen both adrenal glands pancreas are natural . lung parenchyma ground glass appearance and consolidation are observed in the posterobasal segment of the lower lobe of the right lung . in addition peripheral and centrally located ground glass areas were also observed in both lungs . there are atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . no mass was detected in both lungs . these findings are frequently observed in covid-19 pneumonia . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are millimetric lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . no pathologically enlarged lymph node was detected . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . there is a pleural-based millimetric nonspecific nodule in the superior segment of the left lung lower lobe . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window central-peripheral localized crazy paving pattern and nodular ground glass consolidations showing signs of vascular enlargement were observed in both lungs and the appearance is compatible with covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric nonspecific nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there are paraseptal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the diameters of the arch and descending aorta are normal . there are atheromatous plaques in the aorta and coronary arteries . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . calcifications are observed in the aortic valve . the ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal . osseous structures apart from this no fractures were observed in the bone structures within the sections . there are osteophytes in the vertebral corpus corners . the neural foramina are open . reaction was not observed . thoracic vertebral corpus heights alignments and densities are normal . no lytic-destructive lesion was detected in the fracture localization . in the anterior part of the right second rib a fracture was observed just medial to the costochondral junction which did not show significant separation . abdomen the diameters of the arch and descending aorta are normal . there are atheromatous plaques in the aorta and coronary arteries . no soft tissue mass was detected . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma fibroatelectatic changes are observed in the upper lobe of the left lung and in the lower lobe of both lungs . bilateral thickening no effusion was detected . in addition peripheral density increases in the upper and lower lobes of both lungs and focal ground-glass-like density increases in the area were observed . it was evaluated in with the frequently reported imaging features of covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . when examined in the lung parenchyma window consolidation area was observed in the peripheral area in the anterior segment of the left lung upper lobe . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . airways no relevant findings . mediastinum it was evaluated in favor of hyperplasia rather than adenoma . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . millimetric lymph nodes were observed in the mediastinal upper-lower paratracheal aorticopulmonary window . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . the diameter of the main pulmonary artery was 37 mm and it shows dilatation . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . heart size increased . a pacemaker appearance and electrodes extending to the floor of the ventricle were observed on the anterior left chest wall . as far as can be seen the ascending aorta measures 43 mm in diameter and shows fusiform dilatation . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . thoracic kyphosis is slightly increased . tapering and changes were observed in the vertebral corpus corners . abdomen diffuse thickening was observed in both adrenal glands . it was evaluated in favor of hyperplasia rather than adenoma . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . a hyperdense lesion with a diameter of 15 mm was observed in the upper pole of the left kidney hemorrhagic cyst . this cannot be characterized . in the upper abdominal sections in the study area gall bladder was not observed cholecystectomized . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . lung parenchyma segmentary-subsegmental tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs . mosaic attenuation pattern is observed in both lungs and is secondary to small airway stenosis . parenchymal air cysts were observed in the right lung lower lobe mediobasal segment and adjacent to the left lung segment bronchi . when examined in the lung parenchyma window sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . nonspecific parenchymal nodules with a diameter of 51 mm were observed in both lungs the largest of which was in the lower lobe laterobasal segment of the right lung . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures osteodegenerative changes were observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma at the level of the anteromedial junction of the lower lobe of the right lung a 7 mm opacity is observed in the paracardiac area in series 2 image which was not observed in the previous examination . bronchiectasis and atelectatic changes observed at the posterobasal level of the left lung lower lobe show regression . when examined in the lung parenchyma window in the previous examination atelectasis in the form of a thick band at the level of the consolidation area which showed cavitation in the upper lobe of the right lung was observed and no lesion was found in the current examination . it was evaluated in favor of atelectatic change in the first plan . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma bilateral hilus examination could not be evaluated optimally due to the lack of contrast . both lungs have a mosaic attenuation pattern small airway disease small vessel disease . no mass lesions were detected in both lungs . findings were also present in the patients previous ct examination but showed progression . when examined in the lung parenchyma window interlobular-interstitial nodular thickness increases are observed in both lungs especially in the peribronchovascular area . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . the widths of the mediastinal vascular structures are normal . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels as far as can be seen the heart is larger than normal . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen as far as can be seen within the limits of non-contrast ct in the upper abdominal sections within the image there is a stable hypodense lesion in the liver segment 3 that cannot be characterized within the borders of unenhanced ct which was also observed in the previous ct scan of the patient . no intraabdominal free fluid loculated collection was detected . lung parenchyma linear atelectasis was observed in the left lung upper lobe lingular segment . apart from this both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are millimetric atheroma plaques in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there are millimetric atheroma plaques in the aorta . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma nonspecific focal thickening was observed in the right major fissure . in addition a stable nonspecific parenchymal nodule with a diameter of 3 mm was observed in the anterobasal segment of the left lung lower lobe . no mass-infiltration was detected in both lung parenchyma . parenchymal nodules with a diameter of 62 mm in the left lung lower lobe laterobasal segment and 49 mm in the right lung lower lobe laterobasal segment were observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . pleuroparenchymal sequelae density increases were observed in the right lung lower lobe superior segment . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures there are metallic suture materials belonging to sternotomy in the sternum . mild degenerative changes are observed in bone structures . no lytic-destructive lesion was detected . abdomen no dilatation was detected in the thoracic aorta . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . lung parenchyma apart from this there are several nodules the largest of which is 3 mm in the posterobasal right lower lobe . when examined in the lung parenchyma window minimal sequela fibrotic changes are observed in the lungs . mild irregularly circumscribed nonspecific nodular densities were observed adjacent to the minor fissure in the middle lobe of the right lung and with a subpleural diameter of 5 mm in the posterobasal region of the left lower lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window mild atelectasis changes are observed in the posterobasal levels of both lung lower lobes . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum there are several lymph nodes in the mediastinum with a short axis measuring 4 mm . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there are minimal calcific atheromatous plaques in the coronary arteries . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma the largest of the nodules was observed in the left lung upper lobe anterior and lower lobe mediobasal segment . no discernible infiltration was detected in the lung parenchyma . when examined in the lung parenchyma window segmental-subsegmental peribronchial thickening and luminal narrowing were observed in both lungs . parenchymal nodules were observed in both lungs . it is recommended to evaluate and follow-up together with previous examinations if any . the contours of the nodule in the anterior segment of the left lung upper lobe are irregular . mosaic attenuation was found to be secondary to small airway stenosis . a parenchymal air cyst with a diameter of mm was observed in the basal part of the lower lobe of the right lung . passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung upper lobe inferior lingular segment . sequela fibrotic density increases were observed in both lung apexes . mosaic attenuation pattern was observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in their lumen . mediastinum calcific atherosclerotic changes were observed in the thoracic aorta and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . lymph nodes that did not reach pathological dimensions were observed in the mediastinum the largest of which was 83 mm in the short axis of the right lower paratracheal . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . calcific atheroma plaques were observed in the wall of the abdominal aorta . their diameters were measured at 72 and 42 mm respectively . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atherosclerotic changes were observed in the thoracic aorta and coronary arteries . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures minimal degenerative changes were observed in bone structures . abdomen calcific atherosclerotic changes were observed in the thoracic aorta and coronary arteries . calcific atheroma plaques were observed in the wall of the abdominal aorta . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . thickening was observed in the right adrenal gland medial crus and left adrenal gland lateral crus . their diameters were measured at 72 and 42 mm respectively . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . band atelectatic changes were observed in the basal segments of the lower lobe of the left lung . when examined in the lung parenchyma window subsegmental atelectatic changes were observed in the right lung middle lobe medial left lung upper lobe inferior lingular and left lung lower lobe anterobasal segment . nonspecific pulmonary nodules with a diameter of 3 mm were observed in both lungs the largest of which was in the lingular segment of the left lung upper lobe . ground glass density secondary to osteophyte compression was observed in the right lung lower lobe mediobasal segment and the sequelae are consistent with atelectasis . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinum was not evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . it is recommended to be evaluated together with previous examinations if any . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures findings consistent with diffuse idiopathic bone hyperostosis were observed at the mid-thoracic level . vertebral corpus heights are preserved . abdomen surgical suture materials and a mm high-density well-defined solid lesion area were observed in the left kidney lodge and left paraaortic area post-op sequelae change . it is recommended to be evaluated together with previous examinations if any . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific subpleural nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there are calcific plaques in the aortic arch and descending aorta . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . a small hiatal hernia is observed . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there are calcific plaques in the aortic arch and descending aorta . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several millimetric nonspecific nodules in both lungs the largest of which reaches 5 mm in diameter . band atelectasis is observed anteriorly in the lower lobe on the left . when examined in the lung parenchyma window peripheral subpleural nodular ground glass densities are present in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures minimal scoliosis with right-facing scoliosis is observed in the upper thoracic bone structures in the examination area . abdomen in the upper abdominal organs included in the sections there is a stone density of 15 mm in the upper pole of the right kidney . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . there is a 2 mm diameter nodule at the laterobasal level in the left lung . on the right azygos fissure variation is observed . no pneumonia pleural effusion or pneumothorax was detected in bilateral lungs . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there are operative clip views in the gallbladder lodge . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a 16x12 mm lymph node is observed at the level of the left hilus . at the posterobasal level of the left lung thickening of the interlobular septa and thickening of the peribronchial sheath are observed . focal consolidation appearance is observed in the peribronchial area in the right lung lower lobe superior segment central . there are ground-glass-like density increases in both lung and thickening of the peribronchial sheath . there are millimetric lymph nodes at the level of the right hilum . a mosaic attenuation pattern is observed in both lungs small vessel disease small airway disease . in addition the case is emphysematous . a little more caudally two calcific nodules with a diameter of 3 mm are observed . when examined in the lung parenchyma window both hemithorax are symmetrical . in the anterior segment of the upper lobe 2 mm diameter calcific subpleural nodules and 2 mm diameter subpleural nodules are observed in the middle lobe . thickening of the subpleural interstitial tissue is observed in the upper lobes . there is a pleural effusion reaching 18 mm on the right and 13 mm on the left in its thickest part extending from the basal to the middle zones in both pleural distances . there is a mm nodule in the left lung upper lobe apicoposterior segment lateral subpleural area . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum lymph nodes are observed in all stations in the mediastinum the largest measured in the aorticopulmonary window and measuring approximately mm . the aortic arch calibration is 40 mm . pulmonary trunk calibration is 32 mm wider than normal . it is wider than normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the ascending aorta calibration is 41 mm wider than normal . cto is within the normal range . calcific atheroma plaques are observed in the coronary arteries . osseous structures there are findings compatible with dish . there are degenerative changes in the bone structure in the examination area . dorsal kyphosis increased . abdomen it is wider than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch calibration is 40 mm . slight contamination is observed in the mesenteric planes . in the sections passing through the upper abdomen there is a decrease in density consistent with steatosis in the liver . it may be compatible with cortical cyst . the gallbladder appears distended . a hypodense lesion with a diameter of approximately 8 mm is observed in the superior pole of the left kidney . calibration increase is observed in the large intestine loops entering the image area . there is a slight calibration increase in the large intestine segments . lung parenchyma when examined in the lung parenchyma window there are atelectasis in the left lung superior lingular segment and inferior lingula . it has been observed that the pleural effusion has newly developed in the cavity . a 10 mm pleural effusion is observed on the left . airways in the patient who has a clinic in the form of covid control trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta . mediastinal main vascular structures heart contour size are normal . the pulmonary artery is ectatic . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are chronic costal fractures that are locally fused on the right . degenerative changes were observed in the vertebrae in the bone structures in the study area . there is left-facing scoliosis in the thoracic vertebrae . abdomen in the upper abdominal sections included in the sections the liver and spleen appear larger than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window peripherally located patchy nodular ground glass densities and enlargement of the vascular structures are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no active infiltration was detected in a mass lesion with distinguishable borders in both lungs . when examined in the lung parenchyma window upper lobes of both lungs are emphysematous . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum thoracic aorta diameter is normal . in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . as far as can be observed in non-contrast examinations liver parenchyma density has decreased diffusely consistent with fatty deposits . lung parenchyma several nonspecific parenchymal nodules measuring 44 mm in diameter in the left lung and 35 mm in diameter were observed in the lower lobes of both lungs . mild emphysematous changes were observed in both lungs . when examined in the lung parenchyma window minimal focal nonspecific ground glass density increase was observed in the anterobasal segment of the lower lobe of the right lung . there is an air cyst in the right lung lower lobe laterobasal segment . bilateral pleural effusion-thickening was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen minimal calcifications were observed in the aortic valve and mitral valve . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in both lungs bronchiectasis is observed in the lower zones and at the central level . no pathological size and configuration lymph nodes were detected at both hilar levels . it is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes . it is also available in the old review . in the left lung there is a consolidative area with posterobasal air bronchograms . however consolidative areas including air bronchograms in the lower lobe posterobasal segment of the right lung and in the lower lobe superior segment of the left lung were not detected in the previous examination . pleuroparenchymal sequelae changes are observed at the apical level in both lungs . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . in the lower lobe segments of both lungs on the right regressed branches with buds are observed which are slightly more prominent than the previous examination . it is a new finding . sequelae changes are observed in the lingular segment of the left lung . no significant pleural effusion was detected in both lungs . airways trachea calibration is natural . an increase in thickness is observed in the peribronchial sheath . mediastinum calibration of mediastinal major vascular structures aortic arch calibration is 30 mm . abdominal aorta calibration is normal . it is slightly above normal . a catheter view extending from the left brachiocephalic vein to the right atrial is observed . no pathologically sized and configured lymph nodes were detected in the paraaortic areas . there are millimetric-sized calcific atheroma plaques in the coronary arteries at the level of the aortic arch . no pathological size and configuration lymph nodes were detected in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial thickening is observed in places . at the level of the heart between the left pulmonary artery and the left pulmonary vein a density of approximately 15 hu is observed in fatty planes which is evident according to the previous examination . a catheter view extending from the left brachiocephalic vein to the right atrial is observed . cto is within the normal range . there are millimetric-sized calcific atheroma plaques in the coronary arteries at the level of the aortic arch . however calibrations at other levels are natural . osseous structures in the case height loss is observed in the l2 vertebral corpus . at the proximal level of the left humerus a millimetric-sized density with metallic artifact is observed anteriorly . there are findings that are considered compatible with dish disease at the upper dorsal level . dorsal kyphosis is evident . degenerative changes are observed in the bone structures in the study area . abdomen calibration of mediastinal major vascular structures aortic arch calibration is 30 mm . the pancreas has a natural appearance . neighboring air bubbles are observed in the muscle and planes . abdominal lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . in the posterior segment of the upper lobe of the right lung there is a branch view with faint buds . clinical evaluation is recommended . no infiltrative lesion was detected in both lung parenchyma . mild sequelae changes are observed at the apical level . when examined in the lung parenchyma window both hemithorax are symmetrical . pleural effusion-thickening was not detected . a 5x3 mm nodule is observed in the dorsal subpleural area in the superior segment of the right lung lower lobe . airways calibrations of the trachea and main bronchi are normal and their lumens are open . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the manifestations described have been considered typical for covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window patchy ground-glass density increases are observed in the peripheral subpleural area which becomes evident in the middle and lower lobes of both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial thickening-effusion was not detected . heart contour size is natural . as far as can be seen the diameter of the ascending aorta is 40 mm and shows dilatation . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen when the upper abdominal sections in the examination area are evaluated no gallbladder was observed cholecystectomized . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma in the evaluation of both lungs in the parenchyma window a nodule with a diameter of approximately 2 mm is observed in the anterior and posterior segments of the upper lobe of the right lung . there are sequelae changes in the middle lobe . there was no finding compatible with pneumonia . a nodule with a diameter of 4 mm is observed in the superior segment of the lower lobe of the right lung . pleural effusion and pneumothorax were not observed . airways no relevant findings . mediastinum there are no pathologically sized and configured lymph nodes in the mediastinum and hilar level . cto is within normal limits . calcific atheroma plaques are observed in the aortic arch and descending aorta . calibration of the aortic arch and other mediastinal major structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures there are findings compatible with dish in the case . degenerative changes are observed in the bone structure . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . calibration of the aortic arch and other mediastinal major structures is natural . upper abdominal organs included in the sections are normal . cto is within normal limits . calcific atheroma plaques are observed in the aortic arch and descending aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a parenchymal nodule with a diameter of approximately 6 mm was observed on the fissural face of the lower lobe superior segment of the left lung . sequela fibrotic changes were observed in the right lung apex and peripherally located millimetric air cysts and paraseptal emphysema findings were observed . no significant changes were detected in these views in the current examination . in the previous examination no nodule was detected due to the section thickness . when examined in the lung parenchyma window in both lungs a ground-glass appearance and a honeycomb appearance were noted in the peripheral areas consistent with interstitial lung disease . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum stable lymph nodes with a short diameter of were observed in the mediastinal prevascular area aortopulmonary window paratracheal area and bilateral hilar region . the descending aorta has a tortuous course . the ascending aorta is dilated by approximately and the descending aorta by approximately . calcified atheroma plaques were observed in the mediastinal main vascular structures . the thoracic esophagus is in normal calibration . heart and great vessels the heart is normal . pericardial effusion-thickening was not detected . osseous structures bone structures in the study area are natural . there was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region . vertebral corpus heights are preserved . abdomen the descending aorta has a tortuous course . the ascending aorta is dilated by approximately and the descending aorta by approximately . no obvious pathology was detected in the upper abdominal organs that entered the imaging field . no significant massive wall thickening was detected . lung parenchyma no nodular lesions were detected in both lung parenchyma . when examined in the lung parenchyma window multilobar multisegmentary central-peripherally located nodular-patchy ground glass densities forming crazy paving pattern were observed in both lungs and are compatible with covid-19 pneumonia . it is recommended to be evaluated together with clinic and laboratory . linear atelectasis and subpleural lines were observed in the right lung middle lobe left lung inferior lingular and both lung lower lobe basal segments . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the mediastinal is natural for the calibration of other vascular structures . in the non-contrast examination the mediastinum could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels an effusion was observed in the pericardial space reaching a thickness of 6 mm anteriorly . the ascending aorta was observed to be wider than normal with an anterior-posterior diameter of mm . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma radiological findings were evaluated as compatible with covid pneumonia . nodular consolidation area is observed in the anterobasal segment of the lower lobe of the right lung . in the evaluation of lung parenchyma bilateral asymmetrical nodular ground glass density atypical pneumonic infiltration areas are observed in both lungs in the basal segments . no mass lesion was detected in the lung parenchyma . no pleural effusion was detected . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma viral pneumonias covid-19 pneumonia are considered in the etiology of the findings . the described findings are accompanied by areas of increase in density consistent with linear atelectasis findings compatible with covid-19 pneumonia during the recovery period . no mass lesions were detected in both lungs . in the evaluation made in the lung parenchyma window in both lungs areas of increased density are observed in multilobar diffuse indistinct ground glass density . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum mediastinal vascular structures could not be optimally evaluated due to the absence of iv contrast in the cardiac examination and the calibration of the vascular structures heart contour and size are normal as far as can be observed . in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures could not be optimally evaluated due to the absence of iv contrast in the cardiac examination and the calibration of the vascular structures heart contour and size are normal as far as can be observed . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen there is a diffuse density decrease secondary to hepatosteatosis in liver parenchyma density as far as can be observed within the borders of unenhanced ct in the upper abdominal sections within the image . intraabdominal free fluid-loculated collection is not observed . no lymph node was detected in pathological size and appearance . lung parenchyma when examined in the lung parenchyma window there are fibrotic densities with sequelae towards the apex more prominently on the right in the upper lobes of both lungs . in addition multiple sequela calcifications are observed among these fibrotic densities again more prominently on the right . no newly developed pneumonia focus was observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are sequel coarse calcifications in the liver entering the section area and no space-occupying lesion was detected . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . lung parenchyma when examined in the lung parenchyma window sequela fibrotic changes are observed in the upper lobe apex of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections there is a stone density of 1 mm in the upper pole of the right kidney . lung parenchyma the described findings were evaluated in favor of pneumonic infiltration . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window centriacinar nodular infiltration areas accompanying ground glass densities and focal consolidation area in the central part of the middle lobe were observed in the right lung middle lobe and lower lobe mediobasal segment left lung lower lobe anteromediobasal and posterobasal segments . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the examination performed without contrast the mediastinal could not be evaluated optimally . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mitral and aortic valves are calcified . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no relevant findings . lung parenchyma no signs of active infectious involvement are observed in both lung parenchyma . in the evaluation of lung parenchyma structures in the upper lobe segment bronchi of both lungs mucus plugs are observed that the bronchial lumens from place to place . there is also an area of atelectasis at subsegmental level in the lingula inferior segment of the left lung upper lobe . dependent atelectasis areas are observed in both lung lower lobe basal segments because of insufficient inspiration and in dependent localizations . linear and subsegmental atelectasis areas are present in both lung lower lobe superior segments and basal segments . areas of increased aeration are observed in both lungs . mild bronchial wall thickness increases and mild tubular bronchiectasis foci are observed in both lung segment bronchi . airways no relevant findings . mediastinum diffuse wall calcifications are observed in the aortic arch and thoracic aorta . wall calcifications are also observed in the abdominal aorta . millimetric nonspecific mediastinal lymph nodes are observed in the right upper paratracheal bilateral lower paratracheal subcarinal right pulmonary and paraaortic localization . heart and great vessels pericardial effusion was not observed . there are extensive calcified atheroma plaques in the lad and . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in pathological size and appearance in both supraclavicular fossae . there is an osteoporotic appearance in bone structures . old fracture lines are observed in the left and 10th ribs . abdomen no space-occupying lesion was detected . diffuse wall calcifications are observed in the aortic arch and thoracic aorta . wall calcifications are also observed in the abdominal aorta . in the sections passing through the upper abdomen the gallbladder is operated . there are suture materials in the lodge . lung parenchyma linear atelectasis and emphysematous changes are observed in both lungs . however a minimal increase was observed in this examination . consolidation and ground glass areas are observed in both lung lower lobes more prominently on the right . this appearance is compatible with the diagnosis of aspiration pneumonia stated in the clinical preliminary diagnosis . no mass was detected in both lungs . the described appearance can also be observed in the previous examination of the patient . there are pleuroparenchymal sequelae changes in both lung apex . no pleural effusion was detected on the left . minimal pleural effusion is observed on the right . airways trachea and both main bronchi are normal . there is no obstructive pathology in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . atheroma plaques are observed in the aorta and coronary arteries . no pathologically enlarged lymph nodes were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . atheroma plaques are observed in the aorta and coronary arteries . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window in the left lung inferior lingular segment band-like sequela fibrotic density increases were observed . no pleural effusion was detected . a subpleural 4 mm diameter nonspecific parenchymal nodule was observed in the apical right lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was uncontrasted and as far as can be observed no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window several nonspecific parenchymal nodules with a diameter of 38 mm were observed in both lungs the largest of which was in the right lung lower lobe laterobasal segment . no mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration was detected in both lungs . a few millimetric nonspecific parenchymal nodules were observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures millimetric osteophytes were observed in the vertebral corpus corners . intervertebral disc distances are minimally narrowed in places . bone structures in the study area are natural . the neural foramina are open . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric parenchymal nodules were observed in the lower lobe mediobasal segment adjacent to the fissure in the anterior segment of the right lung upper lobe posterior segment . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in both lungs apical . subsegmental atelectatic changes were observed in both lungs . bilateral pleural thickening-effusion was not detected . in addition a stable 45 mm diameter parenchymal nodule with subpleural location was observed in the anterior segment of the left lung upper lobe . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calibration of mediastinal major vascular structures is natural . lymphadenopathies measuring 14 mm in the paraaortic area and the short axis of the interaortocaval greater were observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen free fluid observed in the abdomen in the previous examination is not detected in the current examination . lymphadenopathies measuring 14 mm in the paraaortic area and the short axis of the interaortocaval greater were observed . there is a suspicious appearance compatible with calculus in the gallbladder lumen . multiple metastases were observed in the liver parenchyma in the upper abdominal sections included in the study area . us control is recommended . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . there is elevation in the left hemidiaphragm . bronchiectasis and minimal peribronchial thickening were observed in both lungs which became prominent in the center . a few millimetric parenchymal nodules some of them calcific were observed in both lungs . when examined in the lung parenchyma window pleuroparenchymal fibroatelectatic sequelae changes accompanied by pleural thickening were observed in the left lung inferior lingular and lower lobe basal segments of both lungs . airways nodular wall calcifications consistent with osteochondroplastica were observed in the segmental bronchial walls of the trachea and both main bronchi . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the anterior-posterior diameter of the ascending aorta was 42 mm and the anterior-posterior diameter of the descending aorta was 26 mm . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the diameters of the pulmonary trunk right and left pulmonary arteries were measured as 36 mm 26 mm and 25 mm respectively . diffuse atherosclerotic wall calcifications were observed in the thoracic aorta . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart sizes are natural . osseous structures diffuse osteodegenerative changes were observed in the thoracic vertebrae . bone structures in the study area are natural . abdomen as far as can be seen in non-contrast sections upper abdominal organs are normal . as far as can be seen the anterior-posterior diameter of the ascending aorta was 42 mm and the anterior-posterior diameter of the descending aorta was 26 mm . cortical cysts with a diameter of 21 mm were observed in both kidneys the largest of which was in the upper pole of the left kidney . mild bilateral renal artery stenosis is present at the level of celiac and sma and moderate to severe stenosis is present . diffuse calcific plaques were observed at the level of the celiac trunk sma and both renal artery . the right kidney is atrophic . diffuse atherosclerotic wall calcifications were observed in the thoracic aorta . calculus was observed in the gallbladder lumen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . minimal thickening was observed in both adrenal gland corpuscles . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window in the anterior segment of the left lung upper lobe a subpleural sequela calcific nodule of approximately 4 mm in size is observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . there are several nonspecific nodules less than 5 mm in diameter in both lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are emphysematous changes in both lungs especially in the upper lobes . no mass or infiltrative lesion was detected in both lungs . there are millimetric nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with discernible borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass or infiltrative lesion was observed in both lungs . there are nodules in both lungs the largest of which is 5 mm in diameter in the medial segment of the right lung middle lobe more on the right . several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions the largest of which is in the left hilar area . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions the largest of which is in the left hilar area . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen as far as it can be evaluated within the non-contrast ct limits there is no discernible mass in the upper abdominal organs . a hyperdense stone with a diameter of 4 mm is observed in the right kidney . lung parenchyma when examined in the lung parenchyma window there are semisolid nodules measuring 65 mm in size in the right lung upper lobe posterior lower lobe posterobasal segments left lung lower lobe posterobasal and lower lobe superior segments and the largest in the right lung upper lobe posterior segment . in addition a 35 mm nonspecific solid nodule is observed in the lateral segment of the lower lobe of the left lung . both lung parenchyma aeration is normal and no infiltrative lesion is detected . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no enlargement or stenosis-occlusion was detected in the abdominal aorta . no pathological increase in wall thickness was detected in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures vertebral corpus heights are natural . bone structures entering the cross-sectional area are natural . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . intra-abdominal parenchymal organs could not be evaluated optimally because the examination was without iv contrast . in the proximal upper 13 distal part of the left ureter 2 stones of mm and mm in size are observed approximately 6 cm distal to the level of the junction . as far as it can be observed within the limits of non-contrast ct the liver craniocaudal size increased by mm . segments were not calibrated due to the lack of oral and contrast in this examination and no pathological wall thickness increase was detected as far as can be observed . splenic vein width is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . the contour size parenchyma density of the spleen is normal . grade i ectasia is observed in the left kidney pelvicalyceal system and the ureter is followed as dilated . a 15x10 mm diverticular lesion is observed in the second part of the duodenum . there is a hypodense appearance secondary to hepatosteatosis in parenchymal density . periprostatic fatty tissues are clear . no space-occupying solid or cystic mass lesion is observed . hepatic and portal venous systems are normal . no enlargement or stenosis-occlusion was detected in the abdominal aorta . no space-occupying solid or cystic mass lesion was detected . abdominal vascular structures are natural . no lung parenchyma when examined in the lung parenchyma window a millimetric calcific nodule was observed in the posterior of the right lung upper lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . histopathological evaluation is recommended . evaluation for interstitial lung disease is recommended . an irregularly circumscribed soft tissue lesion with a millimetric necrotic area in the center of the left lung apex was observed . there are air images consistent with mild pneumothorax in the pleural distance at the level of the middle lobe of the right lung and the upper lobe of the left lung . when examined in the lung parenchyma window thickening of the peribronchial sheath in both lungs traction bronchiectasis in the middle lobe of both lungs thickening of the interlobular septa and irregularities in the pleural face were observed . airways no relevant findings . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . in the previous examination it was measured as mm and . diffuse atherosclerotic wall calcifications were observed in the thoracic aorta its supraaortic branches and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures and heart contour size are normal . a post-op collection of approximately mm was observed in the anterior mediastinum . metallic sutures secondary to surgery in the sternum and bypass in the mediastinum were observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels in the pericardial space effusion reaching 19 mm in thickness was observed in its widest part . as far as can be seen mediastinal main vascular structures and heart contour size are normal . osseous structures degenerative changes were observed in bone structures . metallic sutures secondary to surgery in the sternum and bypass in the mediastinum were observed . abdomen diffuse atherosclerotic wall calcifications were observed in the thoracic aorta its supraaortic branches and coronary arteries . there are cortical cysts in both kidneys . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no suspicious mass or nodular space-occupying lesion was observed . when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma density increases minimal structural distortion and minimal volume loss which were evaluated primarily in favor of sequelae were observed in the anterior sections of the right lung upper lobe and anterior sections of the middle lobe . there is diffuse emphysema in both lungs most prominent in the upper lobe of the right lung . no mass or infiltrative lesion was detected in both lungs . there are several millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was observed in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in both axillae interpectoral and regions and adjacent to internal mammary vessels . atheroma plaques are observed in the aorta and coronary arteries . no pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels atheroma plaques are observed in the aorta and coronary arteries . heart contour and size are normal . osseous structures no appearance that can be evaluated in favor of metastasis was detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma it is recommended to be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . when examined in the lung parenchyma window multilobar peripheral subpleural consolidation and ground glass density areas are observed in both lungs and viral pneumonias are considered in the etiology of the findings . pleural effusion-thickening was not detected . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . calcified atheroma plaques are observed on the wall of the aortic arch and coronary vascular structures . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesion was observed . there are osteophytic degenerative changes that tend to merge in the right anterolateral aspect of the lower thoracic vertebral corpus corners in the bone structures within the study area . abdomen calcified atheroma plaques are observed on the wall of the aortic arch and coronary vascular structures . in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen it is recommended that the patient be evaluated together with previous examinations if any . there are hypodense lesions in the liver . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . these lesions could not be characterized as no contrast agent was given . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window on the left an effusion measuring 10 mm in its thickest part partially extending to the fissure was observed . left lung volume decreased secondary to atelectatic changes . mild bronchiectatic changes were observed in the center of both lungs . patchy ground glass consolidations with crazy paving pattern accompanied by interlobular septal thickenings were observed in both lungs and the appearance is highly suspicious for covid-19 pneumonia . it is stable . the left hemidiaphragm shows marked elevation . compressive atelectatic changes were observed in the lower lobe basal and upper lobe inferior lingular segments of the left lung . airways trachea both main bronchi are open . mediastinum calcific atherosclerotic changes are observed in the walls of the thoracic aorta and coronary arteries . a few pathologically sized lymph nodes of 17x11 mm were observed at the prevascular right upper paratracheal right hilar subcarinal and right lower paratracheal level . calibration of the thoracic aorta and pulmonary arteries is natural . existing lymph nodes were also present in the patients previous examination but showed increased size . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . the left hemidiaphragm is elevated and the heart is slightly displaced to the left . calcific atherosclerotic changes are observed in the walls of the thoracic aorta and coronary arteries . on the left the pacemaker and electrodes extending to the apex of the right ventricle were observed on the anterior chest wall . there are densities of stent material in coronary arteries . osseous structures postoperative density increases were observed in the left intercostal region and subcutaneous fat planes . no lytic-destructive lesion was observed in the bone structures within the examination area . calcific bone fragments were observed in the right glenohumeral joint area in the examination area body . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calibration of the thoracic aorta and pulmonary arteries is natural . a 15 cm diameter hypodense lesion was observed in the middle zone of the left kidney cyst . calcific atherosclerotic changes are observed in the walls of the thoracic aorta and coronary arteries . upper abdominal organs included in the sections are normal . accessory spleen with a diameter of 12 mm was observed adjacent to the lower pole of the spleen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several millimetric nonspecific nodules in both lungs . there are occasional linear atelectasis in both lungs . no mass or infiltrative lesion was detected in both lungs . mosaic attenuation was observed in both lungs small airway disease small vessel disease . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . atheroma plaques are observed in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . sliding type hiatal hernia was observed at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen there are parapelvic and cortical localized masses in the right kidney that cannot be characterized in this examination since contrast material is not given . it is recommended that the patient be evaluated together with previous examinations if any and further examination if indicated . the largest of these are seen on the right and the longest diameter was 30 mm . were observed in the medial and lateral leg of the right adrenal gland the corpus of the left adrenal gland and the lateral leg . atheroma plaques are observed in the aorta . lung parenchyma when examined in the lung parenchyma window multiple parenchymal nodules measuring 5 mm in diameter were observed in both lungs especially in the left lobe in different localizations . however it is not specific . the outlook can be traced in covid-19 pneumonia . reticulonodular irregular thickness increases were observed adjacent to the mass in the right lung lymphangitic spread . clinical-laboratory correlation is recommended . in addition nodular ground glass density increases were observed in the upper lobe of the right lung . on the right there is a pericardial effusion measuring 23 mm in diameter at its widest point showing fissure extending between the pleural leaves . airways no relevant findings . mediastinum according to the current examination there is an increase in the number and size of the lymph nodes . multiple lymphadenopathies were observed in both lower cervical chains included in the study area in the area mediastinal upper-lower paratracheal prevascular and subcarinal areas with a conglomerate appearance and the short axis of the larger one measuring 22 mm . heart and great vessels no relevant findings . osseous structures multiple lymphadenopathies were observed in both lower cervical chains included in the study area in the area mediastinal upper-lower paratracheal prevascular and subcarinal areas with a conglomerate appearance and the short axis of the larger one measuring 22 mm . in the bone structures within the study area multiple levels of sclerotic metastases were observed . abdomen millimetric calculus is observed in the gallbladder . in the upper abdominal sections in the study area since the liver is partially in the examination area and the examination is uncontrasted metastatic lesions cannot be clearly evaluated in this examination . lung parenchyma it was evaluated in favor of pneumonic infiltration . left lung lingula inferior segment bronchus is and the lingular segment has an atelectasis appearance . the lingula inferior segment of the left lung upper lobe is . pleuroparenchymal linear density increases in the apical segment of the upper lobe of the right lung are consistent with the change in sequelae . the presence of a mass in this localization could not be excluded due to the lack of contrast material . in the upper lobe segment bronchi of the right lung filling defects belonging to the secretions are observed from place to place . a few nonspecific millimetric nodules were observed in the right lung . after follow-up imaging and if necessary examination will be appropriate . nodular consolidation areas with more prominent confluence are observed in the lower lobe of the left lung . the presence of a mass in this localization could not be excluded . emphysema is observed in the lung parenchyma . widespread pneumonic infiltration areas are observed in the upper and lower lobes of the left lung . there is a slight effusion in the form of a smear between the left pleura leaves . pleural effusion is not observed on the right . airways is present . in the middle part the appearance of the secretion is observed in the posterior part . the tracheal air passage is open . it is accompanied by bronchial wall thickness increases and interstitial edema . mediastinum evaluation of mediastinal structures and upper abdominal sections is suboptimal due to lack of contrast material . its short diameter was 17 mm the largest of which was located in the subcarinal location . upper and lower paratracheal and subcarinal lymph nodes with increased dimensions are observed in the mediastinum . heart and great vessels its diameter was measured 14 mm adjacent to the right ventricle . diffuse calcified atherosclerotic plaques are observed in the coronary arteries . there is pericardial effusion in the form of mild smearing . pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion distinguishable by ct was detected . in the supraclavicular fossa and axilla no lymph node in pathological size and appearance was observed in the cross-section . there is extensive osteoporosis in bone structures . abdomen air images of the intrahepatic bile ducts in the upper abdominal sections show a drainage catheter applied to the common bile duct . evaluation of mediastinal structures and upper abdominal sections is suboptimal due to lack of contrast material . the patient is . lung parenchyma the findings were initially evaluated in favor of covid-19 viral pneumonia . clinical laboratory correlation monitoring is recommended . when examined in the lung parenchyma window nodular ground glass densities are observed in the middle zones of the left lung lower lobe especially in the bilateral and posterior segments extending around the halo sign . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are several short axis lymph nodes measuring 4 mm in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pneumonic infiltration is considered primarily in the etiology of the described finding . in the examination made in the lung parenchyma window there are nonspecific nodules measuring 5 mm in size in both lung parenchyma the largest in the posterobasal segment of the left lung lower lobe . minimal emphysematous changes are observed in both lung parenchyma . in the medial segment of the middle lobe of the right lung there is an area of increase in density consistent with the consolidation observed in the air bronchograms . airways trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum when iv contrast agent is not given mediastinal vascular structures and heart cannot be evaluated optimally and the calibration of vascular structures heart contour and size are natural . no lymph node is observed in pathological size and appearance in mediastinal lymph node stations . there is no pathological increase in wall thickness in the thoracic esophagus and a slight sliding type hiatal hernia is observed in the lower end of the esophagus . heart and great vessels when iv contrast agent is not given mediastinal vascular structures and heart cannot be evaluated optimally and the calibration of vascular structures heart contour and size are natural . calcified atheroma plaques are observed on the wall of the coronary vascular structures . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen post-treatment control is recommended . in the upper abdomen sections within the image no solid fluid or loculated collection is observed within the borders of non-contrast ct . lung parenchyma there are faint ground-glass-like density increments at the posterobasal level of the lower lobe . no pathological size and configuration lymph nodes were detected at both hilar levels . sequelae changes in the lingular segment and focal consolidation area are observed in the left lung . the findings described are not typical for covid pneumonia . when examined in the lung parenchyma window pleural effusion with a thickness reaching 10 mm at the lower lobe level in the left lung and mild atelectatic lung segments adjacent to it are observed . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window crazy paving pattern ground glass densities are observed in both lung lower lobe basal segments and patchy ground glass density with halo sign is observed in the right lung lower lobe posterior . there are light ground glass densities in the apical and middle lobe of the right lung upper lobe . there are paraseptal centrilobular emphysematous changes at the apical levels of both lungs . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the coronary arteries and aorta . as far as can be observed mediastinal main vascular structures are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . small lymph nodes measuring up to 14 mm are observed in the mediastinum the largest of which is at the paratracheal and carina level . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the cardiothoracic index increased in favor of the heart . osseous structures degenerative changes and a few millimetric schmorl nodules are observed in the vertebral corpuscles . bone structures in the study area are natural . abdomen calcific atheroma plaques are observed in the coronary arteries and aorta . interlobular septal thickening is observed . parapelvic hypodense finding measuring 21 mm in size in the left kidney was primarily evaluated in favor of a cyst . in the evaluation of upper abdominal organs including sections millimetric calcific foci are observed in the liver and spleen . lung parenchyma when examined in the lung parenchyma window in both lungs there are ground glass densities in which the expansion of the vascular structures is observed in a peripheral localized patch style . the findings were initially evaluated in favor of covid-19 viral pneumonia . airways trachea both main bronchi are open . mediastinum in the mediastinum there are several small lymph nodes with a short axis measuring up to 4 mm . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma subsegmentary atelectasis and mild alveolar interstitial density increases are observed in the middle lobe of the right lung and in the lower lobes of both lungs which were also present in the previous examination . in the evaluation of both lung parenchyma mosaic perfusion is observed in both lung parenchyma small airway disease small vessel disease . a nonspecific nodule is observed in the posterior segment of the upper lobe of the right lung measuring 3 mm in the current examination ima 72 and 2 mm in the previous examination . placing pleural effusion is observed in both hemithorax . airways trachea and main bronchi are open . mediastinum the ap diameter of the ascending aorta is 44 cm and wider than normal . mediastinal lymph nodes are also selected in this examination . the ap diameter of the main pulmonary artery is approximately 45 mm and wider than normal . right upper-bilateral lower paratracheal aortopulmonary prevascular lymph nodes with narrow diameters less than 1 cm are observed . no pathological lap was detected in the mediastinum . calcific plaques are observed in the aortic arch descending aorta and aortic walls . heart and great vessels calcific plaques are present in the coronary arteries . the cardiothoracic index increased in favor of the heart . osseous structures suture materials are observed in the sternum secondary to bypass surgery . there is a 50 loss of height in the l1 vertebral corpus which was also observed in the previous examination . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the ap diameter of the ascending aorta is 44 cm and wider than normal . calcific plaques are observed in the aortic arch descending aorta and aortic walls . lung parenchyma there are nonspecific nodules in both lungs the largest measuring 4 mm in diameter . no mass or infiltrative lesion was detected in both lungs . in addition sometimes linear atelectasis is observed in both lungs . there are emphysematous changes in both lungs . since the patient was not breathing properly during the examination both lung parenchyma could not be evaluated optimally especially in terms of focal lesion . no pleural or pericardial effusion or thickening was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . the described appearance cannot be evaluated clearly since no contrast material is given . no pathologically enlarged lymph nodes were observed . there is an appearance in the subcarinal region with a short diameter of 16 mm and evaluated in favor of . mediastinal structures cannot be evaluated optimally because contrast material is not given . it is recommended that the patient be evaluated and followed up with previous examinations if any . atheroma plaques are observed in the aorta . there are also short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen atheroma plaques are observed in the aorta . there is a solid lesion measuring approximately 5 mm in diameter in the upper pole of the left kidney and evaluated in favor of angiomyolipoma . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma it is recommended to be evaluated together with the clinic in terms of covid pneumonia . there were no pathologically sized and configured lymph nodes at both hilar levels . when examined in the lung parenchyma window there are diffuse and diffuse peripherally located focal ground-glass-like density increases in both lungs and scars are evident on this background . a subpleural 3 mm diameter nodule and another 4x3 mm nodule were observed in the left lung lower lobe superior segment . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum the aortic arch calibration is 32 mm . calibration of other major mediastinal vascular structures is natural . it is wider than normal . multiple lymph nodes at the prevascular level are observed in the window in the upper-lower paratracheal area in the mediastinum and multiple lymph nodes are observed in the right upper paratracheal area the shortest axis of which is approximately 10 mm . cto is normal . hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures mild degenerative changes are observed in the bone structure . findings compatible with dish are observed . abdomen in the upper superior pole of the right kidney a density that may be compatible with a cortical cyst is observed in the anteromedial aspect . the aortic arch calibration is 32 mm . it is wider than normal . hiatal hernia is observed . surrounding soft tissue plans are natural . in the upper abdominal organs including sections no space occupying lesion was detected in the liver . the left adrenal glands were normal and no space-occupying lesion was detected . the gallbladder has a contracted appearance and densities compatible with calculi the largest of which is approximately 55 mm in diameter are observed . cto is normal . a nodular hypodense lesion with a diameter of approximately 7 mm is observed in the right adrenal lateral end section . lung parenchyma in addition several nonspecific nodules are observed in both lung parenchyma . when examined in the lung parenchyma window in the left lung inferior lingular and right lung middle lobe lateral and medial segments there are consolidation areas in which air bronchograms are observed and ground glass densities and centriacinar nodules opacities are observed in the adjacent parenchyma . in addition consolidation areas accompanied by ground glass densities with air bronchograms extending towards the pleura are observed in the posterobasal segment of the left lung lower lobe posterior anteromedial segment and right lung lower lobe anterior and posterior segments . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . evaluation of mediastinal main vascular structures is suboptimal since the examination is performed without contrast . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a right jugular central venous catheter is observed and the tip of the catheter ends in the right atrium . osseous structures when the bone was examined in the window no lytic-destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is linear atelectasis in the medial segment of the right lung middle lobe and the inferior lingular segment of the left lung . in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in the bone structures . abdomen in the sections passing through the upper part of the abdomen stones of 6 mm in size were observed in the kidneys the largest in the left upper pole . lung parenchyma there are paraseptal emphysematous changes in the apex of both lungs . several nonspecific nodules measuring 4 mm in diameter were observed in both lungs the largest of which was in the posterobasal segment of the lower lobe of the right lung . no active infiltration or mass lesion was detected in both lung parenchyma . when examined in the lung parenchyma window sequela parenchymal changes were observed in the left lung lingular segment lower lobe anterobasal laterobasal and posterobasal segments and right lung middle lobe medial segment . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . in both axillary regions no lymph nodes were observed in the mediastinum in pathological size and appearance . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic-destructive lesion or fracture was detected in the bone structures within the image . abdomen no lymph node was observed in pathological size and appearance . no free fluid loculated collection was detected . in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window atelectatic changes are observed in the lower lobe of the right lung and the inferior lingula of the upper lobe of the left lung . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are calcific atheromatous plaques in the aortic arch and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are calcific atheromatous plaques in the aortic arch and coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative multiple height losses are observed in the vertebral corpuscles . there is diffuse density reduction in bone structures . thoracic kyphosis has increased . bone structures appear osteoporotic . abdomen both kidneys are atrophic . there are calcific atheromatous plaques in the aortic arch and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are calcific lymph nodes in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . no lymph node was detected in pathological size and appearance . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . however when evaluated together with its density it was thought to be a cyst . if there is an indication it is recommended to be evaluated with usg . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . there is a hypodense lesion measuring approximately 10 mm in diameter in the middle part of the left kidney . there is a millimetric stone in the middle part of the right kidney . the lesion could not be characterized as no contrast agent was given . lung parenchyma no mass or infiltrative lesion is detected in both lungs . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were detected . there is a millimetric plaque of atheroma in the descending thoracic aorta . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen there is a millimetric plaque of atheroma in the descending thoracic aorta . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when both lung parenchyma windows are evaluated bilateral peribronchial thickenings were observed . no mass-nodule-infiltration was detected in both lung parenchyma . pleuroparenchymal sequelae density increases were observed in both lungs apical . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal major vascular structures are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . heart contour size is normal . calcified atherosclerotic changes were observed in the coronary artery wall . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are pleuroparenchymal sequelae densities in both upper lobe apicoposterior segments of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . a millimetric calcified nonspecific nodule was observed in the superior segment of the left lung lower lobe . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum in the mediastinum no lymph nodes were observed in pathological size and appearance in both axillary regions . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen a diffuse minimal decrease in liver parenchyma density secondary to hepatosteatosis was observed in the upper abdominal sections within the image . lung parenchyma it was thought that covid infection may be compatible with early parenchymal findings . nonspecific millimetric nodules less than 5 mm in diameter were observed in both lungs . clinical follow-up is recommended . in lung parenchyma evaluation in the upper lobe of the left lung an area of nodular consolidation in a paramediastinal focal area and an area of parenchyma in ground glass density are observed . it was primarily evaluated in favor of atypical pneumonic infiltration . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no mass nodule infiltration was detected in both lungs . in the evaluation of both lung parenchyma mosaic attenuation is observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . right upper paratracheal aortopulmonary prevascular millimetric lymph node is observed . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . mild are observed in the cortex in the lateral part . abdomen in addition effusion in the form of perirenal is observed . although the left kidney partially enters the examination area in the sections passing through the upper part of the abdomen lobulation is observed in its contours . lung parenchyma when examined in the lung parenchyma window diffuse subpleural weighted ground glass densities are present in both lung parenchyma . airways trachea both main bronchi are open . mediastinum a few lymph nodes with a short axis of 7 mm were observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . calcific plaques are observed in the aortic arch . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calcific plaques are observed in the aortic arch . nodular lesions in the left adrenal gland partially enter the section and mildly suspicious increase in millimetric size is observed especially in the lesion at the genu level . in the upper abdominal sections included in the examination there is a nodular lesion in the right adrenal gland and it partially enters the section . lung parenchyma the outlook is consistent with the frequently reported imaging features of covid-19 pneumonia . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . clinical-laboratory correlation is recommended . when evaluated in the parenchyma window of both lungs focal ground glass density increases were observed in the peripheral subpleural area in the upper and lower lobes of both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window multiple metastatic nodules were observed in both lungs . the largest of the described metastases was measured in the long axis of the right lung upper lobe apical segment 25 mm 21 mm in the previous examination and 15 mm 13 mm in the previous examination in the left lung lower lobe mediobasal segment . there was no finding in favor of pneumonic infiltration in the lung parenchyma . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen intra-abdominal solid organs were evaluated in detail in mr examination . lung parenchyma there is linear atelectasis in the inferior subsegment in the lingular segment of the left lung upper lobe . no mass or infiltrative lesion was detected in both lungs . there is a millimetric nodule at the junction of the superior segment and laterobasal segment in the lower lobe of the left lung . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal main vascular structures are normal . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma nodules up to 4 mm in diameter are observed in both lungs . when examined in the lung parenchyma window minimal calcifications are observed in the pleura posterior to the superior parts of the lower lobe of the right lung . calcifications are observed in posterior pleural in bilateral lower lobe sections . airways trachea both main bronchi are open . mediastinum lymph nodes with a short axis not exceeding 1 cm were observed in the mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . widespread calcific atheroma plaques are observed in the abdominal aorta and its branches more in the thoracic aorta in the aortic arch . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaques are present in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures there are diffuse changes in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the upper abdominal organs including sections millimetric stones were observed in the gallbladder . widespread calcific atheroma plaques are observed in the abdominal aorta and its branches more in the thoracic aorta in the aortic arch . lung parenchyma several nonspecific parenchymal nodules with a diameter of 66 mm were observed in the left lingular segment of both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . linear pleuroparenchymal fibroatelectasis changes were observed in the middle lobe of the right lung and the anterobasal segment of the lower lobe of the left lung . mosaic attenuation was found to be secondary to small airway stenosis . when examined in the lung parenchyma window peribronchial thickening and luminal narrowing were observed in the segmental-subsegmental bronchi of both lungs . passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung upper lobe inferior lingular segment . mosaic attenuation pattern was observed in both lungs . a 17 mm diameter bleb formation was observed in the subpleural area of the right lung lower lobe mediobasal segment . airways when examined in the lung parenchyma window peribronchial thickening and luminal narrowing were observed in the segmental-subsegmental bronchi of both lungs . trachea both main bronchi are open . mediastinum atherosclerotic wall calcifications were observed in the supraaortic branches of the thoracic aorta . the mediastinum could not be evaluated optimally in the non-contrast examination . atherosclerotic wall calcifications were observed in the abdominal aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . metallic sutures secondary to mitral were observed in the sternum and anterior mediastinum . as far as can be seen calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . metallic artifacts secondary to were observed in the mitral valve . osseous structures osteodegenerative changes were observed in the bone structures in the study area . metallic sutures secondary to mitral were observed in the sternum and anterior mediastinum . abdomen liver contours are irregular . as far as can be observed in the sections intraperitoneal reaching 21 cm in its most prominent and thickest part was observed in the subdiaphragmatic region . the spleen is full . atherosclerotic wall calcifications were observed in the supraaortic branches of the thoracic aorta . the caudate lobe is prominent . it is recommended to be evaluated for possible parenchymal disease . atherosclerotic wall calcifications were observed in the abdominal aorta . lung parenchyma no active infiltration consolidation was detected . when examined in the lung parenchyma window both lung ventilation is normal . thin-walled air cyst and emphysematous changes were observed in the lower lobe of the right lung . sequelae of calcific nodules are observed in both lungs . a few ground-glass nodules are observed the largest of which is 7 mm in size in the anterior segment of the lower lobe of the right lung . multiple sequelae calcific lymph nodes are observed in the mediastinum in the area and adjacent to both . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques were observed in the aorta and coronary arteries . as far as can be observed mediastinal main vascular structures normal in size . multiple sequelae calcific lymph nodes are observed in the mediastinum in the area and adjacent to both . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . its contours are regular . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calcific atheroma plaques were observed in the aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . a hypodense nodular lesion with a diameter of 16 mm is observed in segment 7 of the liver which is included in the examination area cyst . lung parenchyma when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . a lymph node with a short axis of 77 mm was observed in the prevascular area . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there are two non-specific stable nodules measuring 25 mm in diameter in the upper lobe anterior segment of the right lung . ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no solid mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . no intraabdominal free fluid or loculated collection is observed . lung parenchyma the findings were primarily evaluated for viral pneumonia covid-19 and clinical laboratory correlation and close follow-up are recommended . when examined in the lung parenchyma window in both lungs consolidation areas are observed on the ground glass densities in the form of subpleural patches mostly located peripherally more prominently on the right . airways trachea both main bronchi are open . mediastinum lymph nodes with a short axis measuring up to 8 mm are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a diffuse density decrease in the bone structures in the examination area . there are mild osteophytic tapering in the end plates of the vertebral corpuscles . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass nodule infiltration was detected in both lungs . right upper-bilateral lower paratracheal lymph nodes smaller than 1 cm are observed . one nonspecific nodule smaller than 5 mm in ground glass density is observed in the right lung lower lobe superior segment and left lung lower lobe laterobasal segment . in the evaluation of both lung parenchyma patchy areas of ground-glass consolidation are observed in all segments of both lungs more prominently in the lower lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . it extends into the subpleural space . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no significant pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window paramediastinal millimetric nodules are observed in the anterior segment of the upper lobe of the right lung . a few millimetric nonspecific nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma findings suggest covid-19 pneumonia . a peripheral dorsal subpleural consolidation area is observed in the superior and lateral segments of the right lung and enlargement of the vascular structures is noted . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum although the mediastinal vascular structures cannot be evaluated optimally due to the lack of iv contrast in the cardiac examination the calibration of the vascular structures heart contour and size are normal as far as can be observed . no lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels although the mediastinal vascular structures cannot be evaluated optimally due to the lack of iv contrast in the cardiac examination the calibration of the vascular structures heart contour and size are normal as far as can be observed . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . vertebra corpus height alignment and densities are natural . abdomen in the upper abdomen sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma there are areas of linear atelectasis in both lungs and no mass or infiltrative lesion is observed . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . millimetric calcific atheroma plaque is observed in the aorta . a few lymph nodes with a short diameter of less than 5 mm are observed in the mediastinum and no enlarged lymph nodes in pathological size and appearance were detected . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen millimetric calcific atheroma plaque is observed in the aorta . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . there is minimal rotoscoliosis with the thoracic vertebral opening facing left . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window active infiltration or mass lesion is not detected in both lung parenchyma and nonspecific nodules in millimetric sizes some of them calcific character are observed . no pericardial and pleural thickening or effusion was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the heart examination and as far as can be observed ap diameter of the ascending aorta was measured as 41 mm and slightly increased . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the heart examination and as far as can be observed ap diameter of the ascending aorta was measured as 41 mm and slightly increased . the heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the heart examination and as far as can be observed ap diameter of the ascending aorta was measured as 41 mm and slightly increased . as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image in the middle zone of the left kidney there is a lesion with a diameter of 70 mm with a cortical location and exophytic extension with a fluid density cyst . lung parenchyma when examined in the lung parenchyma window minimal bronchiectatic changes were observed in both lungs which became prominent in the center . no mass nodule-infiltration was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum in the upper-lower paratracheal and subcarinal localization lymph nodes with a size of 7 mm in the short axis of the largest were observed . minimal calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels minimal calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . minimal calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . upper abdominal sections entering the examination area are natural . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the left lung upper lobe inferior lingular segment there are slightly patchy ground-glass densities around subsegmentary atelectatic changes . when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . there is also an appearance compatible with effusion inside the fissure on the left side . patchy ground glass densities and budding tree images are observed in the superior and posterior lower lobes of both lungs and the middle lobe of the right lung . in the left hemithorax there is a finding consistent with pleural effusion the thickness of which is measured up to 21 mm in the widest part in which air densities are observed within the lobulated contours . no pleural effusion-thickening was detected in the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aortic arch . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . there is a small hiatal hernia . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are widespread osteophytic degenerative changes in the thoracic lumbar vertebrae . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the gallbladder is operated . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aortic arch . thoracic aorta diameter is normal . the upper abdominal organs are partially involved in the and were evaluated as suboptimal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . there was no finding compatible with pneumonia . no mass nodule-infiltration was detected in both lung parenchyma . pleural effusion or pneumothorax is not observed . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of other major mediastinal vascular structures is natural . the aortic arch calibration is 30 mm . it is slightly wider than normal . there is thymic tissue in the anterior mediastinum without mass effect . cto is normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures bone structures in the study area are natural . abdomen the aortic arch calibration is 30 mm . it is slightly wider than normal . surrounding soft tissue plans are natural . cto is normal . in the sections passing through the upper abdomen nodular formation is observed in the neighborhood of the spleen which is considered compatible with the accessory spleen . apart from this the sections passing through the upper abdomen are natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window a millimetric calcific nodule is observed in the lower lobe of the right lung . there is linear atelectasis in the lower lobe of the left lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum a few calcific lymph nodes are observed in the mediastinum . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in the bone structures . there is left-facing scoliosis in the dorsal vertebrae . abdomen there is one 15 mm stone in the gallbladder cholelithiasis . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma radiological findings are quite for covid pneumonia . a few nonspecific nodules less than 5 mm in diameter are observed in both lungs . occasionally septal thickenings accompany the basal segments . when examined in the lung parenchyma window in both lungs there are subpleural infiltration areas in the form of ground glass opacity that become prominent towards the basals . airways no relevant findings . mediastinum in the mediastinum there are bilateral peribronchial and subcarinal lymph nodes with nonspecific diameters less than 1 cm . heart and great vessels there are suture materials in the coronary arteries past bypass operation . osseous structures the sternotomy line is followed . no lytic-destructive lesions were detected in bone structures . no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla . abdomen two millimetric calculus were observed in the gallbladder lumen . in the upper abdomen sections there is a 2 mm diameter calculi image in both kidneys . lung parenchyma no mass or infiltrative lesion was detected in both lungs . ground glass appearances are accompanied by enlarged vascular structures in places . there is localized linear atelectasis in both lungs . the described findings are in the style frequently observed in covid-19 pneumonia . ground-glass appearances are observed in the peripheral and central areas of both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . no enlarged lymph nodes in pathological dimensions were detected . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma a 35 mm nonspecific nodule is observed in the anterior segment of the lower lobe of the right lung . ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs including sections there is a hypodense lesion of 6 mm in the liver dome localization within the borders of unenhanced ct which cannot be clearly characterized . lung parenchyma verification is recommended . when examined in the lung parenchyma window scattered patchy and nodular ground-glass densities were observed in all segments of both lungs more diffusely located in the middle and lower lobes . apart from this no mass lesion with distinguishable borders was detected in both lungs . linear atelectatic changes were observed in the right lung middle lobe and upper lobe anterior segment . in addition linear fibroatelectasis sequela changes were observed in the lower lobe of the left lung . band atelectatic changes were observed in the lingular segment of the left lung . it is highly suspicious for covid-19 and other viral pneumonia can be considered in the differential diagnosis . clinic and lab . pleural effusion-thickening was not observed . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum the diameter of the descending aorta is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcified atheroma plaques were observed in the thoracic aorta and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . as far as can be seen the anterior diameter of the ascending aorta is 45 mm which is wider than normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen dependent calculus images were observed in the gallbladder lumen as far as can be seen on non-contrast sections . the right adrenal gland is normal . calcified atheroma plaques were observed in the thoracic aorta and coronary arteries . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . the diameter of the descending aorta is normal . the right kidney is atrophic . the spleen and pancreas are normal . a mm hypodense well-circumscribed nodular lesion area was observed in the upper pole of the left kidney cyst . no intraabdominal free-loculated fluid was detected . a nodular mass lesion with a fat density of mm was observed in the left adrenal gland corpus considered in favor of myelolipoma . left kidney is normal . lung parenchyma multiple nonspecific mostly calcified millimetric parenchymal nodules were observed in both lungs . focal consolidation area was observed at the fissure level in the right lung middle lobe lateral segment . fibroatelectatic changes were observed in both lungs . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures diffuse degenerative changes in bone structure were observed . there are slightly bridging spur formations anteriorly in the thoracic vertebrae . abdomen calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . in the upper abdominal sections in the study area a hypodense lesion with a diameter of 2 cm was observed in the middle zone of the right kidney . several hypodense lesions with a diameter of 18 mm were observed in different localizations in both lobes of the liver . no dilatation was detected in the thoracic aorta . it cannot be characterized clearly due to artifacts cyst . lung parenchyma pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is 46 mm and ectatic . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes in the thoracic vertebrae . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . millimetric cysts present in the liver on upper abdominal sections are stable . lung parenchyma when examined in the lung parenchyma window there are sequela parenchymal changes in the right lung middle lobe medial segment left lung upper lobe inferior lingular segment and both lung apexes . no active infiltration or mass lesion was detected in both lungs . ventilation of both lungs is natural . a few millimeter-sized nonspecific nodules were observed in the right lung . no pericardial pleural effusion or increased thickness was detected . airways diffuse mild ectasia and diffuse peribronchial minimal thickness increases were observed in the central bronchial structures of both lungs . it is recommended to evaluate with usg examination . trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no lymph nodes in pathological size and appearance were observed in both axillary regions mediastinum and bilateral supraclavicular fossa . calibration of mediastinal vascular structures heart contour and size are natural . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels calibration of mediastinal vascular structures heart contour and size are natural . osseous structures vertebral corpus heights are preserved . no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window in the lower lobes of both lungs patchy ground-glass areas with faint borders showing peripheral vascular enlargement were observed . no mass lesion with distinguishable borders was detected in both lungs . the findings described are consistent with covid-19 pneumonia . millimetric sized nonspecific pulmonary nodules were observed in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in terms of pneumonic infiltration clinical and lab . when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lungs . in the right lung lower lobe superior segment a ground glass opacity is observed adjacent to the fissure . correlation is recommended . pleural effusion-thickening was not detected . there are minimal emphysematous changes in the right lung lower lobe superior segment subpleural area . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . minimal hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . no obvious pneumonia appearance was detected in both lungs . no pleural effusion or pneumothorax was observed . when examined in the lung parenchyma window a subpleural 5 mm diameter nodule is observed in the left lung lower lobe laterobasal segment . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma slight ground-glass density increases are observed in the right lung upper lobe anterior segment inferiorly . when examined in the lung parenchyma window there are millimetric nodular densities in the upper lobes of both lungs . it has been primarily evaluated in favor of atelectasis and clinical laboratory correlation follow-up is recommended for the onset of early viral pneumonia . airways trachea both main bronchi are open . mediastinum atheroma plaques are observed in the thoracic aorta . calcific lymph nodes measuring up to 5 mm are observed in both hilar regions and in the mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the cardiothoracic index increased in favor of the heart . osseous structures there is a diffuse density decrease in bone structures and degenerative changes are observed in the distances of intervertebral disc spaces . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . atheroma plaques are observed in the thoracic aorta . lung parenchyma when examined in the lung parenchyma window nodular ground glass opacities were observed in the right lung middle lobe and left lung upper lobe apicoposterior segment adjacent to the major fissure . correlation with is recommended . the outlook is highly suspicious for ultra-early covid-19 pneumonia . apart from this no nodular or infiltrative lesion was detected in either parenchyma . clinic and lab . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial thickening was not observed . pericardial minimal effusion was observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures slight degenerative changes were observed in the thoracic vertebrae . vertebral corpus heights were preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few millimetric nodules measuring 35 mm in diameter are observed in both lungs the largest of which is in the posterior segment of the lower lobe of the right lung . a attenuation pattern is observed in both lungs . no pleural or pericardial effusion or thickening was detected . in the mediobasal segment of the left lung lower lobe an area of approximately 33 x 17 mm in soft tissue density was observed in the subpleural area atelectasis . in the right lung lower lobe mediobasal segment an area of atelectasis accompanied by pleural parenchymal sequelae changes is observed . airways trachea and both main bronchi are normal . in the upper part of the trachea the soft tissue density of 16 x 5 mm which is observed in the air on the right lateral two walls is primarily compatible with the mucus plug . no obstructive pathology is observed in the trachea and both main bronchi . mediastinum millimetric calcific atheroma plaques are observed in mediastinal vascular structures . a metallic valve is observed in the aorta . pulmonary parenchyma assessment is not optimal because of motion artifacts . the mediastinal main vascular is of normal width . a few lymph nodes with a diameter of 9 mm are observed in the mediastinum and hilar regions the largest in the right interlobar area and there is no pathologically enlarged lymph node . no pathological increase in wall thickness was detected in the esophagus within the sections . the esophagogastric junction is in normal localization . heart and great vessels there is an appearance of a stent in the anterior descending coronary artery . the cardiothoracic ratio increased in favor of the heart . osseous structures no lytic was detected in the bone structures within the sections . thoracic kyphosis has increased and degenerative changes are observed in the bone structures within the sections . abdomen a metallic valve is observed in the aorta . as far as it can be evaluated within the limits of non-contrast ct there is a 2 x 2 cm solid lesion with fat density in the medial crus of the left adrenal gland adenoma . irregular reticular density increases in the bilateral pararenal area and minimal fluid in the right fascia are observed . the right kidney is reduced in size its contours are lobulated and its parenchyma is thin . the esophagogastric junction is in normal localization . lung parenchyma when both lung parenchyma windows are evaluated no infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . focal nodular thickness increases were observed in the pleura at the level of the right 8th rib vertebral junction . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mediastinal main vascular structures heart contour size are normal . as far as can be observed minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures other bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be observed minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways since the patient did not have previous examinations a comparative evaluation could not be made . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . a millimetric hypodense nodular lesion at the level of the dome was observed in the liver segment 8 which entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window minimal pleuroparenchymal sequelae density increases were observed in both lungs apical . there are mild bronchiectatic changes that become prominent in the center of both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . in both lungs calcified nonspecific parenchymal nodules in millimetric size were observed on the right . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there is no mass or infiltrative lesion in both lungs . there are emphysematous changes in both lungs . both lungs have nodules measuring 7 mm in diameter the largest being in the upper lobe of the right lung and the largest being calcific . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma there is a mosaic attenuation pattern in the lower lobes of both lungs small airway diseasesmall vessel disease . no mass or infiltrative lesion was detected in both lungs . there are linear atelectasis in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen dilatation is observed in the right kidney collecting system . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . since a part of the upper abdomen was included in the sections no could be made about the obstructive pathology . further investigation is recommended . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma the views may belong to areas of nodular consolidation of viral pneumonia . apart from this a few millimeter-sized nonspecific nodules are observed in both lung parenchyma . it is recommended to be evaluated together with clinical and laboratory findings and to repeat the examination in case of clinical . when examined in the lung parenchyma window peripheral subpleural nodular lesions are observed in the right lung lower lobe posterobasal segment lower lobe lateral segment and left lung lower lobe posterobasal segment with millimeter-sized nodular lesions around which a ground glass air wall is observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window mild centrilobular emphysematous changes are present at the apical levels in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration was detected in both lungs . when examined in the lung parenchyma window an azygos fissure variation was observed in the upper lobe of the right lung . pleuroparenchymal reticular density increases were observed in the apex of both lungs causing shrinkage in the pleura . airways trachea and both main bronchi are in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . calcific atheroma plaques were observed in the aortic arch and coronary arteries . in the non-contrast examination the mediastinum could not be evaluated optimally . as far as can be observed mediastinal main vascular structures heart contour size is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the aortic arch and coronary arteries . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures syndesmophytes bridging each other were observed at the mid-thoracic level . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen in the sections the liver parenchyma density is diffusely decreased consistent with hepatosteatosis . calcific atheroma plaques were observed in the aortic arch and coronary arteries . other upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a 3 mm nonspecific nodule was observed in the posterobasal region of the lower lobe of the left lung . when examined in the lung parenchyma window subpleural linear striations are observed in the lower lobe posterobasal and left upper lobe posterior in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few nodules smaller than 5 mm were observed in both lungs . two calcified nodules were observed in the posterior upper lobe of the left lung . subsegmental atelectasis were observed in the middle lobe of the right lung and the lingula of the upper lobe of the left lung . when examined in the lung parenchyma window mild pleuroparenchymal sequelae densities were observed in both upper lobe apicoposterior segments of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass nodule-infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . bilateral pleural thickening-effusion was not observed . airways bilateral peribronchial thickenings were observed . no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum a few millimeter-sized lymph nodes were observed adjacent to the junction . mediastinal structures were evaluated as suboptimal because the examination was unenhanced . in addition millimetric lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal prevascular aorticopulmonary and subcarinal localizations . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . degenerative changes were observed in the vertebral corpus corners . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections in the study area thickening and edematous appearance of the gastric were observed . it is recommended to be evaluated in terms of . in the vicinity of the medial segment of the left lobe of the liver an area of 35 mm diameter to the liver was observed accessory lobe . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways trachea and both main bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections there is a hypodense lesion that cannot be characterized due to its small size of 6 mm in liver segment 6 localization . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma however infective processes continue . peribronchovascular thickening and centriacinar nodular infiltrates ground glass densities and budding tree appearance were observed in both lungs and were evaluated in favor of pneumonic infiltration . herniation of the loops distal to the anastomosis from the hilus to the superior neighborhood of the lower lobe of the right lung is observed . post-treatment control for metastases or infective processes is recommended . focal consolidation areas with a diameter of 19 mm were observed in the basal segment of the lower lobe of the right lung and they were observed in the larger one which may be compatible with . when examined in the lung parenchyma window effusion reaching a thickness of 35 cm in the left pleural space and free air images thought to be associated with the bronchus were observed in the effusion fistula . no pleural effusion was observed on the right . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . esophagojejunostomy anastomosis was performed in the distal esophagus . the distal esophagus and stomach are . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are natural . bone structures entering the cross-sectional area are natural . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . no renal solid or cystic mass was detected . thoracic aorta diameter is normal . contour size localization parenchymal thickness parenchymal staining and right pelvicalyceal structures of both kidneys are normal . the gallbladder was not observed operated . splenic vein width is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . the contour size parenchyma density of the spleen is normal . mild free fluid was observed in all in the abdomen . the distal esophagus and stomach are . a double catheter was observed in the right ureter . no space-occupying solid or cystic mass lesion is observed . hepatic and portal venous systems are normal . no space-occupying solid or cystic mass lesion was detected . contour size parenchymal density of the liver are normal . intra and extrahepatic bile ducts are normal . mild was observed in the left kidney . the contour size parenchyma density of the pancreas is natural . although the examination could not be evaluated optimally in the non-contrast examination an increase in diameter compatible with was observed in the and . no enlargement was detected in the main pancreatic duct . lung parenchyma there is minimal bronchiectasis and minimal peribronchial thickening in the central of both lungs . there are emphysematous changes in both lungs . millimetric nonspecific nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum there are no enlarged lymph nodes in mediastinal and hilar pathological dimensions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . atheroma plaques are observed in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma mild sequelae changes are observed at the level of the interlobar fissure in both upper zones . millimetric air cyst is observed in the posterobasal segment of the lower lobe of the left lung . sequelae changes are observed at the apical level . there was no finding compatible with pneumonia pleural effusion or pneumothorax in both lungs . airways lumens are clear . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum the aortic arch calibration is 30 mm slightly above normal . no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . cto is normal . calibration of other major vascular structures in the mediastinum is natural . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels no relevant findings . osseous structures there is a nonspecific lesion of approximately 8x5 mm in size with a peripheral thin sclerotic appearance in the 4th rib lateral on the right . degenerative changes are observed in the bone structure entering the examination area . abdomen the aortic arch calibration is 30 mm slightly above normal . cto is normal . the gallbladder appears contracted . in the upper abdominal organs included in the sections hypodense lesions are observed in the liver the largest in the right lobe at the dome level and mm in size . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no mass or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes . cyst no lytic or destructive lesion was detected in the bone structures within the examination area . abdomen thoracic aorta diameter is normal . in the upper abdomen sections included in the sections a mm hypodense fluid density lesion was observed in the upper pole of the right kidney . lung parenchyma when examined in the lung parenchyma window bronchiectasis bronchial wall thickening and subsegmental minimal atelectasis are observed in the medial side of the right lung middle lobe . a suspicious nodular opacity of approximately mm is observed in the upper lobe anterior of the left lung accompanied by atelectasis in the paracardiac lung parenchyma . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . bronchiectasis at the central level thickening of the bronchial wall and fibrotic densities in the lung parenchyma were observed in the lower lobes of both lungs . peribronchial ground-glass densities were observed in the left lung upper lobe anterior and left lower lobe . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . in the anterior mediastinum there is an increase in density in the form of soft tissue density which cannot be clearly distinguished from band-shaped vascular structures . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is no mass in both lungs . in both lungs areas of ground glass with barely distinguishable borders are observed being more prominent in the lower lobes and peripheral areas . there are millimetric nonspecific nodules in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen the gallbladder was not observed operated . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma it is recommended to be evaluated together with clinical and laboratory in terms of covid-19 pneumonia . there are several millimetric nonspecific nodules in both lung parenchyma . no mass lesions were detected in both lungs . when examined in the lung parenchyma window multilobar peripheral subpleural areas of frosted glass density are observed in both lung parenchyma and viral pneumonias are considered in the etiology of the findings . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen accessory spleen with 11 mm diameter is observed in the anterior lower pole of the spleen . upper abdominal organs are normal as far as can be seen in the sections . bilateral adrenal glands are normal and no space-occupying lesion is detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the anterior and medial segment of the left lung upper lobe slightly prominent volume loss structural distortion increases in density and subsegmental atelectatic changes were observed secondary to rt . compressive atelectasis was observed in the lung segments adjacent to the effusion . there is significant volume loss in the anterior upper lobe of the left lung . millimetric nonspecific nodules were observed in both lungs . atelectatic appearances are evident . in the medial neighborhood of the lower lobe of the left lung hyperdense appearances are stable within the effusion . in the left lung lower lobe superior newly emerged interlobar septal thickness increases mild subsegmental pleuroparenchymal bands accompanied by subpleural nodular consolidation areas the largest of which is approximately 1 cm in diameter are observed . minimal pleural effusion in the left hemithorax subsegmental atelectasis in the lower lobe segments adjacent to the effusion and accompanying sequelae pleuroparenchymal bands were observed . airways trachea both are open . no occlusive pathology was detected in the trachea and both main bronchi . mediastinum mediastinal main vascular structures are natural . stable lymph nodes with a diameter of both hilar short axis smaller than 1 cm were observed in the mediastinum . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels minimal stable pericardial effusion was observed . heart size contour and configuration are natural . osseous structures in the lower part of this area in the anterior part of the 5th rib hypodense lesions formed in the peripheral millimetric nodular components which were 11 mm in long diameter in the previous examination and 17 mm in this examination were observed in the subcutaneous fatty tissue metastasis . hyperdense sclerotic metastases are stable in both hemithorax right 7th rib and left 6th rib . abdomen the lesions in the liver described in the previous examination could not be selected in this examination since contrast material was not given in the examination . no solid-cystic mass with discernible borders was observed in the liver . abdominal solid organs are normal in sections passing through the upper abdomen . lung parenchyma in favor of the sequelae of previous there are occasional focal pleural thickness increase and accompanying coarse calcification foci in the left bilateral diaphragmatic pleura and left lung that are more prominent . when examined in the lung parenchyma window in the lung parenchyma an uptake pattern is observed in the form of bilaterally asymmetrical subpleural and peribronchial areas of diffuse ground glass opacity pleuroparenchymal linear linear density increases and septal thickenings in places . airways no relevant findings . mediastinum radiological findings were evaluated as compatible with lung parenchymal involvement of covid-19 . it was thought to develop secondary to lung involvement in mediastinal lymph nodes . there are mediastinal lymph nodes with bilateral lower paratracheal localization and subcarinal localization in the mediastinum the largest of which is 13 mm in diameter in the right lower paratracheal localization . heart and great vessels there are calcified atheroma plaques in the coronary arteries . heart sizes are natural . pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections numerous images of calculi with a diameter of 14 mm are observed in the gallbladder lumen . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . in the left hemithorax in serial 2 image subpleural calcified sequela plaque measuring mm is observed . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma a subsegmental atelectasis area is observed in the segment of the left lung upper lobe . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no mass or nodular suspicious space-occupying lesion was observed in the lung parenchyma . mild septal thickenings in the lower lobe basal segments of both lungs were evaluated in favor of interstitial edema . linear subsegmental atelectasis areas are also observed in the right lung middle lobe adjacent to the loculated pleural fluid . there is a pleural effusion reaching a diameter of 18 mm on the left and 10 mm in diameter adjacent to the superior segment of the lower lobe on the right between the leaves of both pleura . airways no relevant findings . mediastinum the diameter of the aortic arch was 38 mm at its widest point . findings secondary to a previous bypass operation are observed . mild fusiform aneurysmatic diameter increase is observed in the aortic arch and thoracic aorta due to atherosclerotic vascular disease . the diameter of the thoracic aorta was 36 mm at its widest point . heart and great vessels left ventricular diameter increased . heart size increased . pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections there is a nodular lesion compatible with an adenoma of 17 mm in diameter in the corpus of the right adrenal gland . findings secondary to a previous bypass operation are observed . mild fusiform aneurysmatic diameter increase is observed in the aortic arch and thoracic aorta due to atherosclerotic vascular disease . the diameter of the aortic arch was 38 mm at its widest point . the diameter of the thoracic aorta was 36 mm at its widest point . the appearance of hyperplasia is observed in the left adrenal gland . lung parenchyma nodular infiltrates bronchiectasis and bronchial wall thickenings present in the left lower lobe mediobasal are stable . it is observed that bronchiectasis and cavities develop in the ground glass density areas . it is observed that there are newly developing budding tree patterns in the left lung superior lingular segment and right lung middle lobe lateral . it is observed that cavitation increases in the existing consolidation areas in the right lung upper lobe and right lung lower lobe posterobasal . airways in the comparative evaluation of the patient with the ct dated available in the system tracheostomy and tracheostomy cannula are observed . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal emphysematous changes in both lungs . linear atelectasis was observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there are calcific atheromatous plaques in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . intervertebral disc distances are narrowed . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph node was detected . there are calcific atheromatous plaques in the aorta and coronary arteries . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window ground glass nodules with a diameter of 4 mm in the anterior segment of the right lung upper lobe and 5 mm in diameter caudally in the posterior segment of the upper lobe are observed . anterobasal 5 mm diameter nodule is observed . a nodule with a diameter of 4 mm is observed in the lower lobe anterobasal segment . density increases consistent with pleuroparenchymal sequelae are observed at the apical level in both lungs . there is a ground glass nodule with a diameter of 3 mm in the middle lobe . no pleural effusion or pneumothorax was detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . there is thymic tissue in the anterior mediastinum which does not show mass configuration in which hypodense areas compatible with fatty involution are observed . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window fibrotic changes and minimal band atelectasis are observed in the middle lobe of the right lung and the lingula of the left lung . minimal suspicious ground-glass densities accompany the medial middle lobe on the right . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . the ascending aorta is 37 mm and slightly ectatic . there are calcific millimetric plaques in lad . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen when the upper abdominal organs included in the sections were evaluated gallbladder is operated . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma viral pneumonia ct involvement score was evaluated as mild . parenchymal nodules were observed in bilateral lungs the largest of which was 7 mm in diameter in the superior segment of the left lung lower lobe . will be appropriate after infection . pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances were observed in both lungs . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels stent is observed in lad . the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no relevant findings . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is natural . normal calibration of the esophagus is observed . heart and great vessels pericardial effusion-thickening was not observed . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . abdomen a slight increase in density and contamination of the perirenal adipose tissue in the left kidney is observed in the upper abdomen sections entering the image area . it is recommended to examine the case in terms of left kidney pathology . lung parenchyma pleuroparenchymal fibroatelectasis sequelae changes were observed in both lung lower lobe basal segments . no mass lesion-active infiltration with distinguishable borders was detected in both lung parenchyma . millimetric sized stable nodules were observed in both lungs . when examined in the lung parenchyma window sequelae thickening was observed in the posterior costal pleura in both hemithoraces . no pleural effusion was detected . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . peribronchial thickening was observed in bronchi in both lungs . mediastinum atherosclerotic wall calcifications were observed in the thoracic aorta its branches and coronary arteries . calibration of pulmonary arteries is natural . in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the anterior-posterior diameter of the descending aorta is 30 mm at its widest point and is wider than normal . it appears elongated and tortuous in the thoracic aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . as far as can be seen the ascending aorta has a slightly ectatic appearance with an anterior-posterior diameter of 37 mm . osseous structures numerous lytic sclerotic bone metastases were observed in the bone structures within the study area . abdomen atherosclerotic wall calcifications were observed in the thoracic aorta its branches and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . the anterior-posterior diameter of the descending aorta is 30 mm at its widest point and is wider than normal . it appears elongated and tortuous in the thoracic aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from these findings there are millimetric nonspecific nodules in both lungs . the outlook is consistent with typical-probable covid-19 pneumonia . widespread and patchy ground-glass-consolidation areas are observed in both lungs more prominently in the right lung . a 22 mm diameter lobulated contoured mass lesion is observed in the superior segment of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . images consistent with the double catheter are observed in both kidneys . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a round-shaped ground glass area is observed in the superior segment of the left lung lower lobe and minimal interlobular septal thickening is observed in this area . although the described appearances are not specific the and distributions of these appearances are in a manner that can be observed in covid-19 pneumonia . therefore the findings described during the pandemic period were primarily evaluated in favor of covid-19 pneumonia . there are linear atelectasis in the left lung upper lobe lingular segment and right lung middle lobe . no mass was detected in both lungs . in addition small ground-glass areas are observed in the peripheral area of both lung lower lobe superior segments . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there is an aberrant right subclavian artery . no enlarged lymph nodes in pathological dimensions were detected . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the corners of the thoracic vertebral corpus . thoracic vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . there is a decrease in liver parenchyma density consistent with moderate to severe adiposity . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window in both lungs there are patchy ground glass densities crazy paving pattern air bronchogram signs in the vascular structures and consolidation areas which are compatible with covid-19 pneumonia which were observed in previous examinations . aeration of the parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . clinical laboratory correlation and close follow-up are recommended . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . there are several lymph nodes with a short axis measuring 5 mm in the . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . hepatosteatosis is present in the liver entering the cross-sectional area . upper abdominal organs included in the sections are normal . lung parenchyma ground glass density areas are observed in the anterior-posterior segments of the right lung upper lobe the lower lobe segment and the left lung lower lobe lobe anterior . when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . viral pneumonias are considered in the etiology of the findings . there are sequelae changes in both lungs . there are uniform interlobular septal thickness increases in both lungs and were primarily evaluated as secondary to cardiac . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . more prominent bilateral pleural effusion is observed on the right and it was measured 33 mm on the right at its deepest point . airways no relevant findings . mediastinum lymphadenopathies that have lost their fusiform configuration are observed in the mediastinum the largest of which is 12 mm in diameter at the precarinal level . there are calcified atheromatous plaques on the walls of mediastinal vascular structures and coronary vascular structures . the ap diameter of the ascending aorta was the pulmonary trunk was 32mm and the right pulmonary artery was 31mm and it was wider than normal . no pathological increase in wall thickness is observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end . heart and great vessels pericardial effusion was not observed . there are calcified atheromatous plaques on the walls of mediastinal vascular structures and coronary vascular structures . an increase in heart size is observed . osseous structures an increase in thoracic kyphosis right-facing scoliosis in the thoracic vertebral column and diffuse changes in bone structures are observed in the bone structures within the image . abdomen as far as it can be seen within the borders of non-contrast ct in the upper abdomen sections within the image no solid mass was detected . the ap diameter of the ascending aorta was the pulmonary trunk was 32mm and the right pulmonary artery was 31mm and it was wider than normal . intraabdominal free liqu- ulated collection is not observed . lung parenchyma the outlook is primarily suggestive of an infectious process . clinical and laboratory correlation is recommended . patchy areas of consolidation were observed in both lungs the largest of which was in the posterior segment of the right lung upper lobe and changes were observed in the lower lobes . a nonspecific calcific parenchymal nodule with a diameter of 3 mm was observed in the upper lobe of the right lung . when both lung parenchyma windows are evaluated emphysematous changes were observed in both lungs . minimal free pleural effusion was observed between bilateral pleural leaves . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . there are lymph nodes in the upper-lower paratracheal aorticopulmonary subcarinal localization the largest of which is in size . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the limits of non-contrast examination . sliding type hiatal hernia was observed . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart size increased . pericardial effusion-thickening was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . thoracic kyphosis has increased . degenerative changes were observed in the vertebral corpus corners . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . accessory spleen with a diameter of 1 cm was observed adjacent to the upper pole of the spleen . hypodense lesions were observed in both kidneys cortical cyst in the upper abdominal sections within the examination area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . there are linear atelectasis in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures the soft tissue component accompanying the bone lesion described in the measured 25 mm at its thickest point . l1 vertebra metastatic lesion is accompanied by loss of height . there are lytic-sclerotic bone lesions evaluated in favor of metastases in the sternum and l1 vertebra . the described bone lesions are accompanied by a soft tissue component . the height loss is about 50 . abdomen there are atheromatous plaques in the aorta . upper abdominal were described on the patients mri scan . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no mass lesion with distinguishable borders was detected in the lung parenchyma . in addition centriacinar nodular infiltration areas accompanied by ground glass areas were observed in the right lung upper lobe posterior left lung upper lobe inferior lingular and both lung lower lobe basal segments . when examined in the lung parenchyma window in the left lung lower lobe superior segment a 1 cm diameter nodule and a ground-glass halo were observed around the segmental bronchi . the outlook may be compatible with atypical viral pneumonias or fungal infections . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinal could not be evaluated optimally . calcific atheroma plaques were observed in the aortic arch . a catheter extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed . in the mediastinum lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures diffuse lytic bone lesions consistent with multiple myeloma involvement were observed in all bone structures within the sections . in the thoracic vertebrae compression fractures were observed in the t5 vertebra which to the most significant loss of height . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . calcific atheroma plaques were observed in the aortic arch . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal mosaic density differences in the lower lobes . when examined in the lung parenchyma window peribronchovascular structures in the lungs are slightly prominent . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is 42 mm and is ectatic . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calcific plaques are observed in the aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the outlook includes possible findings for covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . bilateral pleural effusion was not detected . when examined in the lung parenchyma window in both lungs ground-glass density increases were observed in the upper and lower lobes prominent in the lower lobes tending to coalesce and septal thickenings were observed in the peripheral subpleural area . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta . mediastinal structures were evaluated suboptimally since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen the ascending aorta measures 39 mm in diameter and shows mild fusiform dilatation . pericardial minimal effusion was observed . heart contour size is natural . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . lung parenchyma there is a cavitary nodule measuring 17 mm in diameter in the apicoposterior segment of the upper lobe of the left lung . consolidation and ground-glass appearances which are more prominent in the peripheral regions and interlobular septal thickening accompanying the findings are observed in both lungs . no mass was detected in both lungs . especially in the upper and lower lobes of the left lung the findings half of the lung parenchyma . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma other findings are stable . in both lungs multilobar multisegmental central-peripheral crazy paving pattern and nodular-patchy ground glass consolidations showing signs of vascular enlargement were observed and the appearance is compatible with covid-19 pneumonia . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma in the basal part of the left lung upper lobe atelectasis changes are observed in the paracardiac area . bilateral effusion is not observed . sequelae changes are observed in both lungs . locally emphysema and a small amount of mosaic pattern attenuations are observed in both lungs bilaterally . there are paraseptal emphysema at the apical level of the right lung . in the right lung upper lobe posterior segment mild regression is observed in the nodular and ground glass appearance which was also observed in the previous study . no mass was detected in both lungs . at the described level pleural retraction loss of volume and mild irregularities are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . millimetric lymph nodes are observed in the mediastinum . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . pericardial thickening and effusion are not observed . heart contour size is natural . there are atherosclerotic calcifications in the coronary arteries . osseous structures hypertrophic osteophytic changes are observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma minimal bronchiectasis was observed in the central parts of both lungs . no mass or infiltrative lesion was detected in both lungs . there are several millimetric nonspecific nodules in the right lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there are atheroma plaques in the left anterior descending coronary artery . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window there are nonspecific millimetric nodules with a size of 25 mm in the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaques in the coronary arteries and stent-like appearance are observed in the rca . mediastinal main vascular structures heart contour size are normal . osseous structures millimetric schmorl nodules were observed in the vertebral end plates and millimetric osteophytes were observed anteriorly in the corpuscles . abdomen in the upper abdominal sections there is diffuse density loss in the liver . upper abdominal organs included in other sections are normal . lung parenchyma the described findings were evaluated in favor of covid-19 pneumonia . peripheral and centrally located diffuse ground glass appearances in both lungs and interlobular septal thickenings and consolidations accompanying ground glass appearances are accompanied . no mass was detected in both lungs . there is no pleural or pericardial effusion . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed the heart is larger than normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed the heart contour size of the mediastinal main vascular structures is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed the heart contour size of the mediastinal main vascular structures is normal . osseous structures mild degenerative changes were observed in the bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . abdomen as far as can be seen within the sections millimetric sequela nodular calcification was observed in liver segment 6 . bone structures in the study area are natural . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific nodules are observed in both lungs . parenchymal aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma both hiluses are full . it has been consolidated in places . in the middle and lower zones of both lungs there are ground-glass-like density increments that are widespread and tend to coalesce . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid pneumonia . a 7x5 mm nodule is observed in the upper lobe of the left lung caudal to the apicoposterior segment . no pleural effusion was detected on both sides . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum multiple lymph nodes at the perivascular level are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum the largest of which is measured in the aorticopulmonary window and measures approximately mm . it is wider than normal . calcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch . arch aortic calibration was measured as 35 mm . no detectable prominent lymph node was detected in the non-contrast examination . the descending aorta calibration is natural . both pulmonary artery calibrations and ascending aorta calibrations are normal . pulmonary trunk calibration is 30 mm . mild hiatal hernia is observed . heart and great vessels calcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch . cto slightly increased in favor of the heart . osseous structures appearance compatible with dish is observed . changes secondary to sternotomy are observed . there are degenerative changes in the bone structures in the study area . abdomen it is wider than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch . in the spleen hilum nodular densities are observed which are isodense with the spleen and compatible with the accessory spleen . both kidneys are natural . arch aortic calibration was measured as 35 mm . in the upper abdominal organs including sections there is a slight decrease in density consistent with hepatosteatosis . the descending aorta calibration is natural . lung parenchyma the outlook is highly suspicious for ultra-early covid-19 pneumonia . apart from this millimetric nonspecific parenchymal nodules were observed in both lungs . sequelae band atelectatic changes are observed in the left lung upper lobe lingular segment . no mass lesion with distinguishable borders of both lungs was detected . when examined in the lung parenchyma window in the posterior subsegment of the left lung upper lobe apicoposterior segment there is a peripheral subpleural nodular ground glass opacity forming a paving pattern . a subpleural nodule with a diameter of 75 mm was observed on the major fissure in the middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum was not evaluated optimally in the non-contrast . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . a 31 cm diameter hypodense nodular lesion was observed in the upper pole anterolateral of the right kidney cyst . lung parenchyma when examined in the lung parenchyma window paraseptal and centrilobular emphysematous changes are observed in both lungs more prominent on the right . right lung volume decreased . clinical laboratory correlation is recommended for an infectious process . there are findings that may be compatible with the atelectasis consolidation area in which air bronchogram signs are also observed at the basal level of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum mediastinal structures to the right . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures hypertrophic osteophytic degenerative taperings are observed in the end plates of the vertebral corpuscles . bone structures in the study area are natural . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma the described appearance is nonspecific . no mass or infiltrative lesion was detected in both lungs . when evaluated together with its clinical pre-diagnosis it was thought to belong to infective pathology . there are linear atelectasis in the right lung middle lobe and left lung upper lobe lingular segment . dependent densities are present in the posterior parts of both lungs . a minimal ground glass area is observed in a very small area in the posterior segment of the right lung upper lobe . there are emphysematous changes in both lungs . millimetric nonspecific nodules are observed in both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum atheroma plaques are observed in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery diameter was 35 mm and wider than normal . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . it is understood that the patient underwent coronary by-pass surgery . osseous structures the neural foramina are open . no lytic-destructive lesions were observed in the bone structures within the sections . osteophytes are observed in the vertebral corpus corners . vertebral corpus heights and alignments within the sections are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window sequelae changes are observed at the apical level . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . there was no finding in favor of pneumonia . no pleural effusion or pneumothorax was detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window a few subpleural nonspecific nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections were evaluated in favor of mild hepatosteatosis in the liver parenchyma . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . pleuroparenchymal linear density increases consistent with sequelae changes are observed in the lingular segment . an air cyst with a diameter of 5 mm is observed in the anterior segment of the right lung upper lobe . there is a 2 mm diameter nodule in the laterobasal segment . an air cyst with a diameter of 5 mm is observed in the posterior basal segment . a 2 mm diameter subpleural nodule is observed in the superior segment of the lower lobe . there is a nodule with a diameter of approximately 4 mm in the subpleural area in the posterobasal segment of the lower lobe of the left lung . there is a subpleural 3 mm diameter nodule in the anterobasal segment of the lower lobe of the right lung . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum thoracic aorta diameter is normal . no enlarged lymph node in pathological size and appearance was detected in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures minimal changes are observed in the bone structure included in the sections . abdomen thoracic aorta diameter is normal . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . a mosaic attenuation pattern was observed in the lower lobes of both lungs small airway diseasesmall vessel disease . when examined in the lung parenchyma window subsegmental atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial left lung upper lobe inferior lingular segment . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the right lung lower lobe superior segment there is a fusiform shaped nodule adjacent to the major fissure intraparenchymal lymph node . no mass or infiltrative lesion was detected in both lungs . there are emphysematous changes and diffuse air cysts in both lungs . on the left there are minimal pleural thickness increases in the nodular style area adjacent to the posterior segment of both lower lobes of the lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures there is a decrease in osteopenic density in the bone structures within the sections . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . there is a nonspecific sclerotic area in the lateral part of the right 6th rib . abdomen as far as can be observed within the limits of non-enhanced ct in the upper abdominal organs within the sections there is a low-density hypodense lesion of mm in the subcapsular area in segment 6 of the liver cyst . no upper abdominal free fluid-collection was detected in the sections . no enlarged lymph nodes in pathological dimensions were detected . lung parenchyma one millimetric nonspecific nodule was observed in each lung . there are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window pleuroparenchymal fibroatelectasis sequelae change was observed in the right lung middle lobe medial segment . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . in the non-contrast examination the mediastinum was not evaluated optimally . calibration of pulmonary arteries is natural . as far as can be seen the anterior-posterior diameter of the ascending aorta is 40 mm and the anterior-posterior diameter of the descending aorta is 30 mm which is at the upper limit of normal . a sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections the liver parenchyma density decreased in line with hepatosteatosis . as far as can be seen the anterior-posterior diameter of the ascending aorta is 40 mm and the anterior-posterior diameter of the descending aorta is 30 mm which is at the upper limit of normal . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window more peripherally located patchy ground glass densities are observed in both lungs . the findings were evaluated in favor of covid-19 viral pneumonia . close monitoring of clinical laboratory correlation is recommended . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen millimetric calcific focus is observed at the level of segment 5 of the right lobe of the liver . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma band-like sequela fibrotic density increases were observed in the right lung lower lobe laterobasal segment . pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment . when examined in the lung parenchyma window bronchiectatic changes and peribronchial thickening were observed bilaterally centrally . bilateral pleural thickening-effusion was not detected . minimal contour irregularities and subpleural lines were observed in the pleura in the upper lobes of both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma the described findings are not specific . no mass or infiltrative lesion was detected in both lungs . there are several millimetric nonspecific nodules in both lungs . it is recommended that the patient be evaluated together with the laboratory findings . a ground-glass appearance is observed in a very small area in the peripheral area of the mediobasal segment in the lower lobe of the right lung . in addition a nodular ground glass area was observed in the left lung lower lobe anteromediobasal segment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there are millimetric atheroma plaques in the coronary arteries . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are pleuroparenchymal fibrotic sequelae changes in the left lung inferior lingular segment . when examined in the lung parenchyma window both lungs are mildly emphysematous . there are bilateral pulmonary nodules the largest of which is 49 mm in the anterior upper lobe of the right lung and 36 mm in the left lung the largest in the lower lobe laterobasal . there was no sign of active infiltration in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . in the mediastinum there are multiple laps in the paratracheal aortopulmonary and prevascular areas with the largest measuring 14x9 mm in the paratracheal area . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures osteodegenerative changes were observed in the vertebrae and bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . hypodense cortical lesions with a diameter of 20 mm were observed in both kidneys the largest of which was in the middle zone of the left kidney simple cyst . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is 8 mm diameter calculus in the middle zone of the right kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are findings consistent with mild emphysema in both lungs . there is a 6x4 mm nodule in the superior segment of the lower lobe of the right lung . there is a 2 mm diameter calcific nodule in the left lingular segment . significant pleural effusion pneumothorax or no finding compatible with pneumonia were observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a slight decrease in density is observed in the liver which is compatible with hepatosteatosis in the cross-sectional area . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . densities compatible with 2 mm diameter calculi are observed in the middle parts of both kidneys . lung parenchyma when examined in the lung parenchyma window there are patchy ground glass densities band atelectasis in both lungs and minimal peribronchial consolidations in the lower lobes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . there are some calcific millimetric lymph nodes in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdomen entering the cross-sectional area there is a loss of density consistent with fatty hepatosteatosis in the liver . no space occupying lesion was detected in the liver . lung parenchyma it was evaluated as covid-19 pneumonia in the presence of a pandemic . in the evaluation of both lung parenchyma peribronchial focal ground glass densities are observed in both lungs by peripheral lung tissue . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic destructive lesion was observed in the bones . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . metallic clips are observed in the lodge . no additional significant pathology was detected in the upper abdominal sections . the gallbladder is operated . lung parenchyma first of all sequelae were evaluated in terms of changes . there are atelectatic bronchiectatic changes at the level of the left lung upper lobe inferior . no nodular or infiltrative lesion was detected in both lung parenchyma . when examined in the lung parenchyma window mild paraseptal emphysematous changes are observed in both lungs especially at the apical levels . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window diffuse emphysematous changes are observed in both lungs . a few subpleural millimetric nonspecific nodules are observed in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen diverticulum is observed in the transverse colon that can be observed and no findings in favor of diverticulitis were detected . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma it is recommended to evaluate together with the examinations . clinic and lab . pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma patchy areas of consolidation are observed in the peripheral subpleural area in all bilateral segments and the described findings are typical findings of covid-19 pneumonia . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen in the sections passing through the upper abdomen a 16x12 mm hypodense lesion was observed at the level of liver segment 4a . it cannot be characterized within the limits of non-contrast ct . lung parenchyma apart from this no mass was detected in both lungs . there are centracinar nodular ground-glass appearances in the lower lobe of the left lung . the boundaries of the described mass cannot be distinguished from the consolidation observed in the left lung . the described appearances were considered to be compatible with infective pathology . it is understood that these appearances are new . occasional atelectasis was observed in both lungs . in the upper lobe of the left lung especially in the anterior segment and apicoposterior segment apical subsegment consolidation and ground glass appearances and bronchiectasis are observed in these localizations . the described manifestations were primarily evaluated in favor of pneumonic infiltration . a maligt mass is observed in the central parts of the left lung upper lobe . however as far as can be observed this mass measured approximately 52 mm in its most posterior part . there are emphysematous changes in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in the right lung . therefore the exact size was not given . it is understood that the pleural effusion has just appeared . there is pleural effusion on the left . airways no occlusive pathology was detected in the trachea and both main bronchi . as far as can be observed trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there is a lymphadenopathy measuring 12 mm in short diameter in the paratracheal region . the patients examination was evaluated together with other examinations dated 2022 . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . in addition lymph nodes were observed in the mediastinum and hilar regions which could also be observed in the previous examination of the patient and whose number and size did not differ . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels there is also minimal pericardial effusion and it appears that the effusion has just appeared . heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window ground glass densities are present in both lung lower lobe . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum lymph nodes some of which are calcific and 13x9 mm in size are observed in the mediastinum . calcific atheroma plaques are observed adjacent to the aorta . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there are calcific atheroma plaques in the coronary arteries . heart contour size is normal . the ascending aorta is ectatic . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed adjacent to the aorta . lung parenchyma findings were initially evaluated in favor of pneumonic infiltration . diffuse focal patchy ground-glass densities in both lungs and focal consolidations in the left lung lower lobe anteromediobasal left lung inferior lingular and right lung middle lobe basal part and pulmonary nodules with a diameter of 10 mm in both lungs the largest in the left lung superior lingular segment were observed . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum however considering the multiple laps forming in the mediastinum its clinical correlation is recommended in terms of disease . although the mediastinum cannot be evaluated optimally in the non-contrast examination as far as it can be observed calibration of mediastinal major vascular structures is natural . a large number of pathological lymph nodes in size were observed in the prevascular right upper bilateral lower precarinal subcarinal bilateral hilar right upper paratracheal area . sliding type hiatal hernia was observed in the distal esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the right adrenal gland corpus a solid mass lesion with a density of more than was observed in the series measuring . it is recommended to be evaluated with contrast-enhanced examination of the adrenals in terms of from fat-poor adenoma or maligt mass . liver spleen left adrenal gland and pancreas are normal as far as can be observed in non-contrast examinations . lung parenchyma also available in old review . in the right lung lower lobe superior segment thickening of the peribronchial sheath and slight ground-glass-like density increases are observed . millimetric lymph nodes are observed at the right hilar level . there is an appearance compatible with emphysema in both lungs . at baseline mild atelectatic lung segments are observed adjacent to the pleural effusion . pleural effusion is observed at the fissure level on the right . when examined in the lung parenchyma window in the area extending towards the middle zone in both pleural distances pleural effusion reaching 39 mm on the right and 20 mm on the left in its thickest part is observed . airways no relevant findings . mediastinum the aortic arch calibration is 30 mm slightly wider than normal . their catheters are observed at the level of the superior vena cava and the right atrium and ventricle . multiple lymph nodes are observed in the mediastinum the largest of which was measured in the right upper paratracheal area and measuring mm . calcific atheroma plaques are observed in the aortic arch descending and ascending aorta . pulmonary trunk calibration is slightly above normal 29 mm . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calibration of the ascending aorta is normal . their catheters are observed at the level of the superior vena cava and the right atrium and ventricle . there are calcific atheroma plaques in the coronary arteries . cto is at the maximal physiological limit . calibration of other major vascular structures is natural . there is a cardiac pacemaker at the left pectoral level . osseous structures there is a slight increase in dorsal kyphosis in the bone structure in the examination area . degenerative changes are observed in the bone structure . abdomen a hypodense appearance which may be compatible with a cortical cyst is observed in the left kidney . the aortic arch calibration is 30 mm slightly wider than normal . in the upper abdominal organs included in the sections there is a density compatible with calculus in the gallbladder . calcific atheroma plaques are observed in the aortic arch descending and ascending aorta . lung parenchyma in both lung parenchyma calcific nodules some of which are larger than 4 mm in diameter are observed . when examined in the lung parenchyma window reticular and fibrotic densities accompanied by minimal focal bronchiectasis are seen predomitly in the subpleural area in the posterobasal region of the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are osteophytes extending anteriorly in the vertebrae especially in the junction which tend to merge . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a 2 mm diameter nonspecific nodule in the anterior-apicoposterior segment transition of the left lung upper lobe . no obvious pneumonia was detected in both lungs . a nonspecific nodule with a diameter of 2 mm is observed in the anterior segment of the right lung upper lobe . no pneumothorax or pleural effusion was observed . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen surrounding soft tissue plans are natural . in the sections passing through the upper abdomen there is a mild steatosis appearance in the liver . lung parenchyma when examined in the lung parenchyma window changes and pleuroparenchymal sequelae densities are observed in the left lung upper lobe apex pericardiac area . no nodular or infiltrative lesion was detected in both lung parenchyma . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen first of all it was interpreted in favor of the cyst . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . in the upper abdominal organs included in the sections several hypodense nodular well-circumscribed lesions were observed the largest of which was approximately 55 cm in diameter in the right lobe segment 7 of the liver . lung parenchyma follow-up is recommended . when examined in the lung parenchyma window a nodule measuring 5 mm in size is observed in series 2 image 80 located in the subpleural area in close proximity to the 5th vertebral corpus in the superior right lung lower lobe . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a consolidated lung segment in the lower lobe of the left lung especially in the anteromediobasal segment . there is also volume loss in this localization . there are millimetric nonspecific nodules in both lungs . no mass was detected in both lungs . a large mass with indistinguishable borders was observed in the left upper quadrant . therefore although the presence of pneumonic infiltration cannot be completely excluded it was primarily evaluated in favor of atelectasis . there is minimal pleural effusion on the left . there is no pleural effusion on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels it is recommended that the patient be evaluated together with their medical history . however the described appearance was not characterized because contrast agent was not given . the port catheter terminates in the right atrium . pericardial effusion was not detected . heart contour and size are normal . osseous structures no metastatic lesions were detected in the bone structures within the sections . abdomen no relevant findings . lung parenchyma subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular and both lung lower lobe basal segments . when examined in the lung parenchyma window patchy ground glass consolidations forming a multilobar multisegmental central-peripheral crazy paving pattern were observed in the lung parenchyma and the appearance is compatible with covid-19 pneumonia . no mass lesion with distinguishable border was detected in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs are normal . as far as can be observed in the sections nonspecific hypodense lesions with a diameter of 16 mm were observed in both lobes of the liver the largest in segment . in the left kidney 5-6 calculi images were observed the largest of which was 11 mm in diameter . lung parenchyma in the left lung there are increases in density consistent with pleuroparenchymal sequelae in the area extending from the upper lobe anterior segment to the lingular segment and more at the lower lobe basal levels . density reduction consistent with emphysema is observed in both lungs . on this floor there are slight ground-glass-like density increments and a nodular appearance of approximately 9x8 mm in the vicinity of the fissure . when examined in the lung parenchyma window both hemithorax are symmetrical . bilateral pleural effusion pneumothorax and obvious pneumonia were not detected . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum it is wider than normal . it is slightly wider than normal . mediastinal main vascular structures are normal . it is also available in the old review but size measurement is not possible . thoracic aorta diameter is normal . millimetric calcific atheroma plaques are observed in the aortic arch and coronary arteries . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . the aortic arch calibration is 33 mm . the pulmonary trunk calibration in the mediastinum is 29 mm . multiple lymph nodes some of which are superposed and conglomerated are observed in all lymph node stations in the mediastinum . there is a hiatal hernia in the case . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calibration of the ascending aorta is normal . pericardial effusion-thickening was not observed . millimetric calcific atheroma plaques are observed in the aortic arch and coronary arteries . cto is normal . calibration of vascular structures at other levels is natural . osseous structures again in the case multiple lymph nodes are observed in the bilateral supraclavicular area at the axillary level and more prominently in the left half of the neck . mild degenerative changes are observed in the bone structure . abdomen in the sections passing through the upper abdomen there is amorphous coarse calcification at the gallbladder level . it is wider than normal . it is slightly wider than normal . in the right kidney millimetric density compatible with calcification or calculus partially entering the image is observed . surrounding soft tissue plans are natural . the spleen is larger than normal . thoracic aorta diameter is normal . millimetric calcific atheroma plaques are observed in the aortic arch and coronary arteries . lymph nodes are observed in the subcutaneous fatty planes paraesophageal and perigastric areas at the central mesentery level and paraaortic levels along both hemithorax . other upper abdominal organs are normal within examination limits . the aortic arch calibration is 33 mm . both surrenal are natural . nodularities compatible with the lymph node are also observed in the spleen hilum . lung parenchyma when examined in the lung parenchyma window in the right lung there are a few millimetric nodules some of which are 2 mm in size some of them calcific nonspecific . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen changes from previous stomach surgery are observed in the upper abdominal organs included in the sections . lung parenchyma patchy mostly ground-glass consolidations were observed in the bilateral lungs . pleural effusion reaching 36 cm thickness on the left and passive atelectasis in the adjacent lower lobe were observed . airways trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . linear density increases or metallic sutures are observed secondary to the operation in the mediastinum . the appearance of the catheter applied to the mediastinum from the right hemithorax was observed . in the mediastinum the appearance of the right inferior paratracheal lymph nodes the shortest axis of which is 1 cm is observed . in addition several subcarinal and right hilar lymph nodes with the largest 18 x 12 mm were observed . a ventricular is observed in the mediastinum . heart and great vessels the heart has a natural appearance . osseous structures degenerative cortex irregularities were observed in the vertebral plateaus . metallic sutures were observed in the sternum . abdomen calcific atheroma plaques were observed in the main vascular structures . accessory spleen was observed . perihepatic minimal free peritoneal fluid was observed . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the gallbladder is contracted but its wall is thick and its bed is edematous . lung parenchyma no mass lesion with distinguishable borders was detected in the lung parenchyma . when these findings were evaluated together it was understood that the consolidation areas observed in the previous were pneumonic infiltration areas . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcified atheroma plaques were observed in the coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures no relevant findings . abdomen other findings are stable . in the current examination free air images were observed in the abdomen . an examination of the abdomen is recommended . lung parenchyma although many pathologies can cause this appearance the absence of any difference suggests that the appearance is a sequelae change . there was no finding in favor of mass and pneumonic infiltration in both lungs . minimal ground glass appearance and minimal volume loss are observed in the left lung upper lobe and lower lobe superior segment . no pleural or pericardial effusion was detected . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the evaluation of both lung parenchyma there are 3 parenchymal nodules the largest of which is 5 mm in size in the right lung middle lobe medial segment and lower lobe . no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma pleuroparenchymal linear density increases in the right lung upper lobe posterior segment are also present in the previous examination and are compatible with sequelae . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . in the previous examination increased left pleural was not observed in the current examination and completely regressed . no pleural effusion was observed . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum evaluation of supraclavicular and mediastinal lymph nodes is markedly suboptimal due to lack of contrast and the patients . no gross mass space-occupying lesion pathological lymph node was observed in the section in the supraclavicular fossa and in the mediastinum . the presence of millimetric lymph nodes cannot be evaluated . diffuse mucosal edema is observed in the lower end of the esophagus . heart and great vessels pericardial effusion was not detected . heart sizes are of normal width . osseous structures no lytic-destructive space-occupying lesion was detected in the bone structures within the section . abdomen there is a 75 cm mass in segment 6 of the liver . a stent was placed in the . it is partially cut through . no could be made on the progression of intra-abdominal involvement as the upper abdominal sections were partially cut into the section . in the upper abdominal sections a mass lesion extending towards the stomach corpus spleen hilus peripancreatic region and liver hilus and whose borders cannot be distinguished from structures due to lack of contrast material is observed . lung parenchyma a mild mosaic attenuation pattern is observed in the lower lobes of both lungs small vessel diseasesmall airway disease . there are mild sequelae changes in the middle lobe on the right . there is a sequelae change in the lingular segment . there was no finding compatible with pleural effusion pneumothorax or pneumonia in both lungs . when examined in the lung parenchyma window a nodule with a diameter of 4 mm is observed adjacent to the pleura in the posterior segment of the right lung upper lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aortic arch and aortic root . mediastinal main vascular structures are normal . there is a hiatal hernia . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures soft tissue appearance compatible with is observed in the deep scapula on both sides . vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections a nonspecific 6 mm diameter hypodense lesion was observed in the posterior segment of the liver right lobe . calcific atheroma plaques are observed in the aortic arch and aortic root . a 2 mm diameter calculus was observed in the left kidney . lung parenchyma when examined in the lung parenchyma window minimal pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . emphysematous changes were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . clinical laboratory correlation is recommended . several hypodense nodular lesions measuring 47 mm in diameter were observed in the spleen lodge . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there is a central venous catheter on the right . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . the catheter terminates in the right atrium . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen the described lesion could not be characterized in this examination . the appearance was also present in the previous examination of the patient and no difference was found in its dimensions and appearance . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . there is a nodular solid lesion measuring 24 mm in diameter on the lateral leg of the left adrenal gland . lung parenchyma these views are consistent with covid-19 pneumonia . patchy ground glass densities and areas of consolidation are observed which are more prominent in the lower lobes and peripheral areas of both lungs . when evaluated together with the previous examination of the patient the lung parenchyma area compatible with pneumonia showed a minimal increase . when examined in the lung parenchyma window pleural effusion reaching approximately 1 cm is observed in the right lung . airways trachea both main bronchi are open . mediastinum there is an increase in the number of minimal lymph nodes . numerous lymph nodes are observed in the mediastinal area with a short axis of 12 mm the largest of which is pretracheal subcarinal at the level of both lung hiluses and at the level of the aortopulmonary window . other mediastinal main vascular structures are normal . the pulmonary artery is dilated and measures approximately 35 mm at its widest point . these findings are also present in the patients previous examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size increased . minimal fluid is observed in the pericardial area . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a mosaic attenuation pattern in both lungs more prominent in the lower lobes small airway disease small vessel disease . no mass or infiltrative lesion was detected in both lungs . occasionally linear atelectasis was observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . atheroma plaques are observed in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed the heart is minimally larger than normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen atheroma plaques are observed in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma when both lung parenchyma windows are evaluated no mass-nodule-infiltration was detected in both lung parenchyma . bilateral pleural effusion-thickening was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected . heart and great vessels pericardial effusion - no thickening was detected . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen multiple cortical and parapelvic cysts were observed in both kidneys and upper abdominal organs included in the sections . bilateral adrenal glands were normal and no space-occupying lesion was detected . significant multiple hypodense lesions were observed on the left in both lobes of the liver . thoracic aorta diameter is normal . cyst . the largest cysts described were 36 mm in diameter at the upper pole of the left kidney and 24 mm at the lower pole of the right kidney . lung parenchyma millimetric nodules some of which are calcific were observed in both lungs . there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there are linear atelectasis in the right lung middle lobe medial segment and both lung lower lobes . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . intervertebral disc distances are narrowed . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma bilateral peribronchial thickenings were observed . when evaluated in the parenchyma window of both lungs there are mild emphysematous changes in both lungs . there are density increases in the left lung inferior lingular segment and both lung upper lobes posterior which are evaluated primarily in favor of atelectasis . 1-2 nonspecific millimetric parenchymal nodules some of which are calcified are observed in the inferior lingular segment and lower lobe of the left lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be observed minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . there are calcified lymph nodes with a short axis smaller than 7 mm observed in the mediastinal upper-lower paratracheal and subcarinal areas . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . there are diffuse calcified atherosclerotic changes in the coronary artery wall . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . as far as can be observed minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . a 7 mm diameter parenchymal coarse calcification area was observed at the liver segment 4a level . there is diffuse thickness increase in the left adrenal gland and a 6 mm diameter nodular lesion is observed in the body part of the left adrenal gland adenoma . right adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . irregular thickenings of the pleural face were observed at the level of the basal segments of the lower lobes of both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures there are nondisplaced suspicious fracture lines in the corpus sterni and manubrium sterni . there are fracture lines that cause height loss in the upper end plate of t4 and t5 vertebrae . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma right upper-lower paratracheal lymph nodes with narrow diameter not reaching 1 cm are observed . apart from this no obvious nodule formation was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea both main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no signs of metastasis were observed in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma it was evaluated in favor of infectious processes in the first plan . when examined in the lung parenchyma window there is an increase in density in the upper lobe of the left lung located subpleural in the superior and inferior lingula around which recessions are also observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is minimal increase in ground glass infiltrates adjacent to the major fissure in the posterior upper lobe of the left lung . there was no significant difference in infiltrates in the upper lobe and middle lobe of the right lung . apart from this no significant difference was found between the examinations . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma in the evaluation of both lung parenchyma no suspicious nodule mass or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma the apical segment bronchus of the right upper lobe of the lung leaves the trachea . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways lumens are clear . the apical segment bronchus of the right upper lobe of the lung leaves the trachea . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum no lymph node with pathological size and configuration was detected at the hilar level in the mediastinum . thoracic aorta diameter is normal . in the anterior mediastinum there is a prominent thymic tissue although there is a fatty involution from place to place . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window the case has an appearance compatible with emphysema . there are sequelae changes in the lingular segment on the left . sequelae changes are observed in the middle lobe . bilateral pleural effusion-pneumothorax or pneumonia was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there is thymic tissue in the anterior mediastinum with trigonal configuration hypodense areas compatible with fatty involution which do not show mass effect . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric nodular fissure thickening is observed in the major fissure in the left lung . no mass or nodular space-occupying lesion infiltrative involvement or consolidation area was observed in the lung parenchyma . in the left lung there are also two nonspecific nonspecific nodular lesions with a diameter of less than 3 mm in the lower lobe . airways no relevant findings . mediastinum calibration of mediastinal major vascular structures was followed naturally . no lymph node was observed in the mediastinum in pathological size and appearance . a few nonspecific lymph nodes with short diameters less than 1 cm were observed adjacent to the gastroesophageal junction . no pathological increase in diameter was observed in the esophagus . heart and great vessels no effusion was detected between pericardial leaves . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen there is a decrease in liver parenchyma density consistent with mild hepatosteatosis . the left adrenal gland is normal . the nodular lesion with a diameter of 13 mm in the lateral crus of the right adrenal gland adjacent to the corpus with a negative hu value of 13 mm was thought to belong to an adenoma . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . clinical and laboratory correlation is recommended . minimal atelectasis-consolidation area is observed in the posterobasal segment of the lower lobe of the right lung . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . between the bilateral pleural leaves there is a free pleural effusion measuring 3 cm in thickness on the right and 2 cm on the left . airways bilateral peribronchial thickenings are observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased . as far as can be seen the diameter of the ascending aorta was 46 mm and increased . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window emphysematous changes and a distinct mosaic attenuation pattern were observed in both lungs . fibroatelectatic changes were observed in bilateral lung basals . calcified nonspecific parenchymal nodules were observed in both lungs the largest of which was 4 mm in diameter in the segment of the left lung . there are formations in the upper lobes . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum numerous oval-shaped lymph nodes with a short diameter of up to 8 mm were observed in the mediastinal prevascular area and paratracheal area . thoracic aorta diameter is normal . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no obvious pathology was detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . osseous structures there are osteophyte formations at the vertebra corpus corners . there was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region . an increase in thoracic kyphosis which is included in the study area is noteworthy . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . type 1 hiatal hernia was observed . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . linear atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . when examined in the lung parenchyma window left lung lingular and peripheral subpleural areas in the lower lobes of both lungs nodular-patchy consolidation areas with ground glass densities around the nodular were observed and the appearance is suspicious for covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are stents placed in and rca . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calculus images up to 2 mm in diameter were observed in the upper pole of the left kidney . as far as can be seen within the sections liver gall bladder spleen pancreas both kidneys are normal . lung parenchyma when examined in the lung parenchyma window both lungs have a mosaic attenuation pattern small airway disease small vessel disease . in addition in the anterolateral segment of the lower lobe of the right lung there is a 16x13 mm area of increased density consistent with nodule-nodular consolidation . in the lower lobe of the left lung there is an area of increase in density consistent with consolidation in which air bronchograms are also observed . locally sequela parenchymal changes were observed in both lungs . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum the ascending aorta is 44 mm the descending aorta is 32 mm and the pulmonary trunk is 38 mm wider than normal . no lymph node was observed in the mediastinum and in both axillary regions in pathological size and appearance . no lymph node was observed in pathological size and appearance . mediastinal main vascular structures are normal . calcified atheroma plaques are observed on the wall of thoracic aorta and coronary vascular structures . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels heart sizes were significantly increased . osseous structures there are degenerative changes in the bone structures in the examination area . vertebral corpus heights are preserved . abdomen the ascending aorta is 44 mm the descending aorta is 32 mm and the pulmonary trunk is 38 mm wider than normal . it was evaluated as compatible with adenoma . as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image an increase in nodular thickness measuring mm was observed in the corpus of the left adrenal gland . no intraabdominal free fluid loculated collection was detected . calcified atheroma plaques are observed on the wall of thoracic aorta and coronary vascular structures . lung parenchyma when examined in the lung parenchyma window calcific nodules and sequelae changes are observed in the upper lobe of the left lung . there are nonspecific nodules in both lung parenchyma the largest of which reaches 4 mm in diameter . airways trachea both main bronchi are open . mediastinum lymph nodes with short axes reaching 9 mm are observed in the mediastinum . calcific millimetric plaques are observed in the aortic arch . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen characterization cannot be made in this examination . bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated a mm hypodense lesion with subcapsular location is observed in segment 6 of the right lobe of the liver . calcific millimetric plaques are observed in the aortic arch . there is a stone density of 2 mm in the middle part of the right kidney . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs are partially included in the examination and findings are defined in upper and lower abdomen ct . thoracic aorta diameter is normal . lung parenchyma when examined in the lung parenchyma window patchy ground-glass densities completely the lower lobe of the left lung consolidation areas air bronchogram signs interlobular thickenings and enlargements in vascular structures are observed . the findings were evaluated in favor of lobar pneumonia . close monitoring of clinical laboratory correlation is recommended . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ground glass areas are observed in the right lung upper lobe posterior section and left lung lower lobe superior with short axes not exceeding 1 cm which do not reach pathological size and appearance . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheromatous plaques in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheromatous plaques in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the left pulmonary hilus a soft tissue mass is observed that surrounds the distal part of the left main bronchus and the lower lobe bronchi and the mediastinal structures . millimetric nodules were observed in both lungs . although the described appearance could not be clearly differentiated from the atelectatic lung in the lower lobe of the left lung it was first understood that the patient had a primary mass . diffuse emphysematous changes were observed in both lungs and a honeycomb appearance in both lungs which was evaluated in favor of lung disease . no infiltrative lesion was detected in the right lung and the aerated left lung . an effusion measuring 47 mm 63 mm in the previous examination was observed in the thickest part of the left pleural space in which free air images were observed . airways trachea both main bronchi are open . mediastinum the largest of these lymphadenopathies is observed in the region and measures approximately mm . in addition there are lymphadenopathies in the mediastinum and hilar regions . mixed type hiatal hernia was observed in the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma atelectasis is observed in the medial segment of the right lung middle lobe . no mass or infiltrative lesion was detected in both lungs . advanced emphysematous changes are observed in both lungs more prominently in the upper lobes . there are millimetric nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . there are lymph nodes with short diameters less than 1 cm in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological increase in wall thickness in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . intervertebral disc distances were minimally narrowed . the neural foramina are open . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma the findings are in favor of viral pneumonia . these findings are also frequently observed in covid-19 pneumonia . when examined in the lung parenchyma window widespread and patchy ground-glass opacities are observed which is more domit in the subpleural areas of both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a 4 mm diameter nodule is observed in the upper lobe apicoposterior segment of the left lung . density compatible with pleuroparenchymal sequelae is observed in the inferior lingular segment . two nodules with 2 mm diameter are observed in the anterior segment of the right lung upper lobe . two nodules with a diameter of 3 mm are observed at the posterobasal level . there was no evidence of pleural effusion pneumonia or pneumothorax in both lungs . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum there is thymic tissue in the anterior mediastinum which does not show a mass effect in which areas compatible with fatty are observed . thoracic aorta diameter is normal . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen there is mild hepatosteatosis appearance in the liver entering the section area . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . lung parenchyma when examined in the lung parenchyma window a nonspecific parenchymal nodule with a diameter of 4 mm was observed in the middle lobe of the right lung . no mass-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window consolidation areas and density increases observed in the right lung in the previous examination have almost completely regressed in the current examination . peribronchial thickening in the upper lobe bronchi of the right lung and minimal bronchiectasis according to the previous examination are present . linear segmental atelectasis are present in both lung lower lobes . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is minimal bronchiectasis in the central parts of both lungs . in addition noncalcified nodules measuring approximately 45 mm in diameter are observed in both lungs the largest of which is in the laterobasal segment of the lower lobe of the left lung . minimal emphysematous changes are observed in both lungs . there are calcific nodules in both lungs the largest of which is in the anterior segment of the upper lobe of the right lung and measuring approximately 8 mm in diameter . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma linear atelectasis is observed in the lower lobe of the left lung . both lungs have a mosaic attenuation pattern small airway disease small vessel disease . no mass or infiltrative lesion was detected in both lungs . no pericardial or pleural effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the anterior-posterior diameter of the descending thoracic aorta was 60 mm at its widest point and was wider than normal . no pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . atheroma plaques are observed in the coronary arteries and aorta . the main pulmonary artery was 40 mm in diameter and wider than normal . heart and great vessels atheroma plaques are observed in the coronary arteries and aorta . the ascending aorta diameter is normal . as far as can be observed the heart is larger than normal . osseous structures there are osteophytes in the vertebral corpus corners . the neural foramina are open . vertebral corpus heights alignments and densities within the sections are normal . degenerative hypertrophic changes are observed in the facet joints . intervertebral disc distances are preserved . abdomen liver contours are irregular . both kidneys are atrophic . it is recommended to be evaluated for chronic liver parenchymal disease . the anterior-posterior diameter of the descending thoracic aorta was 60 mm at its widest point and was wider than normal . there is no upper abdominal free fluid-collection within the sections . the liver is smaller than normal . atheroma plaques are observed in the coronary arteries and aorta . lung parenchyma when examined in the lung parenchyma window there are peripherally located ground-glass-like density increases in almost all areas of both lungs more prominent in the mid-lower zones and there are prominent interstitial scars on this background . compatible with covid pneumonia . there was no finding compatible with either pleural effusion - pneumothorax . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum of major mediastinal vascular structures is natural . no pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window density reduction compatible with emphysema is observed in both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the right kidney superior pole medial hypodensity which may be compatible with a cortical cyst is observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma bronchiectasis is most prominent in the upper lobe lingular segment of the left lung . the distributions and appearances of the described findings are not specific . it is recommended that the patient be evaluated for an infective pathology . in both lungs bronchiectasis is accompanied by budding tree appearances . no mass was detected in both lungs . minimal bronchiectasis is observed in both lungs especially in the central part . these findings are also more prominent in the left lung upper lobe lingular segment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there is nodular consolidation in the posterobasal segment of the lower lobe of the right lung and an infiltration area in the form of a ground glass opacity around it . in the evaluation of both lung parenchyma pneumonic consolidation area is observed in the posterior segment of the right lung upper lobe . similar but smaller parenchymal involvement is also observed in the basal segment of the left lung lower lobe . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . findings are in favor of atypical pneumonic infiltration and covid pneumonia was primarily considered in the differential diagnosis . airways no relevant findings . mediastinum no lymph node was observed in the axilla in the mediastinum and in the supraclavicular fossa within the section in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window linear atelectasis is observed in the lingular segment of the left lung . airways trachea both main bronchi are open . mediastinum no lymphadenopathy was detected in the mediastinal area in pathological size and appearance . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no fractures lytic or sclerotic lesions were detected in the bone structures included in the study area . abdomen no mass was observed in either adrenal gland . subcutaneous fatty tissues have a natural appearance . in the upper abdominal organs included in the sections liver density decreased consistent with hepatosteatosis . lung parenchyma there are atelectasis in the upper lobe lingular segment of the left lung and in the anteromediobasal segment of the lower lobe . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . evaluation of the patient with previous examinations if any and mri is recommended if there is an indication . as far as can be observed there is an appearance of soft tissue density measured in the anterior mediastinum measuring approximately mm . mediastinal structures could not be evaluated optimally because no contrast material was given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels it is understood that the patient underwent coronary by-pass surgery . atheroma plaques are observed in the coronary arteries . heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the intervertebral disc space is narrowed . the neural foramina are open . abdomen there is no discernible mass in the peritoneum or omentum . no upper abdominal free fluid - collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma there are mosaic density differences in the upper lobes . when examined in the lung parenchyma window in the lower lobes of both lungs there are effusions reaching 18 mm on the left and 20 mm on the right in their widest part consolidation and atelectesis adjacent to them . airways trachea both main bronchi are open . the bronchial walls are thickened predomitly in the central part . mediastinum thoracic aorta diameter is normal . widespread calcifications are observed in the aorta and its branches in the upper abdominal sections . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the appearance of mitral valvuloplasty is observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area have osteoporotic and degenerative appearances . abdomen there are cortical hypodense lesions in both kidneys . thoracic aorta diameter is normal . widespread calcifications are observed in the aorta and its branches in the upper abdominal sections . there is a millimetric stone density in the gallbladder . diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there are also bronchiectatic changes in the bronchi extending to the lower lobe of the right lung . cavity lesions are observed in the laterobasal and posterobasal segments of the right lung . when examined in the lung parenchyma window linear and nodular opacities are observed in the lower lobe of the right lung . nodular opacities form a budding tree view in places . similarly linear consolidation areas are observed in the medial segment of the middle lobe of the right lung . similarly there are nodular opacities in the form of a budding tree view in the medial segment of the right lung middle lobe . no or pleural effusion was observed . airways no relevant findings . mediastinum evaluation of mediastinal and vascular structures is suboptimal due to the lack of contrast of the examination . mediastinal major vascular structures are normal within the limits of the unenhanced examination . no lymphadenopathy was detected in the mediastinum in pathological size and appearance . heart and great vessels no relevant findings . osseous structures no fractures or lytic-sclerotic lesions were detected in the bones . abdomen in the upper abdominal sections including the sections hepatosteatosis is observed . lung parenchyma there is minimal bronchiectasis in the central parts of both lungs . it was learned that the patient had undergone a right upper lobectomy . there are millimetric nonspecific nodules in both lungs . diffuse emphysematous changes were observed in both lungs . the described appearance could not be characterized in this examination . consolidation-soft tissue density appearance and minimal structural distortion and minimal volume loss were observed in the lateral part of the left lung upper lobe apicoposterior segment . there is no pleural or pericardial effusion . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum atheroma plaques were observed in the aorta . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are no enlarged lymph nodes in pathological dimensions . there are millimetric lymph nodes in the mediastinum and hilar regions . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fracture or lytic-destructive lesion was observed in the bone structures within the sections . abdomen atheroma plaques were observed in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures there was no finding in favor of in the right 2nd and 3rd ribs . bone structures in the study area are natural . abdomen the gallbladder was not observed operated . one image of 2 mm in diameter in the lower pole of the right kidney and four images of calculi with a diameter of 45 mm in the upper and middle part of the left kidney were observed . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures a few millimetric nodules are observed in the anterior of the vertebral corpuscles . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . hepatosteatosis is observed in the liver parenchyma . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window there are a few non-specific nodules measuring 5 mm in size in both lung parenchyma and no infiltration was detected . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma millimetric nodules are observed in the middle lobe and lower lobe of the right lung and in the lower lobe of the left lung . when examined in the lung parenchyma window subsegmental band is observed in the right lung middle lobe lateral and left lung inferior lingular segment . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs including sections gallbladder is operated . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are mild thickenings of the interlobular septa in both lungs . evaluated in favor of an infectious process . due to the current clinical laboratory correlation follow-up is recommended for the differential diagnosis of covid-19 viral pneumonia . when examined in the lung parenchyma window in the lateral segment of the lower lobe of the right lung an oval-shaped ground-glass density with a subpleural dimension of up to 29 mm is observed . a smear-like pleural effusion is observed in the right hemithorax . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . small lymph nodes measuring up to 10 mm are observed in the mediastinum adjacent to the trachea . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . accessory spleen is observed . upper abdominal organs were included in the study partially and were evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window mild atelectatic changes and a few non-specific nodules are observed in the basal segments of the lower lobes of both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . hyperdense findings in the right kidney with a size of up to 55 mm were evaluated in the direction of calculi right . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pleuroparachymal sequelae density increases were observed in the middle lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when both lung parenchyma windows are evaluated mosaic attenuation areas were observed in both lungs small airway disease small vessel disease . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum mediastinal structures were considered suboptimal when the examination was unenhanced . diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . as far as can be observed mild ectasia is observed in the descending aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels heart contour and size are natural . pericardial effusion-thickening was not detected . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . degenerative changes were observed in bone structures . abdomen in the upper abdominal sections included in the examination area a diameter nodular lesion was observed at the liver segment 8 level . as far as can be observed mild ectasia is observed in the descending aorta . diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . diverticulum was observed in the duodenum . the examination cannot be characterized as it lacks contrast . lung parenchyma the outlook is in favor of viral pneumonia . when examined in the lung parenchyma window focal ground glass density is observed in the right lung lower lobe laterobasal segment . these appearances are also frequently observed in covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . atelectatic changes are observed in the apical regions of both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no enlarged lymph nodes in pathological size and appearance are detected . the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels there are calcific atheroma plaques and stent formations in the coronary arteries . heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . a few lymph nodes with a short left paraaortic diameter of 6 . millimetric osteophytes are observed in the corners of the thoracic vertebral corpus within the sections and at the t9-t10 level . abdomen spleen ap diameter measured 145 mm and increased . sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . calcific atheroma plaques are observed in the aorta . in the lateral and medial crus of the left adrenal gland the increase in thickness reaching 8 mm in the medial at its thickest part is stable . lung parenchyma in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum lymph nodes in pathological size and appearance were not observed in both axillary regions supraclavicular fossae and mediastinum . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . it could not be evaluated optimally due to lack of contrast . mediastinal vascular structures and heart examination iv . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . abdomen a diffuse decrease in liver parenchyma density secondary to hepatosteatosis is observed as far as can be observed within the borders of unenhanced ct in the upper abdominal sections within the image . lung parenchyma radiological findings are compatible with covid pneumonia . no suspicious mass or nodular space-occupying lesion was detected . in lung parenchyma evaluation bilateral peribronchial and subpleural consolidation areas are observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . right upper and lower paratracheal mediastinal lymph nodes were thought to be reactive . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma a millimetric calcific nodule is observed in the anterior upper lobe on the right . when examined in the lung parenchyma window there are ground-glass infiltrates in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aortic arch . in the mediastinum several lymph nodes with calcification are observed in the right upper paratracheal region with a short axis of 13 mm . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aortic arch . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a patchy ground glass density increase was observed in the anterior and posterior upper lobe of the right lung and in the lower lobes of both lungs . the appearance was evaluated primarily in terms of interstitial lung disease . the described ground glass density increases are also observed in the previous review . when both lung parenchyma windows are evaluated interlobular septal thickenings prominent in the lower lobes and periphery of both lungs honeycomb appearances prominent in the lower lobes contour irregularities in the pleura and subpleural lines are observed . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . in addition bilateral traction bronchiectasis is noteworthy . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . in the current examination no lymph node was detected in newly emerging pathological size and appearance . as far as can be observed metallic suture materials secondary to previous bypass surgery were observed in the sternum and mediastinum . stable size and number of lymph nodes were observed in the previous examination the shortest axis of the largest measuring 10 mm in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . there was mild dilatation in the ascending aorta and pulmonary artery and no pericardial thickening-effusion was detected . heart size has increased cardiomegaly . osseous structures as far as can be observed metallic suture materials secondary to previous bypass surgery were observed in the sternum and mediastinum . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . in the upper abdominal sections that entered the examination area calcules were observed in the gallbladder . no significant change was found in the other findings in the current examination . lung parenchyma several nonspecific parenchymal nodules with a diameter of 6 mm were observed in both lungs the largest of which was in the posterobasal segment of the lower lobe of the right lung . apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . linear atelectatic changes were observed in both lung lower lobe basal segments and right lung lower lobe anterobasal segments . when examined in the lung parenchyma window minimal reticulonodular sequelae density increases were observed in the apex of both lungs . bilateral pleural effusion-thickening was not observed . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen pancreas size and contours are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the evaluation of the upper abdominal organs included in the sections liver size increased . no stones were observed in both kidneys within the sections . no intraabdominal free-loculated fluid was detected . accessory spleen with a diameter of 18 mm was observed inferior to the splenic hilus . the parenchymal density is diffusely decreased consistent with adiposity . spleen size and contours are normal . lung parenchyma in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . emphysema appearance is present in both lungs . pleuroparenchymal sequelae changes are observed in the anterior segment of the right lung upper lobe . pleuroparenchymal sequelae changes are observed in the middle lobe . findings are atypical for covid pneumonia . fine reticulonodular density increases are observed in the upper lobe posterior segment in the right lung and at the lower lobe anteromediobasal level in the left lung . occasionally emphysema is accompanied by a mosaic attenuation pattern . pleuroparenchymal mild sequela changes are observed at the laterobasal level of the lower lobe of the left lung . no pathological size and configuration of lymph nodes were detected at both hilar levels . it is recommended to be evaluated together with the clinic in terms of pneumonic infective processes . there is an air cyst at the anterobasal level of the lower lobe of the right lung . no bilateral pleural effusion or pneumothorax was detected . airways the esophagus is under mild compression between the aberrant right subclavian artery and the trachea . calibration of trachea and main bronchi is normal their lumens are clear . bilateral thickening of the peribronchial sheath and slight prominence in the central bronchial structures are observed . mediastinum they are in oval configuration . however their short axes do not exceed pathological limits . calibration of major vascular structures in the mediastinum is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . millimetric sized lymph nodes are observed in the mediastinum . the patient has aberrant right subclavian artery appearance . the esophagus is under mild compression between the aberrant right subclavian artery and the trachea . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . a decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area . apart from this the surrounding soft tissue plans are natural . lung parenchyma other agents may cause similar involvement . there is a millimetric nonspecific nodule in the lower lobe of the left lung . but it is not specific for covid . no space-occupying mass lesion was detected in the lung parenchyma . radiological findings were evaluated as compatible with covid pneumonia . halo sign is observed . when the lung parenchyma window is examined pneumonic infiltration area which is more common on the right is observed in the lower lobes of both lungs . parenchymal nodular involvement areas are observed in the right upper lobe . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma in terms of covid-19 pneumonia evaluation together with clinical and laboratory findings is recommended . when examined in the lung parenchyma window peripheral subpleural ground-glass density areas are observed in the left lung lower lobe lobe lateral segment right lung middle lobe lateral segment and lower lobe segments and viral pneumonias are considered in the etiology of the findings . no pericardial or pleural effusion was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa with pathological size and appearance . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma lung parenchymal aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . tubular bronchiectasis which became prominent in the central part of both lungs was observed . when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apexes . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is another nodule with a diameter of 4 mm slightly superiorly . when examined in the lung parenchyma window there are findings consistent with mild emphysema in both lungs . there was no finding compatible with pneumonia in this examination . there are mild sequelae changes in the middle lobe . two nodules the largest of which is 4 mm in size are observed on the minor fissure . a nodule with a diameter of 4 mm is observed in the laterobasal segment of the lower lobe of the left lung . there are one or two nodules the largest of which is 4 mm in diameter . there are sequelae changes in the inferior lingular segment . mild sequelae changes are observed at the apical level . pleural effusion or pneumothorax is not observed . a 3 mm subpleural nodule is observed in the lower lobe laterobasal segment . there is a 5x2 mm subpleural nodule at the mediobasal level . airways no relevant findings . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . cto is normal . however the calibration of other mediastinal major vascular structures is normal . the aortic arch calibration is 32 mm larger than normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen in the upper abdominal organs included in the sections a 14x9 mm nonspecific hypodense lesion is observed at the liver dome level . cto is normal . the aortic arch calibration is 32 mm larger than normal . lung parenchyma a nonspecific nodule with a diameter of 2 mm is observed in the laterobasal segment of the lower lobe of the left lung . there is a parenchymal sequelae band appearance in the anterior segment caudal of the right lung upper lobe . there was no finding compatible with pneumonia in both lungs . there are sequelae changes at the apical level of both lungs . there is a sequela parenchymal band appearance in the upper lobe of the left lung . no pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calibration of other major mediastinal vascular structures is natural . cto is normal . the aortic arch calibration is 32 mm . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . osseous structures s-shaped scoliosis is observed at the level . degenerative changes are observed in the bone structure entering the examination area . abdomen the aortic arch calibration is 32 mm . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . cto is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a nonspecific calcific nodule of 3 mm in size is observed in the right lung . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mild bronchiectatic changes and minimal peribronchial thickening are present in both lungs . linear atelectasis is noted in the lingula inferior segment of the left lung . when examined in the lung parenchyma window azygos lobe variation was observed in the right lung . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no lymph node reaching mediastinal pathological dimension was detected . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no pathological wall thickening was detected . the thoracic esophagus is in normal calibration . heart and great vessels no obvious pathology was detected . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no pericardial effusion or thickening was detected . osseous structures no pathologically enlarged lymph nodes were detected in the bilateral supraclavicular region and axillary region . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical laboratory correlation monitoring is recommended . when examined in the lung parenchyma window multiple space-occupying lesions are observed in both lungs . the largest one is posterior to the upper lobe of the right lung . although some 1-2 mm increase in size is observed no significant difference was found in the numbers . in the right lung lower lobe patchy ground glass density is observed in crazy paving pattern and patchy ground glass density is observed around the mass lesion observed in the left lung lower lobe anterolateral . the findings were initially evaluated in favor of the infectious process . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings on the end plates . vertebral corpus heights are preserved . there is a diffuse density decrease in the bone structures in the study area . abdomen there is a small amount of free fluid in the perihepatic area . no space-occupying lesion was detected in the liver entering the cross-sectional area . there is a nodular lesion measuring up to 20 mm in the esophagogastric junction perihepatic and paracardiac area with no significant dimensional difference . a hyperdense finding measuring 10 mm in the right kidney was initially evaluated in favor of angiomyolipoma and does not show any significant difference . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are partially included in the examination and stent material is observed in the common bile duct . a new small amount of pelvicalyceal ectasia is observed in both kidneys . lung parenchyma when examined in the lung parenchyma window bilateral peribronchial thickenings and areas of minimal tubular bronchiectasis that become prominent in the center draw attention . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a nonspecific parenchymal nodule with a diameter of 2 mm is observed in the superior lingular segment of the left lung . apart from this no mass-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways as far as can be observed trachea both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum mediastinal and bilateral hilar short axis of 5 mm in millimetric lymph nodes are observed . in the anterior mediastinum there is a soft tissue density of thymus tissue that does not create a triangular mass effect . mediastinal main vascular structures heart contour size are normal . mediastinal structures were considered suboptimal when the examination was unenhanced . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with a diameter of 1 cm is observed adjacent to the upper pole of the spleen . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma the sequelae were evaluated as compatible with the change . no suspicious mass lesion or solid nodule was observed in the lung parenchyma . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . there is an air cyst in its immediate neighborhood . there is an air cyst in the upper lobe lingular inferior segment of the left lung . in the left lung upper lobe lingula superior segment a 6 mm diameter ground-glass density nodular parenchyma area is observed . in the basal segment of the lower lobe of the right lung a linear coarse calcification focus extending from the diaphragmatic pleura to the parenchyma and an air cyst with parenchymal distortion are observed . no pleural effusion was detected . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . no space-occupying lesion was detected in the mediastinal fat pad . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma bleb formations were observed in the right lung apex . in the evaluation of both lung parenchyma there are extensive peribronchovascular axial interstitial and interlobular septal thickenings in the lungs . consolidation area is observed in the left lung lingula inferior segment . in the bilateral pleural space there is an effusion reaching 3 cm on the right and 2 cm on the left . airways trachea and main bronchi are open . bronchial wall calcifications were observed . mediastinum in the mediastinum there are inferior paratracheal lymph nodes the largest of which is 12 mm in the short axis . calcific atheroma plaques were observed in the main vascular structures . pulmonary arteries are dilated . dilatation is observed in the abdominal aorta . esophagus is within normal limits . heart and great vessels there is global enlargement of the cardiac cavities . pacemaker is observed on the left in the anterior thoracic wall and its reaches the right ventricle . osseous structures there are degenerative changes in bone structures . metallic sutures were observed in the sternum . abdomen there is a diffuse density increase in the subcutaneous adipose tissue entering the imaging area interstitial edema . calcific atheroma plaques were observed in the main vascular structures . the wall is slightly thick . millimetric cortical cysts are observed in bilateral kidneys . dilatation is observed in the abdominal aorta . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . perihepatic and perisplenic and minimal free peritoneal fluid were observed . there is the appearance of bile in the gallbladder . lung parenchyma in the evaluation of both lungs in the parenchyma window a nodule with a diameter of approximately 4 mm is observed in the paramediastinal area in the posterior segment of the right lung upper lobe . in the lower zone of the left lung slight ground-glass-like density increases are observed in the basal segments . there was no pleural thickening pneumothorax or significant pleural effusion in both lungs . airways no relevant findings . mediastinum when the calibration of the mediastinal main vascular structures is evaluated the calibration of the aortic arch was measured as 30 mm which is slightly above normal . calibration of other major mediastinal vascular structures is natural . although lymph nodes are observed in the upper-lower paratracheal prevascular aorticopulmonary window in the mediastinum their short axes do not exceed 1 cm . no lymph node with pathological size and configuration that could be evaluated in the non-contrast examination was detected . cto is normal . esophageal calibration was normal and no pathological wall thickening was detected . heart and great vessels no relevant findings . osseous structures there is left-facing scoliosis at the dorsal level . mild degenerative changes are observed in the bone structure . abdomen when the calibration of the mediastinal main vascular structures is evaluated the calibration of the aortic arch was measured as 30 mm which is slightly above normal . compatible with cholelithiasis . at the fundus level of the gallbladder millimetric-sized adjacent to each other and compatible with superposed calculus densities are observed . cto is normal . a decrease in density consistent with hepatosteatosis is observed in the liver . in the sections passing through the upper abdomen hiatal hernia is observed in the case . lung parenchyma when examined in the lung parenchyma window sequelae fibrotic bands are observed in the middle lobe on the right . there are bilateral millimetric nonspecific nodules . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . a stent-like appearance is observed in the circumflex artery . there are calcific atheroma plaques in the coronary arteries . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window sequelae fibrotic changes are present in the upper lobe apex of both lungs . nonspecific millimetric nodules are observed in both lungs the size of which is 3 mm in the right lung lower lobe laterobasal . there are diffuse bronchovascular structures point densities millimetric nodular ground glass densities in the peribronchial area of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is recommended to be evaluated together with the clinic and laboratory . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window in both lungs multilobar multisegmental central-peripheral weighted crazy paving pattern and wide patchy faintly limited ground glass opacities showing signs of vascular enlargement were observed and the appearance is compatible with covid-19 pneumonia during the resolution period . it is recommended to be evaluated together with previous examinations and follow-up if any . multiple subpleural parenchymal nodules were observed in both lungs the largest of which was mm in the lower lobe laterobasal segment on the right and mm in size the largest in the lower lobe laterobasal segment on the left . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma bilateral peribronchial thickenings were observed . when examined in the lung parenchyma window structural distortion and volume loss in the upper lobe and middle lobe of the right lung pleuroparenchymal sequelae density increases and paracicatricial bronchiectatic changes were observed . no nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . there are lymph nodes measuring 11 mm on the short axis of the larger one showing calcification in mediastinal upper-lower paratracheal prevascular subcarinal and right hilar areas subcarinal and right hilar areas . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal no nodular or infiltrative lesion is detected in the lung parenchyma sequelae changes and a few nonspecific nodules in millimetric dimensions are observed . follow-up is recommended . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum in the there are lymphadenopathies the largest of which is in the pre-paratracheal area with a short diameter of up to 15 mm . thoracic aorta diameter is normal . also a right supraclavicular short lymph node with a diameter of 12 mm is observed . the mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination and the main vascular structures heart contour and size were normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination and the main vascular structures heart contour and size were normal . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . there are bilateral millimetric non-specific nodules . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lymph node was detected in the mediastinum . there are calcific atheromatous plaques in the main vascular structures . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures degenerative changes are observed in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . stones are observed in the gallbladder . there are calcific atheromatous plaques in the main vascular structures . lung parenchyma there are interlobular septal thickenings in both lungs . in the evaluation of both lung parenchyma centriacinar and paraseptal emphysemato areas are observed in both lungs . in addition there are pleuroparenchymal sequelae densities in both lung apex . pleuroparenchymal sequelae densities are observed in the right lung middle lobe and upper lobe anterior segment . a subpleural nonspecific nodule with a diameter of 4 mm is observed in the middle lobe of the right lung . pleural effusions in the form of bilateral smears are observed . airways trachea and main bronchi are open . mediastinum the ap diameter of the abdominal aorta is 33 mm which is above normal . it is 33 mm at the suprarenal level and is above normal . the ap diameter of the descending aorta is 31 mm and above normal . calcific atherosclerotic plaques are observed in the aortic arch descending aorta and coronary arteries . right upper-bilateral lower paratracheal aortopulmonary narrow mediastinal reaching 1 cm in diameter and millimetric lymph nodes are observed . heart and great vessels calcific atherosclerotic plaques are observed in the aortic arch descending aorta and coronary arteries . the cardiothoracic index increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen the ap diameter of the abdominal aorta is 33 mm which is above normal . it is 33 mm at the suprarenal level and is above normal . the ap diameter of the descending aorta is 31 mm and above normal . calcific atherosclerotic plaques are observed in the aortic arch descending aorta and coronary arteries . in the sections passing through the upper part of the abdomen no significant pathology was detected in the bilateral adrenal lobes . lung parenchyma band atelectasis is observed in the middle lobe of the right lung . a superposed 3 mm diameter nodule is observed on the interlobar fissure . there is a 6 mm diameter nodule in the laterobasal segment of the left lung . no significant finding suggestive of pneumonia was detected . sequelae changes are observed in the left lung lingular segment . there is slight prominence in the interlobular septa . sequelae changes and a faint mosaic attenuation pattern are observed in the middle lobe and lower lobe segments . when examined in the lung parenchyma window in the right lung pleural calcifications and mild thickening of the pleura are observed at the lower and middle zone level in the posterior . airways no relevant findings . mediastinum there are no pathologically sized and configured lymph nodes in the mediastinum and hilar level . calibration of other major mediastinal vascular structures is natural . it is wider than normal . the aortic arch calibration is 38 mm . heart and great vessels cto increased in favor of the heart . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen it is wider than normal . in the evaluation of the upper abdominal organs included in the sections millimeter-sized calcules are observed at the neck level of the gallbladder . it is not observed in the left kidney lodge . parapelvic cysts are observed in the right kidney . the aortic arch calibration is 38 mm . millimetric nodular appearances are observed in the left adrenal . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window nonspecific parenchymal nodules with a diameter of 46 mm were observed in both lungs the largest of which was in the lateral segment of the right lung middle lobe . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . an accessory spleen with a diameter of 14 mm was observed in the lower pole posterior of the spleen . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are nodular lesions in the left hilar region the largest of which measures 5 mm on the short axis evaluated in favor of multiple calcified lymph nodes . a few nonspecific parenchymal nodules measuring 35 mm in diameter were observed in the posterobasal segment of the left lung lower lobe and the middle lobe of the right lung . in both lung lower lobes pleuroparenchymal sequelae density increases were observed . band-like sequela fibrotic density increases were observed in the middle lobe of the right lung and the lingular segment of the left lung . in the posterior segment of the right lung upper lobe density increases in the form of ground glass were observed . when examined in the lung parenchyma window minimal pleural effusion is observed on the right . airways no relevant findings . mediastinum calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . on the right the image of the catheter extending to the superior vena cava is observed . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels there is an effusion measuring 85 mm in thickness in the anterior pericardium . as far as can be traced the diameter of the ascending aorta is 38 mm and shows slight dilatation . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures the patient with a diagnosis of multiple myeloma has diffuse hypodense lesions in the bone structure . abdomen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . the gallbladder was not observed cholecystectomized . upper abdominal sections entering the examination area are natural . lung parenchyma the findings described are consistent with the commonly reported typical imaging features of covid-19 pneumonia . pleural effusion-thickening was not detected . when examined in the lung parenchyma window in the upper lobe and lower lobes of the right lung in the left lung inferior lingular segment and lower lobe an increase in density in the form of ground glass in the peribronchovascular area and peripheral subpleural area and crazy paving appearance in the posterior segment of the right lung upper lobe were observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window centriacinar ground-glass nodules are observed in both lungs more prominently in the upper lobes on the right changes secondary to tobacco smoking allergic pneumonitis . clinical laboratory correlation monitoring is recommended . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal . pleural effusion-thickening was not detected . airways lumens are clear . in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . in the anterior mediastinum thymic tissue with trigonal configuration which does not show any mass effect is observed . calibration of major vascular structures in the mediastinum is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures mild degenerative changes are observed in the bone structure . abdomen upper abdominal organs included in the sections are normal . lung parenchyma when examined in the lung parenchyma window reticular fibrotic density increases in both lung apexes and paraseptal emphysematous changes in right lung apex were observed . patchy ground glass consolidations forming a more common multilobar multisegmental central-peripheral crazy paving pattern were observed in the lower lobe basal segments of both lungs and the appearance is highly suspicious for covid-19 pneumonia . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum calcific atheroma plaques are present in the aortic arch and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . calcific atheroma plaques were observed in the abdominal aorta and iliac arteries . in the mediastinum lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a sequel amorphous calcification of 18x13 mm was observed in the adipose tissue at the apex of the left ventricle . calcific atheroma plaques are present in the aortic arch and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . pericardial effusion-thickening was not observed . osseous structures vertebral corpus heights are normal . right-facing scoliosis was observed at the thoracic level . abdomen calcific atheroma plaques are present in the aortic arch and coronary arteries . the parenchymal density is diffusely decreased in favor of hepatosteatosis . liver contours are normal . calcific atheroma plaques were observed in the abdominal aorta and iliac arteries . it is recommended to be evaluated together with clinical and laboratory . as far as can be seen in the sections the long axis of the liver was measured as mm and it is above normal . lung parenchyma the findings were evaluated in terms of viral pneumonia covid-19 . clinical and laboratory correlation monitoring is recommended . when examined in the lung parenchyma window diffuse patchy ground glass densities are observed in both lungs . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are several small lymph nodes in the mediastinum . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs are included in the study partially and liver parenchyma density has in the direction of steatosis . lung parenchyma when examined in the lung parenchyma window in both lungs multilobar multisegmental central-peripheral nodular ground glass consolidations with crazy paving pattern and vascular enlargement were observed . no mass lesion with distinguishable borders was detected in both lungs . the findings described are consistent with covid-19 pneumonia . several nonspecific pulmonary nodules with a diameter of 65 mm were observed in both lungs the largest of which was in the laterobasal segment of the lower lobe of the left lung . more common subpleural striations and linear atelectasis are observed on the right in the lower lobe basal segments of both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a 10 mm diameter nonspecific hypodense lesion area was observed in segment 7 at the level of the liver dome . in the upper abdominal organs including sections liver parenchyma density is diffusely decreased consistent with hepatosteatosis . a 15 mm diameter calculus was observed in the lower pole of the right kidney . lung parenchyma when examined in the lung parenchyma window minimal paraseptal emphysema is observed in the upper lobes of both lungs . there are linear subsegmental atelectasis in the lower lobes of both lungs which are more prominent in the left lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . lymph nodes with short axes not reaching 1 cm are observed in the mediastinal area . mediastinal main vascular structures heart contour size are normal . there is minimal sliding hernia . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected . a mosaic attenuation pattern is observed in both lungs small airway disease . there are paraseptal emphysematous changes in the apex of both lungs and in the anterior segment of the upper lobe of the right lung . no pericardial pleural effusion or thickening was detected . in both lungs a more prominent number of subpleural and intrapulmonary nonspecific nodules are observed on the right the largest of which is 7 mm in size with a pleural base in the lower lobe superior segment on the right and 45 mm in size with a pleural base in the lower lobe posterobasal segment on the left . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum lymph nodes with pathological size and appearance are observed with fusiform configuration the largest of which is 85 mm in diameter at the subcarinal level . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . due to the lack of contrast in the examination mediastinal main vascular structures and the heart could not be evaluated optimally . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal . due to the lack of contrast in the examination mediastinal main vascular structures and the heart could not be evaluated optimally . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no free fluid loculated mass was detected in the upper abdominal sections within the image . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . more extensive atelectatic changes were observed in the lower lobes of both lungs . bilateral pleural effusion was not observed . when examined in the lung parenchyma window free air images were observed between the leaves of the pleura in both hemithorax . drainage catheters from the right intercostal space to the right pleural space from the subxiphoid level to the operation lodge and left pleural space were observed . airways no relevant findings . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . starting from the level of the thyroid gland free air images were observed in the muscle and subcutaneous fat planes in the midline of the neck in the mediastinum and in the pericardial space on the left . as far as can be seen surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . the pulmonary trunk is 32 cm in diameter and has a dilated appearance . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic aorta calibration is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there was no finding in favor of pericardial effusion-thickening and . heart contour size is normal . osseous structures as far as can be seen surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta calibration is natural . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window azygos fissure variation was observed in the upper lobe of the right lung . reticulonodular sequela fibrotic density increases were observed in the of both lungs the apicoposterior of the left lung upper lobe and the posterior segments of the right lung upper lobe . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels in the left pericardial recess a nodular lymph node measuring mm was observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes were observed in the bone structures in the examination area . abdomen as far as can be seen in the sections the upper abdominal organs are normal . lung parenchyma findings suggest viral pneumonias findings consistent with covid-19 pneumonia . there is minimal effusion in both pleural spaces more prominent on the left . when examined in the lung parenchyma window in both lung parenchyma there are areas of multilobar mostly peripheral subpleural located consolidation and density increase in ground glass density . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . lymph nodes that are not in pathological size and appearance are observed in the mediastinum . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels pericardial effusion was not observed . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . osseous structures there are no lymph nodes in pathological size and appearance in both axillary regions and in the supraclavicular fossa . no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no pathology was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window in the right hemithorax there is a consolidated area measuring up to mm located subcapsular in the lower lobe at the level of the anterior and lateral segments in which cavitation is also observed . the findings were initially evaluated in favor of infectious processes and the differential diagnosis of space-occupying lesion in the described regions cannot be made . follow-up is recommended after exclusion of infectious processes . again patchy ground glass densities are observed in the lower lobe of the right lung more in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are a few small lymph nodes measuring up to 13 mm in the mediastinum especially in the carina . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures diffuse density reduction is observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . if there is an indication it is recommended to correlate with usg . no pathologically enlarged lymph nodes were observed . the lesion could not be characterized as no contrast agent was given . there is a hypodense lesion measuring approximately 8 mm in diameter in the lateral segment of the liver left lobe in segment 2 . lung parenchyma in this examination areas of ground glass whose borders can hardly be distinguished can be observed in both lungs especially in the peripheral areas . the described manifestations are frequently encountered findings in covid-19 pneumonia . no newly emerged pathology was detected in this examination . there is no mass or infiltrative lesion in both lungs . in the previous examination of the patient round frosted glass areas are observed in the peripheral areas of both lungs . no pleural or pericardial effusion was detected . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . there are findings consistent with emphysema in both lungs . a 2 mm diameter calcific nodule is observed in the upper lobe anterior segment caudal . there is a 2 mm diameter calcific nodule in the middle lobe . a calcific 3 mm diameter nodule is observed in the posterobasal segment of the lower lobe of the right lung . emphysematous findings were evident in the upper lobe of the left lung . densities compatible with pleuroparenchymal sequelae are observed at the apical level in the right lung . mosaic attenuation pattern is observed in the middle-lower zones of both lungs . there are decreases in density consistent with bulla-bleb formation in places . pleural irregular thickening in the apicoposterior segment of the upper lobe of the left lung and density increases consistent with pleuroparenchymal sequelae are observed . a parenchymal subpleural band is observed in the posterobasal-laterobasal segment of the lower lobe . airways lumens are clear . pleuroparenchymal sequelae changes are observed and there are prominences consistent with tractional bronchiectasis in the bronchial calibration at the interlobar level . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum no lymph node with pathological size and configuration was detected from the mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structures in the examination area . abdomen area of focal lubrication . density compatible with 2 mm diameter calculi is observed in the middle part of the right kidney . the gallbladder lumen is observed as slightly dense . sonographic examination is recommended . in the sections passing through the upper abdomen parenchymal millimetric calcification is observed in the right lobe of the liver . however it cannot be evaluated clearly due to artifact . lung parenchyma there were no pathologically sized and configured lymph nodes at both hilar levels . when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . there was no finding compatible with pneumonia . airways no relevant findings . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . thoracic aorta diameter is normal . in the sections passing through the upper abdomen a slight decrease in density consistent with hepatosteatosis is observed in the liver . there is nodular formation compatible with the accessory spleen adjacent to the spleen . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are centriacinar nodules some of which have the appearance of budding trees in both lungs most prominently in the middle lobe of the right lung . there is also consolidation in the medial segment of the right lung middle lobe . no mass was detected in both lungs . the described appearances were evaluated in favor of infective pathology . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there is a central venous catheter on the right . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma the described manifestations were evaluated primarily in favor of viral pneumonia . these findings are more prominent in the lower lobes and peripheral parts of both lungs . ground glass areas are observed in the upper and lower lobes of both lungs and in the peripheral and central parts of the right lung middle lobe . no mass was detected in both lungs . these appearances are in the style frequently observed in covid-19 pneumonia . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . a stent was observed in the left anterior descending coronary artery . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma active infiltration area mass lesion was not observed in the lung parenchyma . in the previous examination the nodular lesion with a diameter of approximately 3 mm accompanied by the appearance of ground glass density defined in the left lung lower lobe superior is stable . when examined in the lung parenchyma window there are emphysematous appearances in form at the apex of both lungs . there was no significant difference in these views . pleural effusion-thickening was not detected . there are stable nodules measuring approximately 5 mm in diameter the largest of which is located close to the pleura in the superior segment of the left lung lower lobe in both lungs . airways trachea both main bronchi are open . mediastinum millimetric stable lymph nodes were observed in the aorticopulmonary window in the mediastinum pre-paratracheal subcarinal short axis diameter not exceeding 1 cm . thoracic aorta diameter is normal . no lymph node was detected in pathological size and appearance . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures the medullary densities of the bone structures in the sections are natural . millimetric osteophytic degenerative changes were observed in the vertebral corpus corners . no lytic-destructive lesion was detected . abdomen the gallbladder is not observed and there are metallic sutures secondary to previous surgery in this localization . thoracic aorta diameter is normal . no space-occupying lesion was observed in the right adrenal gland . abdominal solid organs are normal in sections passing through the upper abdomen . there is a stable appearance in the left adrenal gland body part and lateral crus . lung parenchyma when examined in the lung parenchyma window no pneumonic infiltration or consolidation area was detected in the lung parenchyma . there is a millimetric nonspecific nodule of 3 mm in diameter adjacent to the fissure in the posterior segment of the left lung upper lobe . no mass space-occupying lesion was observed in the lung parenchyma . a few millimetric calcific nodules were observed in the left lung . no pleural effusion was observed . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . the diameters of the main mediastinal vascular structures are of normal width . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . no lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance . abdomen in the upper abdominal sections the right kidney was not observed in the cross-section . the left kidney is larger than normal its contour is lobulated . lung parenchyma there is a sequela calcific pulmonary nodule in the posterobasal segment of the lower lobe of the right lung . linear densities which may be compatible with pleuroparenchymal sequelae changes are observed in the anterior segment of the right lung upper lobe . when examined in the lung parenchyma window minimal bronchiectatic changes and peribronchial thickness increases are observed at the level of the hilum of both lungs . active infiltrative consolidation was not detected in both lungs . ventilation of both lungs is normal . there are pleural thickness increases in the lower lobe of the left lung which are evaluated in favor of minimal sequelae in the posterior subpleural area . no pleural effusion or increased thickness was detected . airways no relevant findings . mediastinum evaluation of the mediastinal main vascular structures is suboptimal due to the lack of contrast but their calibrations are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . in the mediastinum a few sequelae calcific lymph nodes the largest of which is 9 mm in the pretracheal area and hypodense hiluses can be distinguished were primarily evaluated in favor of reactive lymph nodes . there was no lymphadenopathy in pathological size and appearance in both axillae and retropectoral regions . esophageal wall thickness is normal . heart and great vessels no pericardial effusion or thickness increase was observed . heart size increased . no mass appearance was observed in the precardiac fat pad . osseous structures mild scoliosis with left opening is observed in the thoracic region . no fracture lytic-sclerotic lesion was detected . in the vertebral column osteophytes are observed in the anterior of the vertebral corpus which are fused with each other . abdomen calcific atheroma plaques are observed in the aorta and coronary arteries . in both kidneys included in the examination appearances evaluated in favor of multiple cysts are observed . lung parenchyma no active infiltration was detected in both lungs . when examined in the lung parenchyma window suture materials were observed in the posterior segment of the right lung upper lobe and it was understood that the patient underwent . a smear-like effusion was observed in the right lung . centrilobular emphysematous changes are present in both lungs mostly in the upper lobes . no pleural effusion was observed on the left . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures lytic lesions are observed in the bone structures entering the section area and are compatible with metastasis . abdomen there was no difference in appearance . bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections the volume of the right lobe of the liver is decreased . thoracic aorta diameter is normal . a mass with distinguishable borders in the liver was not detected in this examination . the right lobe of the liver is observed to be filled with calcifications especially in segment 7 . the calcifications described are also observed in the left lobe and portal hilus . there is lobulation in the liver contours . the described findings are also present in the patients previous examination . the spleen pancreas and both kidneys appear natural . lung parenchyma a few millimetric nonspecific pulmonary nodules were observed in both lungs . the outlook is highly suspicious for covid-19 pneumonia . consolidations are occasionally accompanied by linear atelectasis . when examined in the lung parenchyma window multilobar multisegmental lower lobe basal segment weighted crazy paving pattern and patchy ground glass consolidations with vascular enlargement were observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . right upper-bilateral lower paratracheal subcarinal aortopulmonary and bilateral hilar lymph nodes 10x7 mm in size which did not reach pathological dimensions were observed in the right upper paratracheal area . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peribronchial reticulonodular densities budding tree views minimal consolidation and ground glass densities are observed in the lower lobes of both lungs more prominent on the right towards the pleura . airways there is mucus density in the right main bronchus . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peripheral weighted nodular ground glass densities are present in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the upper abdominal organs including sections there is minimal density loss in the liver . lung parenchyma fibroatelectasis changes were observed in the left lung inferior lingular segment . a 66 mm diameter parenchymal nodule and fibroatelectasis changes were observed in the middle lobe of the right lung . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways as far as can be seen trachea both main bronchi are open . mediastinum minimal calcific atherosclerotic changes were observed in the wall of the abdominal aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes are observed in the bone structures entering the examination area . no lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . minimal calcific atherosclerotic changes were observed in the wall of the abdominal aorta . a hypodense lesion with a diameter of 62 mm was observed in the upper pole of the left kidney in the upper abdominal sections in the examination area cyst . lung parenchyma in the left lung there are nodules with irregular borders measuring mm the largest of which is in the upper lobe apicoposterior segment . there was no finding in favor of active infiltration in the ventilated right lung parenchyma and left lung . there is a thorax tube applied to the right pleural space and in the current examination there is an anky effusion measuring 45 mm in the deepest part in the right pleural space and minimal pleural effusion is observed on the left . airways no relevant findings . mediastinum it has a catheter extending to the level of the superior right atrium junction of the vena cava . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . in the mediastinum no lymph nodes were observed in pathological size and appearance in both axillary regions . heart and great vessels there is an increase in heart size . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . pericardial effusion was not detected . the ascending aorta shows aneurysmatic dilatation with a diameter of 43 mm . osseous structures in the bone structures within the image there is a metastatic bone lesion with a soft tissue component that causes cortical destruction in the lateral of the left third costa . abdomen upper abdominal sections within the image show grade in the left kidney . there are thickness increases in the lateral crus of the left adrenal gland and the corpus of the right adrenal gland . however no obstructive pathology was detected in this examination . no intraabdominal free fluid loculated collection was detected . lung parenchyma when examined in the lung parenchyma window in both lung parenchyma there are diffuse nodular ground-glass density increases in the upper and lower lobes some with septal thickenings . the outlook was evaluated in accordance with the frequently reported imaging features of covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . there are lymph nodes in the mediastinal upper lower paratracheal prevascular area subcarinal localization measuring 1 cm on the short axis of the largest most of which have a fatty hilus . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . no lytic-destructive lesion was detected in bone structures . there are degenerative changes in bone structures . abdomen upper abdominal sections entering the examination area are natural . no dilatation was detected in the thoracic aorta . gallbladder was not observed cholecystectomized . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density is diffusely decreased in line with fatty deposits . lung parenchyma no suspicious mass lesion was detected in the lung parenchyma . radiological findings were evaluated as compatible with lung parenchymal involvement of covid infection . it caused subsegmental atelectasis in the lung parenchyma of the dilated luminal structure associated with the esophageal lumen in the lower lobe of the left lung . it is accompanied by septal thickening . in the lung parenchyma subpleural ground-glass density areas are observed in the right lung upper lobe posterior lower lobe superior and posterobasal segment middle lobe and upper lobe lingula inferior segment of the left lung . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . this appearance may belong to esophageal and gastric . there is suture material in the proximal part of the esophagus . heart and great vessels heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . no fractures were observed in bone structures . abdomen this appearance may belong to esophageal and gastric . it is recommended to question the history of the operation . a nodular lesion compatible with an 8 mm diameter adenoma is observed in the lateral crus of the right adrenal gland hu . the diameter of the extending towards the left paravertebral area was measured as 7 cm . adipose tissue is observed in the luminal and the stomach is not observed in the localization . lung parenchyma there are linear atelectasis in the right lung middle lobe medial segment and left lung lingular segment . there are minimal pleuroparenchymal sequelae changes in both lung apexes . there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in both lungs round-like ground-glass-like density increases with peripheral distribution are observed in the posterior segments of the upper lobe in the superior and medial segments in the lower lobe in the superior and posterobasal levels of the lower lobe in the apicoposterior segment caudal . no significant pleural effusion or pneumothorax was detected . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum it is at the maximal physiological limit . calibration of other mediastinal major vascular structures is normal . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . cto is normal . calibration at the level of the aortic arch is 29 mm . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . osseous structures mild degenerative changes are observed in the bone structures in the examination area . abdomen in the section passing through the upper abdomen accessory spleen is observed adjacent to the spleen . surrounding soft tissue plans are natural . it is at the maximal physiological limit . cto is normal . there is a hypodense appearance in the right kidney which may be compatible with a cortical cyst . calibration at the level of the aortic arch is 29 mm . lung parenchyma in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there is a 3mm diameter parenchymal nodule in the left lung lower lobe laterobasal segment . pericardial pleural effusion is not observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum due to the lack of contrast in the examination the mediastinal main vascular structures and the heart could not be evaluated optimally and as far as can be observed calibration of vascular structures is natural to heart contour size . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa with pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels due to the lack of contrast in the examination the mediastinal main vascular structures and the heart could not be evaluated optimally and as far as can be observed calibration of vascular structures is natural to heart contour size . osseous structures no lytic-destructive lesions were observed in the bone structures within the image and degenerative osteophytes sclerosis and schmorl nodules were observed in the vertebral corpus corners . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma a 7 mm diameter nodule is observed in the middle lobe of the right lung . in the evaluation of both lung parenchyma more prominent bilateral interlobular septal thickening and ground glass appearances in peripheral lung tissue in all lobes of both lungs and widespread consolidation are observed in ground glass density some of which create crazy paving appearance in places . right upper-bilateral lower paratracheal millimetric lymph node is observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum millimetric sized calcific plaques are observed in the aortic arch and abdominal aorta . no pathological lap was detected in the mediastinum . the ap diameter of the descending aorta is 32 cm and is above normal . heart and great vessels stents are observed in the walls of the coronary artery . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . millimetric sized calcific plaques are observed in the aortic arch and abdominal aorta . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the ap diameter of the descending aorta is 32 cm and is above normal . lung parenchyma no active infiltration or mass lesion was detected in both lungs . when examined in the lung parenchyma window there are diffuse mild ectasia and minimal peribronchial thickness increases that become prominent in the central bronchial structures in both lungs . emphysematous changes were observed in both lungs . pericardial pleural effusion was not detected . there is a thin-walled subpleural mm air cyst in the posterobasal segment of the lower lobe of the left lung . airways trachea both main bronchi are open and no occlusive pathology is detected . when examined in the lung parenchyma window there are diffuse mild ectasia and minimal peribronchial thickness increases that become prominent in the central bronchial structures in both lungs . mediastinum calibration of mediastinal vascular structures heart contour and size are natural . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . in the mediastinum no lymph nodes were observed in pathological size and appearance in both axillary regions . as far as can be seen there are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . calibration of mediastinal vascular structures heart contour and size are natural . as far as can be seen there are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen as far as can be seen within the limits of non-contrast ct in the upper abdominal sections within the image a hyperdense stone in millimetric sizes was observed in the middle zone of the left kidney . as far as can be seen there are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures . lung parenchyma when examined in the lung parenchyma window diffuse emphysematous appearance in both lungs . there are widespread cystic bronchiectatic enlargements in the posteromediobasal region of the lower lobe of the right lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are areas of increased density consistent with subsegmental-linear atelectasis in the left lung lower lobe posterobasal segment and upper lobe inferior lingular segment . viral pneumonias are considered in the etiology of the findings . when examined in the lung parenchyma window density increases are observed in the lower lobe superior middle lobe medial and lateral segments in the right lung consistent with indistinct ground glass and consolidation . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen in the upper abdominal sections within the image a diffuse decrease in liver parenchyma density secondary to hepatosteatosis is observed . lung parenchyma in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . linear density consistent with pleuroparenchymal sequelae is observed in the middle lobe of the right lung . a slightly more prominent atelectatic lung segment is observed adjacent to it on both sides on the left . there is a mosaic attenuation pattern in both lungs small vessel disease small airway disease . in both lungs there is a pleural effusion reaching 9 mm on the right and 29 mm on the left in its thickest part extending from the basal to the apex . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum its thickness reaches approximately 21 mm at its most prominent level . calibration of mediastinal vascular structures is natural . calcific atheroma plaques are observed in the aortic arch and coronary arteries in the descending aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion is observed . calcific atheroma plaques are observed in the aortic arch and coronary arteries in the descending aorta . cto is at the maximal physiological limit . osseous structures vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . nodular density compatible with the accessory spleen is observed in the anterior neighborhood of the spleen . calcific atheroma plaques are observed in the aortic arch and coronary arteries in the descending aorta . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in both lungs consolidation areas with atelectasis air bronchogram sign are observed more prominent in the medial segment of the right lung middle lobe extending to the inferior lingula in the left upper lobe . covid-19 viral pneumonia due to the current of the findings clinical laboratory correlation and follow-up in terms of lobar pneumonia are recommended for better differential diagnosis . when examined in the lung parenchyma window there are patchy ground glass densities at the apical level of the upper lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures that fall into the study area other than those described are natural . vertebral corpus heights are preserved . bilateral calluses secondary to multiple rib fractures are observed . abdomen upper abdominal organs to partially . thoracic aorta diameter is normal . it was evaluated as suboptimal . lung parenchyma branch with buds and centriacinar opacities were observed in the posterobasal segment of the lower lobe of both lungs . tubular bronchiectasis areas that are prominent in the center were observed in both lungs . diffuse emphysematous changes were observed in the upper lobes of both lungs . density increases were observed around it in the style of frosted glass . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no significant changes were detected in the nodules described from the previous review . however in the upper lobe anterior segment of the left lung approximately 21 mm in diameter and in the lower lobe mediobasal and posterobasal segments 4-5 large ones with spicule contours measuring 13 mm in diameter were observed and irregularly circumscribed pulmonary nodules with pleural sign were observed in the current examination . pleuroparenchymal sequel density increases in the middle lobe of the right lung and the inferior lingular segment of the left lung and contour irregularities in the mediastinal pleura were observed . in the anterior and posterior segments of the upper lobe of the right lung nodules causing pleural retraction and parenchymal distortion were observed . airways bilateral peribronchial thickenings were observed . nodular calcifications were observed in the trachea and both main bronchial walls osteochondroplastica . no occlusive pathology was detected in the trachea and lumen of both main bronchi . anteroposterior diameter of the trachea has increased . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . according to the previous examination stable size and number of lymph nodes with short axis smaller than 1 cm were observed in the mediastinal and both axillary regions . the diameter of both pulmonary arteries increased . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels heart contour size is mm in its thickest part . osseous structures degenerative changes were observed in bone structures . minimal scoliosis with left opening was observed in the thoracic vertebrae . no lytic-destructive lesion was detected in bone structures . abdomen spleen size increased . the bilateral adrenal gland is normal . a 2 cm diameter calculus was observed in the gallbladder lumen . left lobe ratio increased . in the upper abdominal sections entering the examination area the left lobe of the liver has a hypertrophic appearance . it is recommended to evaluate for possible liver parenchymal disease . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when the described manifestations were evaluated together with the clinical preliminary diagnosis they were primarily evaluated in favor of viral pneumonia . the described findings are more prominently observed in the right lung and lower lobe . these findings are also frequently observed in covid-19 pneumonia . no mass was detected in both lungs . peripheral and central consolidations and ground glass areas are observed in the upper and middle lobes of both lungs and in the right lung middle lobe more prominently on the right . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were observed . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma there is a similar appearance in a very small area in the right lung lower lobe laterobasal segment . the views described are nonspecific . however these appearances can be observed in viral pneumonia . ground-glass appearances are observed in small areas in the medial part of the lower lobe superior segment of both lungs and in the peripheral regions of the left lung upper lobe apicoposterior segment . it is recommended that the patient be evaluated for covid-19 pneumonia together with laboratory findings . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma this appearance may be passive atelectasis or pneumonic infiltration . a consolidated lung segment is observed adjacent to the effusion in the posterobasal segment in the lower lobe of the left lung . there are appearances evaluated in favor of pleuroparenchymal sequela changes atelectasis in both lung apex both lower lobe of both lungs middle lobe of right lung and lingular segment of left lung upper lobe . no mass was detected in both lungs . this distinction was not made in this study . there are minimal emphysematous changes in both lungs . there is minimal pleural effusion on the left . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma it is recommended to be evaluated together with clinical and laboratory findings . viral pneumonias covid-19 pneumonia are considered in the etiology of the findings . in the lower lobes of both lungs there are areas of increased density consistent with linear atelectasis in the left lung inferior lingular segment . no pericardial pleural effusion or thickening was detected . in the examination made in the lung parenchyma window in both lungs multilobar peripheral subpleural ground glass and areas of increase in density compatible with consolidation are observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in both axillary regions no lymph node is observed in the mediastinum in pathological size and appearance . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and heart examination iv . it could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are natural . osseous structures stable lytic lesions are observed in the bone structures within the image . vertebra corpus heights and alignments are natural . there are osteophytic degenerative changes that tend to coalesce at the vertebral corpus corners . abdomen no free fluid or loculated collection is observed . as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image no solid mass was detected . lung parenchyma apart from this millimetric parenchymal nodules were also observed in both lungs . no lesion was detected in both lung parenchyma . it is recommended to evaluate and follow-up together with previous examinations if any . when examined in the lung parenchyma window a subpleural nodule with a diameter of 62 mm was observed in the laterobasal segment of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal organs included in the sections the liver parenchyma density was diffusely decreased consistent with hepatosteatosis . lung parenchyma multiple nodules the largest of which is approximately 8 mm in diameter are observed in both lungs . no mass or infiltrative lesion was detected in both lungs . most of the nodules are located peribronchovascular . some of the described nodules form . emphysematous changes are observed in both lungs . no pleural or pericardial effusion was detected . airways trachea and both main bronchi are normal . there is no obstructive pathology in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . when evaluated together with lymphadenopathies in the mediastinum and hilar region it was thought that the appearances were compatible with sarcoidosis which was stated in the clinical preliminary diagnosis . mediastinal structures cannot be evaluated optimally because contrast material is not given . the larger lymphadenopathies described are observed in the prevascular region and measure approximately mm . there are lymphadenopathies in the prevascular paratracheal and subcarinal regions . no enlarged lymph nodes in pathological dimensions were detected . calcifications are observed in some of the lymphadenopathies . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma patchy ground glass density increases were observed in both lungs . when both lung parenchyma windows are evaluated diffuse interlobular septal thickenings were observed in the lower lobes of both lungs secondary to cardiac pathology . mild free pleural effusion was observed between the bilateral pleural leaves . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are several nonspecific nodules in both lungs the largest of which is in the anterior segment of the right lung upper lobe adjacent to the fissure with a diameter of 2 mm . no mass or infiltrative lesion was detected in both lungs . pleural or pericardial was not detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum a few lymph nodes are observed in the mediastinum with a short diameter of less than 5 mm . mediastinal main vascular structures are normal . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no discernible mass was detected in the upper abdominal organs within the contrast ct limits . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . linear atelectasis area is observed in the left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was observed in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . there is an appearance compatible with thymic remt in the anterior mediastinum . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen the thickness of the left kidney parenchyma is thinned in places moderate dilatation in the collecting system and two hyperdense stones the largest of which is 15 mm in diameter are observed in the upper pole of the left kidney . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window millimetric nonspecific parenchymal nodules were observed in the right lung middle lobe lateral and upper lobe anterior segment . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures scoliosis was evaluated as secondary to bridging syndesmophytes in the right anterolateral vertebral corpus . at the thoracic level left-facing scoliosis was observed . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a nodular lesion with a diameter of 32 cm and a fluid density located in the cortex was observed in the lateral part of the right kidney in the middle part cyst . surgical suture materials were observed in the gallbladder fossa . when the upper abdominal organs included in the sections were evaluated the gallbladder was not observed operated . lung parenchyma when examined in the lung parenchyma window sequela fibrotic changes are observed in the upper lobe apex of both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma compatible with covid pneumonia . radiological findings were evaluated as or with parenchymal findings in the recovery period . evaluation of the parenchyma is suboptimal because of respiratory . in the lung parenchyma density increases and localized nodular consolidation areas which are more common in the bilateral asymmetric right and subpleural are observed . airways in the evaluation of parenchyma trachea both main bronchi lumbar and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures at the thoracic level there is scoliosis with the apex pointing to the right . osteoporosis is observed in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma ventilation of both lungs is natural . in the evaluation made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are several millimetric nodules in both lungs some of which are purcalcified . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi are open . mediastinum no lymph node was observed in the mediastinum and in both axillary regions in pathological size and appearance . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma no alveolar contusion was observed . no suspicious mass or nodular space-occupying lesion was detected . in lung parenchyma evaluation no pneumonic infiltration or consolidation area was detected in both lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . complete fracture lines some of which are displaced are observed in the left and 9th ribs . abdomen no features were detected in the upper abdomen sections . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window linear fibroatelectasis sequelae were observed in the right lung upper lobe posterior segment right lung middle lobe left lung upper lobe lingular and lower lobe basal segments . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window a patchy ground-glass density is observed in the paravertebral and paramediastinal areas in the superior segment of the lower lobe of the right lung with signs and cystic bronchiectasis in the central part . it was evaluated in favor of the infectious process in the first plan . clinical and laboratory correlation and close follow-up are recommended . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . a few millimetric lymph nodes are observed in the . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . there is minimal emphysema in the upper lobes of the lung . when examined in the lung parenchyma window newly developed pleural effusion and atelectasis in the lower lobes with bilateral widest diameters of 48 mm in the and 34 mm in the left are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . pulmonary arteries are dilated . other mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size slightly increased . coronary stents are observed . there are changes in mitral and tricuspid valve surgery . osseous structures sternotomy is available . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window multilobar multisegmental central-peripheral localized crazy paving pattern and nodular ground glass consolidation showing signs of vascular enlargement were observed in both lungs and the appearance is compatible with covid-19 pneumonia . it is recommended to be evaluated together with clinical and laboratory . bilateral pleural effusion was not observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen it could not be characterized in this examination . bilateral adrenal glands were normal and no space-occupying lesion was detected . hypodense lesion areas with 27 mm and 21 mm diameters were observed in segments 7 and 5 respectively in the right lobe of the liver that entered the section area . a calculi with a diameter of 2 mm in the upper pole of the right kidney and a diameter of 25 mm in the middle part was observed . in case of clinical necessity further examination with mri is recommended . lung parenchyma when examined in the lung parenchyma window in both lungs nonspecific nodules with calcific character the largest of which are 4 mm in diameter in the left lung lower lobe superior and 4 mm in diameter in the right lung lower lobe are observed . no infiltration mass was observed in both lung parenchyma . no increase in pleural effusion-thickness was detected in both hemithorax . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . mediastinal and both hilar lymph nodes were not observed in pathological size and appearance . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . no space-occupying lesion was observed in both adrenal sites . abdominal solid organs are normal in sections passing through the upper abdomen . lung parenchyma pleural effusion-thickening was not detected . when examined in the lung parenchyma window minimal subpleural linear fibrotic changes are observed in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window bilateral asymmetric ground glass opacity and parenchymal involvement areas in the form of consolidation areas are observed in the upper lobes of both lungs . radiological findings are compatible with covid pneumonia . in the lateral segment of the right lung middle lobe there is a 5 mm diameter nonspecific nodule located in the region . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . as far as can be seen thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not detected . calcified atheroma plaques are observed at the coronary artery . mediastinal main vascular structures heart contour size are normal . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated there is an 8 mm diameter angiomyolipoma in the right kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window there are mild atelectatic changes in the inferior lingula in the left upper lobe of the lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . mild hepatosteatosis is observed in the liver parenchyma . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it was evaluated in accordance with the frequently reported imaging features of covid-19 pneumonia . clinical and laboratory correlation is recommended . no pleural effusion was detected . when examined in the lung parenchyma window in both lungs there are ground glass density increases with septal thickenings which tend to merge in the diffuse peripheral subpleural area especially in the lower lobes . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum lymph nodes with a short axis smaller than 7 mm were observed in the mediastinal prevascular upper-lower paratracheal subcarinal area . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be seen calcified atherosclerotic changes were observed in the wall of the thoracic aorta . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . accessory spleen with a diameter of 1 cm was observed adjacent to the lower pole of the spleen . upper abdominal sections entering the examination area are natural . as far as can be seen calcified atherosclerotic changes were observed in the wall of the thoracic aorta . lung parenchyma when examined in the lung parenchyma window minimal mosaic density differences are observed in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum in the bilateral axilla lymph nodes reaching mm in size are observed on the left . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there is a millimetric calcific atheroma plaque proximal to the lad . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways the lumens of the tracheal lobar and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections in the liver segment 2 localization the lesion with 8 mm diameter and fluid density may belong to the cyst . lung parenchyma apart from this no mass nodule-infiltration was detected in both lung parenchyma . in the evaluation of both lung parenchyma a ground glass nodule with a diameter of about 3 mm is observed in the anterior segment of the right lung upper lobe in both lung parenchyma ima 44 . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen there is punctate calcification in the liver parenchyma . calcifications are observed in the right adrenal gland in sections passing through the upper part of the abdomen . no significant pathology was detected in the non-contrast sections . lung parenchyma these may be related to atelectasis . there is a significant decrease in infiltrates in the upper lobe of the left lung . evaluation with the clinic is recommended . apart from this no significant difference was found between the newly developed pathology and the examination . there are prominent infiltrations in both lower lobes . there is a significant decrease in bilateral pleural effusion . airways no relevant findings . mediastinum there is a catheter inserted from the right that terminates in the superior vena cava . a stable nodular lesion of 16x11 mm is observed in the anterior mediastinum . heart and great vessels pericardial effusion without significant difference is observed . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific parenchymal nodules were observed in both lungs . no mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . minimal thickening was observed in the segmental bronchial walls of both lungs . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed calibration of mediastinal major vascular structures is natural . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . atherosclerotic wall calcifications and stents placed in the coronary arteries were observed in the coronary arteries . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . as far as can be observed in the sections the liver parenchyma density has decreased diffusely consistent with hepatosteatosis . lung parenchyma when examined in the lung parenchyma window sequelae changes are observed at the apical level . a nodule with a diameter of 2 mm is observed in the middle lobe on the right . no pneumonia was detected . pleural effusion or pneumothorax is not observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the left kidney a density compatible with 2 calculi with a diameter of 2 mm in the middle part and a diameter of 3 mm in the superior part is observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the superior pole of the right kidney a density of m and a density compatible with 2 calculi with a diameter of 3 mm are observed in the middle part . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . atelectasis was observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen there are atheromatous plaques in the aorta . there are hypodense lesions in segment 8 and segment 4 of the liver that cannot be characterized in this examination . it is recommended to evaluate the patient together with medical history and if indicated contrast-enhanced examination . lung parenchyma peripheral and centrally located diffuse consolidation and ground glass areas in both lungs accompanied by linear density increases and atelectasis were observed . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there is a millimetric atheroma plaque in the aorta . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen there is an adenoma measuring approximately 22 mm in diameter in the left adrenal gland . there is a millimetric atheroma plaque in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma outlook there are frequently reported imaging features of covid-19 pneumonia . a 41 mm diameter nodule was observed in the middle lobe of the right lung . clinical and laboratory correlation is recommended . when examined in the lung parenchyma window ground-glass density increases were observed in both lungs with diffuse interlobular septal thickening in the lower lobes showing a clear tendency to coalesce . airways trachea both main bronchi are open . mediastinum mediastinal other major vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the ascending aorta is slightly dilated with a diameter of 41 mm . mediastinal other major vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the finding was evaluated in favor of bronchiolitis . in the right lung lower lobe posterobasal segment there is mild endobronchial prominence with increased bronchial wall thickness in the segment bronchus . it is in a focal area . airways infective bronchiolitis was considered . mediastinum no lymph node in pathological pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances were observed in both lungs . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there are subsegmentary atelectatic changes in the left lung inferior lingular segment . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window a subpleural nonspecific parenchymal nodule with a diameter of 5 mm was observed in the middle lobe of the right lung . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . a hypodense lesion with a diameter of 20 mm was observed in the middle zone posterior cortex of the left kidney which was included in the examination area . it cannot be characterized in this examination . it is recommended to be evaluated together with mri examination . lung parenchyma when examined in the lung parenchyma window there are mild emphysematous changes in both lungs especially in the upper lobes and cylindrical wall thickening in the bronchial structures especially in the lower lobes . in the basal segment of the lower lobe of the right lung budded tree images and centriacinar ground glass nodules density increases are observed . early infectious process onset of findings bronchiolitis in terms of clinical laboratory correlation follow-up is recommended . airways nasogastric tube is observed . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are calcific atheroma plaques in the aortic arch and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the vertebral bodies and minimal degenerative height loss is observed in the vertebral body . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there are calcific atheroma plaques in the aortic arch and coronary arteries . mild contamination on oily planes in the perinephric area exophytic localization in the upper zone of the left kidney and an oval-shaped finding of mm in fluid attenuation was evaluated in favor of cortical cyst . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with the clinic and laboratory . a millimetric parenchymal nodule was observed in the anterior segment of the right lung upper lobe . a smooth surface noncalcified pleural plaque measuring mm was observed in the superior segment of the right lung upper lobe . when examined in the lung parenchyma window peripheral subpleural localized nodular ground glass opacities are more common in the lower lobe basal segments of both lungs and the appearance is highly suspicious for covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen in the sections the upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma nonspecific parenchymal nodules measuring 4 mm in diameter were observed in both lung parenchyma the largest of which was in the left lung lingular segment . when both lung parenchyma windows are evaluated between the bilateral pleural leaves free pleural effusion with an increased thickness of 4 mm on the right and 63 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum mediastinal structures were evaluated as suboptimal because the examination was unenhanced . no lymph node was detected in mediastinal pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels heart contour and size are natural . pericardial thickening-effusion was not observed . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the examination area are normal . lung parenchyma there is volume loss in the middle lobe of the right lung and paracicatricial bronchiectasis and calcifications are present at this level . when examined in the lung parenchyma window peripherally located multiple nodular densities are observed in both lungs mostly in the upper lobes and lower lobe . mild atelectasis are observed in the adjacent lung parenchyma secondary to hypertrophic and osteophytic taperings observed in the vertebral corpus end plates . there are fibrotic sequelae changes at the apical levels in both lungs . airways trachea both main bronchi are open . mediastinum the aortic arch was measured 28 mm and the descending aorta 29 mm . there are multiple lymph nodes in the mediastinum some of which contain calcific components with a short axis measuring up to 9 mm especially in the aorticopulmonary window . in the anterior of the aortic arch there is also a lymph node with calcific millimetric components measuring up to 10 mm in size . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there is an increase in heart size . pericardial effusion-thickening was not observed . the ascending aorta measures 38 mm . osseous structures degenerative changes were observed in the bone structure in the examination area . mild atelectasis are observed in the adjacent lung parenchyma secondary to hypertrophic and osteophytic taperings observed in the vertebral corpus end plates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch was measured 28 mm and the descending aorta 29 mm . in the anterior of the aortic arch there is also a lymph node with calcific millimetric components measuring up to 10 mm in size . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window ground glass densities are observed in both lungs especially in the subpleural areas tending to . pleural effusion-thickening was not detected . airways the trachea is in the midline and both main bronchi are open . mediastinum a few lymph nodes with short axes not exceeding 5 mm are observed in the mediastinal area . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . mixed type hiatal hernia is observed . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . fusiform dilatation is observed in the ascending aorta and it was measured as 45 mm at its widest point . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . air images are observed in the intrahepatic bile ducts included in the examination . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when both lung parenchyma windows are evaluated bilateral peribronchial thickenings were observed . mild emphysematous changes are present in both lungs . no mass-infiltration was detected in both lung parenchyma . a few millimetric-sized nonspecific pulmonary nodules were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways no obstructive pathology was detected in the lumen of the trachea and both main bronchi . as far as can be seen trachea lumen of both main bronchi are open . mediastinum mediastinal structures were considered suboptimal when the examination was unenhanced . no pathological size and visible lymph node was detected in the mediastinum . lymph nodes with a short axis smaller than 6 mm were observed in mediastinal upper-lower paratracheal aorticopulmonary and subcarinal localizations . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels pericardial effusion-thickening was not observed . heart contour and size are natural . osseous structures degenerative changes were observed in the bone structures in the study area . thoracic kyphosis has increased . abdomen post-op changes and suture materials were observed in the stomach . diffuse thickening was observed in both adrenal glands . it was evaluated in favor of hyperplasia rather than adenoma . gallbladder was not observed secondary to the operation in the upper abdominal sections included in the examination area . an anastomosis line was observed in the line and no lesion with a clear border was detected . there is a hypodense area in the medial segment of the left lobe of the liver adjacent to the falciform ligament which is evaluated in favor of focal adiposity increase . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window pleuroparenchymal sequela fibrotic recessions were observed in the right lung apex and upper lobe posterior segment . millimetric calcific nodules were observed in the middle lobe of the right lung and the lingular segment of the left lung . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are paraseptal centrilobular emphysematous changes in both lungs more prominent in the upper lobes . when examined in the lung parenchyma window fibrotic sequelae changes are observed at the apical levels of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen examination of the upper abdomen organs is partial and the size of the right liver is 23 mm in the subcapsular area in segment 7 subcapsular 7 mm in the anterior at the level of segment 2 in the left liver up to 3 mm in the dome localization of the right liver hypodense measuring 7 mm in segment 4 in fluid attenuation the findings were evaluated in favor of cysts . an oval-shaped finding in the right adrenal gland with a fat attenuation of 20 mm in size was initially evaluated in favor of adenoma within the limits of the examination . thoracic aorta diameter is normal . lung parenchyma hilar and mediastinal lymph nodes have a conglomerate appearance and tend to merge with each other and narrow the bronchial structures . in his previous examination a nodule with irregular borders was described in the upper lobe of the right lung and in his current examination the interstitial signs in which emphysematous changes including air bronchogram signs are detected can not be distinguished from the large space-occupying consolidated area with thickening of the septa . bilateral pleural effusion was not observed . airways no relevant findings . mediastinum hilar and mediastinal lymph nodes have a conglomerate appearance and tend to merge with each other and narrow the bronchial structures . there is a small hiatal hernia . heart and great vessels clinical laboratory correlation is recommended . osseous structures no relevant findings . abdomen upper abdominal organs are partially included in the examination and were evaluated as suboptimal . liver contours are slightly corrugated . it may be compatible with parenchymal disease . a simple renal cyst is observed in the left kidney . lung parenchyma it could not be characterized in the non-contrast examination lymph node . in addition interlobular septal thickenings ground glass densities in both lungs and an irregularly limited consolidation area in the upper lobe of the right lung were observed . consolidation areas and centriacinar nodular infiltrates were observed in the lung areas adjacent to the effusion in the lower lobes of both lungs . findings were evaluated in favor of pneumonic infiltration . soft tissue densities were observed around the bronchi in both lung hilum . when examined in the lung parenchyma window in both lungs effusion reaching 37 mm on the right and 40 mm on the left was observed in both pleural spaces . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . stents placed in the coronary arteries and diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed in the mediastinum . diffuse atherosclerotic wall calcifications were observed in the abdominal aortic wall . as far as can be seen calibration of mediastinal major vascular structures is natural . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . stents placed in the coronary arteries and diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . osseous structures diffuse degenerative changes were observed in the vertebrae . at the thoracic level left-facing scoliosis was observed . vertebral corpus heights are preserved . abdomen both adrenal glands are normal . stents placed in the coronary arteries and diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . no stones were observed in both kidneys within the sections . diffuse atherosclerotic wall calcifications were observed in the abdominal aortic wall . as far as can be observed in non-contrast examinations liver spleen pancreas are normal . and millimetric stone densities were observed in the gallbladder lumen . post-treatment control is recommended . lung parenchyma when examined in the lung parenchyma window one or two millimetric nonspecific nodules are observed in both lungs . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . calcific atheroma plaques are observed in the coronary arteries and aortic arch . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries and aortic arch . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calcific atheroma plaques are observed in the coronary arteries and aortic arch . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a millimetric calcific nodule in the right lung . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window widespread patchy ground glass areas and areas of consolidation are observed in both lungs . the outlook is in favor of viral pneumonia . these findings are also frequently observed in covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . liver density in the cross-sectional area decreased diffusely consistent with hepatosteatosis . other upper abdominal organs are normal . lung parenchyma lung parenchymal aeration is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window 4 mm nodules were observed in the upper lobes of both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pneumonic infiltration infiltrative involvement nodular or mass-occupying lesion was not detected in both lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla . abdomen no features were detected in the upper abdomen sections . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . in the lower lobe of the right lung there are branches with buds from place to place frosted glass-like density increases in places and densities that have formed consolidation by merging in places . thickening of the peribronchovascular sheath in both lungs and bronchiectasis in the lower lobes are observed . in the right lung lower lobe laterobasal segment 2 adjacent nodules the largest 8x6 mm in size are observed . the right lung is slightly hypovolemic in the upper zone . in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchus is natural . there are mild sequelae changes at the apical level . there are pleuroparenchymal sequelae changes in the middle lobe and several nodules with a diameter of 4 mm on this background . there is a 2 mm diameter nodule in the periphery of the apicoposterior segment lateral . pleuroparenchymal sequelae changes are observed in the inferior lingular segment of the left lung . mild tubular bronchiectasis is observed in the middle lobe . in the posterobasal segment there are again diffuse bud views and accompanying ground glass-like density increments . it was evaluated as compatible with infiltration accompanying bronchiectasis . there are irregularities in the pleural contours in the upper zones of both lungs . a 7x5 mm nodule is observed in the subpleural area in the posterobasal segment . in the posterobasal segment there are multiple nodules in the subpleural area the largest of which is 8x6 mm . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchus is natural . thickening of the peribronchovascular sheath in both lungs and bronchiectasis in the lower lobes are observed . mediastinum millimetric sized multiple lymph nodes are observed in the mediastinum . arch aortic calibration is 35 mm and above normal . however they do not reach the pathological size and configuration . calibration of other main vascular structures in the mediastinum is normal . calcific atheroma plaques and stent appearances are observed in the coronary arteries in the aortic arch . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial thickening is observed adjacent to the right ventricle . cto is within the normal range . calcific atheroma plaques and stent appearances are observed in the coronary arteries in the aortic arch . osseous structures degenerative changes are observed in the bone structure . abdomen nodular density which is considered to be compatible with the accessory spleen with a diameter of approximately 12 mm is observed in the vicinity of the hilus inferior adjacent to the spleen . arch aortic calibration is 35 mm and above normal . irregular density increases are observed in the perinephric fatty planes in the right kidney . calcific atheroma plaques and stent appearances are observed in the coronary arteries in the aortic arch . there is a decrease in density lung parenchyma there are millimetric nodules in the posterior subsegment of the right lung upper lobe posterior segment and the left lung upper lobe apicoposterior segment . a nodule with a diameter of 3 mm located close to the fissure in the left lung lower lobe superior segment 5 mm in the medial segment of the right lung middle lobe and a peripheral location of 4 mm in the right lung lower lobe superior segment was observed . there is no significant difference in follow-up . no pleural or pericardial effusion was detected . airways trachea and both main bronchi are normal . there is no obstructive pathology in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels atheroma plaques are observed in the aorta and coronary arteries . heart contour and size are normal . osseous structures degenerative osteophytes were observed in the vertebral plateaus . abdomen no upper abdominal free fluid-collection was detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma in the right lung there are peribronchial densities in the lower lobe and minimal peribronchial consolidation in the anterior . when examined in the lung parenchyma window there are minimal emphysematous changes and sequela fibrotic densities in both lungs . a few bilateral millimetric nonspecific nodules are observed . pleural effusion-thickening was not detected . airways evaluation is suboptimal because of respiratory artifacts . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures anterior osteophytes are present in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window millimetric sized some calcified nonspecific parenchymal nodules were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . there is also a 4 mm diameter nodule in the upper lobe . when examined in the lung parenchyma window focal bud branch view is observed in the anterior segment of the right lung upper lobe . bilateral pleural effusion or pneumothorax is not observed . airways no relevant findings . mediastinum calibration of other mediastinal major vascular structures is natural . the aortic arch calibration is 30 mm slightly above normal . pulmonary trunk calibration is at the maximal physiological limit with 28 mm . no lymph node with pathological size and configuration was detected in the mediastinum . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is at the maximal physiological limit . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the aortic arch calibration is 30 mm slightly above normal . in the upper abdominal organs included in the sections there is a decrease in density consistent with hepatosteatosis in the liver . lung parenchyma when examined in the lung parenchyma window minimal pleuroparenchymal band-like sequelae are observed in the apex of bilateral lungs more prominent in the left posterior . no evidence of active infiltration or nodule formation was observed in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures when the bone window was examined no lytic-destructive lesion was observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the study area liver spleen and pancreas are normal . an accessory spleen with a diameter of 15 mm is observed in the spleen hilum . thoracic aorta diameter is normal . no free fluid was observed in the upper abdomen . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . there was no finding in favor of pneumonia . no pleural or pneumothorax was detected . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma diffuse thickness increase was observed in the interlobular septa in both lungs and was primarily evaluated as secondary to cardiac pathology . no active infiltration or mass lesion was detected in both lungs . there are sequela parenchymal changes and emphysematous changes in both lungs . there is diffuse peribronchial thickness increase in both lungs . airways no relevant findings . mediastinum as far as can be observed the main pulmonary artery was 37 mm the right pulmonary artery was measured as 30 mm and the left pulmonary artery was measured as 30 mm and it shows aneurysmatic dilatation . calcified atheroma plaques were observed on the walls of the aorta and coronary vascular structures . no lymph node was observed in the mediastinum in pathological size and appearance . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . heart and great vessels the heart is larger than normal . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions are observed in the bone structures within the image and there are degenerative changes . abdomen the left adrenal gland is diffusely thickened . liver contour acuity is decreased . it is recommended to be evaluated for liver parenchymal disease . no lymph node was observed in intraabdominal pathological size and appearance . calcified atheroma plaques were observed on the walls of the aorta and coronary vascular structures . there is a hyperdense stone in millimetric sizes in the upper pole of the right kidney . there is intra-abdominal free fluid which was observed in the previous ct examination of the patient but increased in the current examination as far as can be observed within the borders of the uncontrasted ct in the upper abdominal sections within the image . lung parenchyma viral pneumonias covid-19 pneumonia are considered in the etiology of the findings . there is an area of increase in density consistent with linear atelectasis accompanied by structural distortion and volume loss in the apicoposterior segment of the left lung upper lobe . when examined in the lung parenchyma window in the right lung upper lobe anterior posterior segments in the middle lobe medial and lower lobe in the left lung lower lobe superior and posterobasal segments peripheral subpleural areas of increase in density are observed consistent with indeterminate limited consolidation . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum minimal calcified atheroma plaques are observed on the walls of the aortic arch and coronary vascular structures . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without iv contrast . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of vascular structures and heart contour size are natural . mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen no solid mass was detected . minimal calcified atheroma plaques are observed on the walls of the aortic arch and coronary vascular structures . as far as can be observed within the borders of non-contrast ct in the upper abdominal sections within the image free fluid loculated collection is not observed . lung parenchyma viral pneumonias are considered in the etiology of the findings . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are linear atelectesis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . atheroma plaques are observed in the aorta and coronary arteries . there is a sliding type minimal hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma more pronounced mosaic attenuation is observed in the lower lobes of both lungs . in the evaluation of both lung parenchyma linear atelectasis areas are observed in the middle lobe of the right lung . the fissure is evident on the right . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the ap diameter of the ascending aorta is 4 cm and the ap diameter of the descending aorta is 35 cm . heart and great vessels the cardiothoracic index increased in favor of the heart . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the west bilateral adrenal glands appear natural . the ap diameter of the ascending aorta is 4 cm and the ap diameter of the descending aorta is 35 cm . lung parenchyma when examined in the lung parenchyma window there is a millimetric subpleural nodule adjacent to the millimetric fissure in serial 2 image in the apicoposterior of the left lung upper lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen secondary to pancreatic head hypertrophy small lymph node evaluated in its favour . thoracic aorta diameter is normal . soft tissue density is observed in the posterior part of the pancreatic head adjacent to the celiac artery . liver parenchyma density changes in favor of mild steatosis . except as described the upper abdominal organs are partially included in the study . lung parenchyma in the evaluation of both lungs in the parenchyma window mild sequelae changes are observed in the dorsal of the posterior segment of the right lung upper lobe . there are two nonspecific nodules with a diameter of 2 mm in the anterior segment of the upper lobe . when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . there was no finding in favor of pneumonia . pleural effusion-thickening was not detected . pleural effusion and pneumothorax were not observed . airways no relevant findings . mediastinum there are no pathologically sized and configured lymph nodes in the mediastinum and hilar level . thymic tissue with trigonal configuration without mass effect is observed in the anterior mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the right lung lower lobe is laterobasal the posterobasal segment is total atelectasis and there is an area of increase in density in the lower lobe segment which is consistent with the consolidation observed in air bronchograms . the left pleural effusion was measured approximately 8 mm deep at its deepest point and was newly developed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . there is minimal reduction in the size of mediastinal and bilateral hilar lymph nodes on current examination . lymph nodes were observed in the mediastinum bilateral axillary region and the largest in the right hilar region with a short diameter of 18 mm in the current examination and 21 mm in size in the previous ct examination . a catheter extending from the right internal jugular vein to the superior right atrium junction of the vena cava was observed . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels pericardial effusion and thickness increase were not detected . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen in the upper abdominal sections within the image in the left lobe of the liver the patient cannot be characterized in millimetric dimensions within the limits of non-contrast ct . there is a hypodense lesion with stable size and appearance which was also observed in the previous ct examination . no intraabdominal free fluid loculated collection was detected . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma peribronchial thickening and extensive areas of consolidation are observed in both lung lower lobe basal segments . apart from this no masses with distinguishable borders were detected in both lungs . the findings were evaluated in favor of pneumonic infiltration . there are interlobular septal thickenings and ground-glass nodular infiltrates in the upper lobe of the right lung . when examined in the lung parenchyma window pleural effusion measuring 28 mm on the right and 32 mm on the left is observed in both hemithorax . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . a catheter image extending from the right internal jugular vein to the distal superior venous cava was observed . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels minimal effusion is observed in the pericardial space . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen liver and spleen sizes increased as can be seen on non-contrast sections . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . there is a 4 mm diameter nodule in the peripheral area of the left lung lower lobe superior segment . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma in lung parenchyma evaluation bilateral diffuse asymmetric increasing posterior in both lungs and infiltration in the form of consolidation in the posterior sections in the form of ground glass density in the sections and pulmonary edema findings are observed . radiological findings are compatible with ards . in the case with suspected covid-19 it was primarily thought that covid-19 with ards pattern due to lung parenchyma involvement . airways emphysema is observed in the visceral space around the trachea and in the upper and mediastinum with mediastinal extension along the upper mediastinum . it is accompanied by air bronchograms and bronchial dilatation . mediastinum emphysema is observed in the visceral space around the trachea and in the upper and mediastinum with mediastinal extension along the upper mediastinum . no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . the esophagus is in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma the appearances are more prominent especially in the lower lobes of the lungs . findings are one of the frequently observed findings in covid-19 pneumonia . when examined in the lung parenchyma window focal ground glass densities are observed in the right lung upper lobe anterior segment and lateral subpleural area . a linear atelectasis area is observed in the middle lobe of the right lung and interseptal thickness increases are observed in the subpleural areas of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma radiological findings were evaluated as compatible with covid pneumonia . when examined in the lung parenchyma window bilateral asymmetric weighted pleural-based parenchymal atypical pneumonic infiltration areas are observed in all lobes of both lungs . airways no relevant findings . mediastinum there are bilateral upper and lower paratracheal subcarinal and millimetric lymph nodes in the mediastinum . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . calcified atheroma plaques are observed in the coronary arteries . osseous structures no lytic-destructive lesion was detected in bone structures . in the supraclavicular fossa no lymph node in pathological size and appearance was observed in the axilla within the section . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a calcified nodule in the lingular segment of the left lung . in the right lung upper lobe posterior segment lower lobe superior segment less frequently lower lobe posterior basal segment left lung lower lobe superior and basal segments there are areas of consolidation in ground glass density accompanied by interlobular septal thickening and sometimes crazy paving appearance . in the evaluation of both lung parenchyma emphysematous areas are observed in the upper lobes of both lung parenchyma . subpleural nodules are observed in the middle lobe of the right lung and in the laterobasal segment of the lower lobe . pleural effusion-thickening was not detected in both hemithorax . airways no relevant findings . mediastinum the diameter of the main pulmonary artery is 35 cm the diameter of the right pulmonary artery and the left pulmonary artery are 3 cm and they are above normal . right upper paratracheal prevascular aortic pulmonary narrow lymph nodes less than 1 cm in diameter are observed . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in bone structures . sclerotic nodular lesions are observed in the dorsal vertebrae . abdomen in the sections passing through the upper part of the abdomen calculi images are observed in the localization of the gallbladder . a calculus with a diameter of approximately 75 mm is observed in the right kidney which partially the examination area . lung parenchyma a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . one or two nodules the largest of which was 8 mm in diameter were observed in the anterior segment of the right lung upper lobe . when examined in the lung parenchyma window in both lungs patchy consolidation areas with a multilobar-multisegmental crazy paving pattern were observed in which air bronchograms were also observed and in the surrounding frosted glass areas . it is recommended to evaluate and follow-up together with previous examinations if any . the outlook is highly suspicious for covid-19 pneumonia . no mass lesion with distinguishable border was detected in the lung parenchyma . it is recommended to be evaluated together with clinical and laboratory . sequelae thickening was observed in the costal pleura in the bilateral hemithorax . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi . mediastinum calcific atheroma plaques were observed in the thoracic aorta its branches and coronary arteries . calibration of mediastinal major vascular structures is natural . the mediastinum could not be evaluated optimally in the non-contrast examination . prevascular aortopulmonary right upper-bilateral lower paratracheal and the largest right lower paratracheal lymph nodes reaching mm in diameter on the short axis and not reaching pathological dimensions were observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart sizes are at the upper limit . osseous structures mild osteodegenerative changes were observed in bone structures . thoracic kyphosis is increased . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta its branches and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is minimal peribronchial thickening in both lungs most prominent in the lower lobe of the right lung . there are millimetric centracinar nodules in the anterobasal segment of the lower lobe of the right lung . no mass was detected in both lungs . the described appearance was evaluated in favor of infective pathology . there are sometimes linear atelectasis in both lungs . minimal emphysematous changes are observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are millimetric lymph nodes in the mediastinum and hilar regions . there are no pathologically enlarged lymph nodes . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes at the vertebra corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen apart from this there is no mass with distinguishable borders as far as it can be observed within the borders of non-contrast ct in the upper abdominal organs within the sections . if there is an indication it is recommended to be evaluated with usg . there are hypodense lesions in the liver that cannot be characterized because contrast agent is not given . no upper abdominal free fluid-collection was detected in the sections . no pathologically enlarged lymph node was observed . lung parenchyma it is recommended that the case be evaluated for covid pneumonia . a nonspecific nodule with a diameter of 4 mm is observed in the inferior lingular segment of the left lung . when examined in the lung parenchyma window in both lungs there are frosted glass-style density increments in almost all areas and peripherally located partly round-like partly amorphous . since other viral pneumonias are included in the differential diagnosis evaluation together with clinical and laboratory findings is recommended . at basal levels thickening of the interlobular septa prominence in the peribronchial sheath and consolidative density increases in places along the peribronchial sheath are observed . there are densities compatible with pleuroparenchymal sequelae at basal levels in both lung lower lobes . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum thoracic aorta diameter is normal . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . thoracic aorta diameter is normal . in the upper abdominal organs included in the sections there is a slight decrease in density consistent with hepatosteatosis in the liver . lung parenchyma in the evaluation of both lung parenchyma the cavitary lesion size of approximately . accompanying subsegmentary atelectasis has just developed . apart from these millimetric-sized cavitary lesions in the right lung upper lobe posterior segment right lung upper lobe anterior segment in the paramediastinal area and left lung lower lobe superior segment peripheral lung parenchyma with air in the central part which were also observed in the previous examination have a stable appearance . in the vicinity of the cavity regression is also observed in a few irregular contoured nodular densities which were more evident in the previous examination . budding tree appearances observed in the anterior segment of the left lung upper lobe in the previous examination - bronchiolitis is regressed in the current examination . pleural effusion-thickening was not detected in both hemithorax . airways no relevant findings . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in sections passing through the upper part of the west in the liver dome there are lesions with faint borders increasing in size which are 28 mm in the current examination approximately 18 mm in the previous examination and approximately 17 mm in the current examination and approximately 15 mm in the previous examination in the left lobe lateral segment . the left kidney is smaller than the right . no significant pathology was detected in the bilateral adrenal glands . lung parenchyma consolidations accompanied by peripherally weighted ground glass areas increases in interlobular septal thickness and increases in centriacinar nodular density are observed in both lungs and no significant difference was found in terms of the prevalence of findings . millimetric-sized lymph nodes are observed in the mediastinum and bilateral hilar regions and no significant difference was found between the number and size . a . there are areas of atelectasis in the posterior segments of the lower lobes of both lungs . airways bilateral tubular bronchiectasis is observed . no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . the central venous catheter placed from the left ends at the superior-right atrium junction of the vena cava . no enlarged lymph node was detected in pathological size and appearance . millimetric-sized lymph nodes are observed in the mediastinum and bilateral hilar regions and no significant difference was found between the number and size . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels pericardial minimal effusion is observed . it is stable . heart contour and size are normal . osseous structures t3 vertebra has a appearance compatible with hemangioma . no lytic-destructive lesion was observed in bone structures . in the lateral part of the right 8th rib an appearance compatible with a compact bone islet is observed . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . within the limits of non-contrast bt there is no discernible mass in the upper abdominal organs . calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma linear atelectasis areas are observed in the left lung upper lobe lingular segment inferior subsegment lower lobe medial segment right lung middle lobe medial segment . no pleural or pericardial effusion or thickening was detected . minimal pleural thickness increase is observed in the right lung upper lobe posterior segment . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . several lymph nodes with a diameter of 6 mm are observed in the mediastinum the largest of which is in the right paratracheal area . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . in the thoracic region left-facing scoliosis is observed . abdomen accessory spleen with 8 mm diameter is observed adjacent to the spleen . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma it may be compatible with early viral pneumonia . right upper-bilateral lower paratracheal lymph node in millimetric size is observed . in the evaluation of both lung parenchyma subpleural ima in the right lung lower lobe mediobasal segment and nonspecific faint focal ground-glass appearance in the left lung lower lobe mediobasal segment ima . pleural effusion-thickening was not detected in both hemithorax . airways no relevant findings . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen no significant pathology was detected in the bilateral adrenal glands . lung parenchyma the outlook is in favor of viral pneumonia . no nodular lesions were detected in both lung parenchyma . these findings are also frequently observed in covid-19 pneumonia . pleural effusion-thickening was not detected . when examined in the lung parenchyma window in both lungs scattered ground-glass densities with subpleural distribution are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . liver sizes increased . diffuse density reduction consistent with hepatosteatosis is observed in the liver in the upper abdominal organs included in the sections . lung parenchyma outlook covid-19 pneumonia was evaluated in accordance with frequently reported imaging features . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . clinical and laboratory correlation is recommended . when examined in the lung parenchyma window in the lower lobes of both lungs several millimeter-sized focal nodular ground-glass density increases were observed in the peripheral subpleural area . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was not contracted . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no gross pathology was found in the right lung . clinical lab in terms of differential diagnosis of findings with an infectious process . when examined in the lung parenchyma window there are atelectatic changes and significant volume losses in the upper and lower lobes of the left lung . a few millimetric nodules are observed in both lungs . correlation and follow-up is recommended . the differential diagnosis of a process among the described atelectatic changes cannot be made . there are consolidations that are indistinguishable from atelectatic changes with air bronchogram signs . airways trachea both main bronchi are open . mediastinum calibration of the main mediastinal vascular structures heart contour size are normal . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . there are calcified atheromatous plaques on the wall of the descending aorta of the coronary vascular structures . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like pericardial effusion is observed . calibration of the main mediastinal vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen it does not differ significantly . upper abdominal organs included in the sections are partially included in the examination and there is an appearance compatible with left adrenal extension adenoma . there are calcified atheromatous plaques on the wall of the descending aorta of the coronary vascular structures . in both kidneys there are lesions that are evaluated as suboptimal due to the fact that the cortical located hypodense examination is unenhanced . lung parenchyma there are areas of increase in density consistent with atelectasis in the right lung adjacent to the effusion . no active infiltration mass or nodular lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . in the right pleural space an effusion of 65 mm in the deepest part and 35 mm in the left was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were observed in both axillary regions bilateral supraclavicular fossae and mediastinum . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels pericardial effusion was not detected . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen intra-abdominal massive free fluid was observed in the upper abdominal sections within the image as far as can be observed within the borders of non-contrast ct . no solid mass was detected in the intra-abdominal parenchymal organs as far as it can be observed within the borders of non-contrast ct . in the perigastric area adjacent to the lesser curvature of the stomach hypodense lesions consistent with a few lymph nodes the largest of which were measured with a short diameter of 7 mm were observed . lung parenchyma in addition consolidations in the right lung upper and middle lobe medial segment lower lobe superior segment and left lung upper lobe lingular segment and diffuse centriacinar nodules and ground glass areas in both lungs are observed . the described manifestations were evaluated primarily in favor of infective pathology . consolidation in the posterior segment of the right lung upper lobe and a ground glass area around it are observed . no mass was detected in both lungs . no pleural effusion was observed . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were observed . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . minimal pericardial effusion was detected . it is understood that it has just appeared in pericardial effusion . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . periosteal reaction was not observed . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . several nodules of mm are observed in both lungs the largest of which is in the anterior segment of the upper lobe of the right lung . no mass or infiltrative lesion was observed in both lungs . there are areas of linear atelectasis in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . calcific atheroma plaques are observed in the aorta and coronary arteries . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels the diameter of the ascending aorta was 48 mm and increased . heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . appearance compatible with hemangioma is observed in t10 vertebral corpus . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma ground-glass appearances are observed in both lungs being more prominent in the peripheral regions . there are millimetric nonspecific nodules in both lungs . atelectasis and minimal emphysematous changes were observed in both lungs . no mass was detected in both lungs . during the pandemic process these findings were evaluated in favor of covid-19 pneumonia . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures are not evaluated since no contrast material is given . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . the diameters of the aortic arch and descending aorta are normal . atheroma plaques are observed in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels the ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal . as far as can be seen heart contour and size are normal . osseous structures it is recommended that the patient be evaluated for ankylosing spondylitis . bridged syndesmophytes were observed at the vertebral corpus corners . vertebral corpus heights alignments and densities within the sections are normal . abdomen the diameters of the aortic arch and descending aorta are normal . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma the outlook was evaluated in favor of viral pneumonia . findings are also frequently observed in covid-19 pneumonia . when examined in the lung parenchyma window consolidation areas containing air bronchograms are observed in the subpleural areas of both lungs . no pleural effusion was detected . airways trachea both main bronchi are open . mediastinum calibration of other mediastinal major vascular structures is natural . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like effusion is in the pericardial area . heart contour size is normal . calcific atheroma plaques are observed in the coronary arteries . osseous structures osteophytic taperings are observed in the bone structures in the study area . the neural foramina are open . no fracture or lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the anterior segment of the upper lobe of the right lung an approximately mm sized nonspecific linear configuration lesion and a 4 mm diameter nodule with a nonspecific appearance are observed immediately adjacent to it . apart from this no obvious pathology was observed in the parenchyma areas of both lungs . in the evaluation of both lung parenchyma dependent density increases are observed in the lower lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window minimal emphysematous changes are observed in the posterobasal part of the lower lobe of the left lung . there is a mosaic attenuation pattern in both lungs small airway-small vessel disease . it is recommended to be evaluated together with clinical and examination findings in terms of covid-19 pneumonia . in the posterobasal section of the lower lobe of the right lung a barely distinguishable ground-glass opacity is observed in the subpleural area . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen hiatal hernia is observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific nodular appearances are observed in centriacinar style in both lungs . apart from this appearances that may be compatible with scattered cysts are observed in both lungs . it may be compatible with small airway disease . no infiltrative lesion was detected in both lung parenchyma . emphysematous changes are observed in the medial part of the anterior upper lobe of the left lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcified atheroma plaques are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is an increase in wall thickness in the greater of the stomach . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . it is appropriate to examine the patient with contrast examination or endoscopy . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . in both lung lower lobes linear density increase areas and sequela pleuroparenchymal bands are observed more clearly in posterobasal segments . active infiltration or mass lesion was not detected in both lung parenchyma and there were nonspecific nodules in millimeters . no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the diameter of the pulmonary conus was measured at 31 millimeters and increased . no pathological lap was detected in the mediastinum . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels there was a slight increase in the cardiothoracic ratio in favor of the heart . there are calcified atheromatous plaques on the walls of the coronary vascular structures . osseous structures a high-density nodular lesion measuring approximately 23 x 20 millimeters under the skin in the medial neighborhood of the right clavicle has been noted and evaluation with mr examination is recommended . there are degenerative changes in the bone structures within the image . abdomen no pathology is observed in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window numerous nodules mm in size were observed in both lungs the largest of which was in the superior segment of the right lung lower lobe . in his previous examination the size of the nodule in the superior segment of the lower lobe of the right lung was measured as mm . bilateral minimal pleural effusion is observed and is an additional finding . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . stable lymph nodes up to 10 mm are observed in the short axis of the subcarinal area in the prevascular area in the paratracheal aortopulmonary window . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures secondary to inflammation bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen nodular thickening is present in the corpus of the right adrenal gland . thoracic aorta diameter is normal . in liver segment 4b there is a hypodense lesion with a diameter of 12 mm adjacent to the gallbladder . lung parenchyma in the segmental bronchi of both lungs bronchial wall thickness increases are observed most in the left lung lower lobe basal segment and there are accompanying interlobular septal and thickness increases in the left lung lower lobe basal segment . significant areas of parenchymal ground glass opacity in the upper lobes of both lungs and early signs of pulmonary fibrosis may be present . fissural thickening and fibrotic sequela parenchymal changes causing fissural retraction are observed in the bilateral lung . there are subsegmental areas of atelectasis in both lungs . idiopathic pulmonary fibrosis from clinical knowledge in the case with a clinical it was thought that areas of parenchymal ground glass opacity might belong to areas of early parenchymal fibrosis . there are occasional parenchymal ground glass opacities and mosaic attenuation in both lungs . it is most prominently observed in the left lung upper lobe lingula inferior segment . imaging is suboptimal due to motion artifacts . parenchymal involvement findings are not compatible with interstitial lung disease . significant pleural thickness increases were observed in the lower lobes and left in both lungs . airways no relevant findings . mediastinum it is recommended to be evaluated for pulmonary hypertension with increase in pulmonary artery and right ventricular diameter . the diameter of the pulmonary trunk was 34 mm the diameter of the right main pulmonary artery was 24 mm and the diameter of the left pulmonary artery was 25 mm . there are prominent wall calcifications in the abdominal aorta and its main vascular branches . it was evaluated as significant in terms of pulmonary hypertension . there are mediastinal lymph nodes measuring 18 mm in the right upper paratracheal bilateral lower paratracheal and subcarinal localization with a short axis in the subcarinal localization . wall calcifications are observed in the aortic arch and thoracic aorta . esophageal calibration was followed naturally . heart and great vessels there are suture materials in the coronary arteries . a slight increase in diameter is also observed in the right ventricle . osseous structures in the section no lymph node in pathological size and appearance was observed in both supraclavicular fossae . the sternotomy line is observed in the sternum . abdomen a cortical cyst was observed in the lower pole of the left kidney . there are prominent wall calcifications in the abdominal aorta and its main vascular branches . wall calcifications are observed in the aortic arch and thoracic aorta . in the upper abdomen sections entering the image area there is a slight degree of fluid in the perihepatic area in the form of plastering . lung parenchyma when examined in the lung parenchyma window both lungs are emphysematous . pleuroparenchymal fibrotic recessions which also cause parenchymal distortion around the nodule and areas of ground glass were observed changes secondary to rt . both lungs are emphysematous . diffuse pleuroparenchymal fibroatelectasis sequelae were observed in the right lung middle lobe left lung upper lobe inferior lingular both lung lower lobe basal and both lung apical segments . a few millimetric nonspecific stable parenchymal nodules were observed in both lungs . there was no finding in favor of pneumonic infiltration in both lungs . calcific lymph nodes with short axes less than 1 cm were observed in the mediastinum and both hilum sequelae of granulomatous infection . a peripherally located nodule of mm mm in the previous examination spiculated contours with spiculated extensions to the adjacent pleura parenchyma and fissure with a maligt character was observed in the superior lingular segment of the right lung upper lobe . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . nodular calcifications consistent with osteochondroplastica were observed in the walls of the trachea and both main bronchi . mediastinum calcific lymph nodes with short axes less than 1 cm were observed in the mediastinum and both hilum sequelae of granulomatous infection . diffuse calcific atheroma plaques were observed in the thoracic aorta its supraaortic branches coronary arteries abdominal aorta and visceral branches . as far as can be seen calibration of mediastinal major vascular structures is natural . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the mitral valve is calcified . heart contour size is normal . a stable pericardial effusion measuring approximately 75 mm in its thickest part was observed anteriorly in the pericardial space . osseous structures no lytic-destructive lesion was detected in favor of metastasis in the bone structures included in the examination area . both hemithorax have more extensive lines of old costal fractures on the right . trabeculation increase secondary to osteoporosis was observed in bone structures . there is height loss in the t8 vertebra superior end plate . abdomen diffuse calcific atheroma plaques were observed in the thoracic aorta its supraaortic branches coronary arteries abdominal aorta and visceral branches . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . bilateral adrenal glands are normal and no space-occupying lesion was detected . lung parenchyma there are minimal emphysematous changes in both lungs . linear atelectasis was observed in the middle lobe of the right lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum aorta diameter is normal . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there is a millimetric atheroma plaque in the aortic arch . mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery diameter was 30 mm and it was minimally wider than normal . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen there is a millimetric atheroma plaque in the aortic arch . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . aorta diameter is normal . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . mild pleuroparenchymal sequelae changes are observed at the posterobasal level in both lungs . no pleural effusion pneumonia or pneumothorax was detected in both lungs . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures minimal degenerative changes are observed in the bone structures entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no active infiltration or mass lesion was detected in the left lung parenchyma . when examined in the lung parenchyma window in the right lung parenchyma there are a few nonspecific nodules some of which are calcified in millimetric sizes . in the posterobasal segment of the lower lobe of the right lung a subpleural nodular consolidation area of approximately 18x12 mm is observed and pneumonic infiltration is considered primarily in the etiology of the finding . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are calcified atheromatous plaques in the wall of the aortic arch . due to the lack of contrast in the examination mediastinal main vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are natural . there are no lymph nodes in pathological size and appearance in the mediastinal lymph node stations and in both axillary regions and in the supraclavicular fossa . no pathological increase in thoracic esophagus wall thickness is observed . there is a slight hiatal hernia at the lower end . heart and great vessels due to the lack of contrast in the examination mediastinal main vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no solid mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . there are calcified atheromatous plaques in the wall of the aortic arch . free fluid loculated collection is not observed . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there are linear atelectasis and sequela pleuroparenchymal bands in the right lung middle lobe medial segment and left lung inferior lingular segment . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . sliding type hiatal hernia was observed at the lower end . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma in the upper lobe apex of the left lung there is a soft tissue density of approximately 20x13 mm extending towards the pleura with irregular borders and it is primarily thought to be compatible with scar formation . when examined in the lung parenchyma window fibrotic densities with subpleural sequelae are observed in both lung parenchyma more prominently in the upper lobes and lower lobe posteriors . airways trachea both main bronchi are open . mediastinum as far as can be observed widespread calcific atheroma plaques are observed in the aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is ectatic 40 mm apart from this the mediastinal main vascular structures heart contour and size are normal . osseous structures there are osteodegenerative changes in the bone structures in the study area and mild dorsal kyphosis is observed in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be observed widespread calcific atheroma plaques are observed in the aorta . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window a few subpleural nonspecific millimetric nodules are observed in the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric nonspecific nodules were observed in both lungs . there are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . there is no pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . the catheter terminates at the superior vena cava-right atrium junction . central venous catheter is seen on the right . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . the catheter terminates at the superior vena cava-right atrium junction . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma in the mediobasal segment of the lower lobe of the right lung peripheral consolidation and ground glass area are observed . although unilateral involvement and the described appearance are not very typical for covid-19 pneumonia this appearance was also thought to be covid-19 pneumonia during the pandemic process . it is recommended that the patient be evaluated together with the laboratory findings . there are millimetric nodules in both lungs . the described appearance is non-specific . no mass was detected in both lungs . it was evaluated in favor of an infective pathology . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . when examined in the lung parenchyma window passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . a few millimetric nonspecific parenchymal nodules were observed in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the case followed up with covid-19 pneumonia in the lung parenchyma the prevalence of infiltration areas in patchy ground glass density accompanied by increased septal thickness increased . it was observed that linear atelectatic changes accompanying the infiltration areas also increased . bilateral pleural effusion was not observed . sequelae thickening was observed in both hemithorax posterior and lateral costal pleura . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma there are minimal pleuroparenchymal sequelae changes in both lung apexes . no mass or infiltrative lesion was detected in both lungs . millimetric nonspecific nodules in both lungs and linear atelectasis in both lungs were observed . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . in the liver parenchyma density a decrease in density is observed which is compatible with moderate-to-severe adiposity . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures osteodegenerative changes were observed in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are parenchyma areas of ground glass density in the lower lobe basal segments . when the lung parenchyma window is examined mild pneumothorax is observed in the upper lobe of the left lung . covid pneumonia is included in the differential diagnosis . radiological findings primarily suggest an infectious process atypical pneumonia . no space-occupying lesion that can be distinguished by ct was detected . bilateral asymmetric peribronchial and subpleural patchy consolidation areas are observed in both lungs . there is a pleural effusion reaching 2 cm in diameter between the right pleural leaves . airways no relevant findings . mediastinum diffuse atherosclerotic plaques are observed in the ascending aorta aortic arch thoracic aorta and abdominal aorta . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . there is a sliding type of mild hiatal hernia . heart and great vessels heart size increased . calcified atherosclerotic plaques are observed in the coronary arteries . pacemaker is monitored . pericardial effusion was not detected . there is an increase in ventricular and atrial diameter . osseous structures degenerative changes are observed in bone structures . abdomen diffuse atherosclerotic plaques are observed in the ascending aorta aortic arch thoracic aorta and abdominal aorta . no pathological free fluid was detected in the upper abdominal sections . lung parenchyma apart from this both lung aeration was normal and no mass or infiltrative lesion was detected in both lungs . atelectasis was observed in the inferior subsegment of the left lung upper lobe lingular segment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type minimal hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apexes . tubular bronchiectasis which became prominent in the central part of both lungs was observed . there are minimal emphysematous changes in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures t10 and t11 vertebral bodies are partially fused in the central and posterior parts . hemangioma focus was observed in the t5 vertebral body . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion is detected and there are sequelae changes and a few millimeter-sized nonspecific nodules . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma the appearances dated during the pandemic process were evaluated in favor of covid-19 pneumonia . nodule-nodular consolidations and ground glass areas are observed in the lower lobes and peripheral areas of both lungs . no mass was detected in both lungs . there are several millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window in both lungs prominent centriacinar nodular infiltrates and budding tree appearance are observed in the upper lobes and lower lobe superior segments . no mass was detected in both lungs . although the described manifestations are not specific they were evaluated in favor of infective pathologies . airways no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen millimetric calculi are observed in the gallbladder lumen . no upper abdominal free fluid-collection was detected in the sections . it is heterogeneous in mesenteric and omental fatty planes . lung parenchyma sequelae changes are observed in the lingular segment on the left . mild emphysematous changes are observed in both lungs . when examined in the lung parenchyma window both hemithorax are symmetrical . no pneumonia pleural effusion or pneumothorax was detected in both lungs . airways calibration of trachea and main bronchus is natural . lumens are clear . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calibration of mediastinal major vascular structures is normal . calcific lymph node with a short axis of 4 mm in diameter is observed in the paraesophageal area . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures in the patient with ankylosing spondylitis anamnesis in the bone structure in the vertebrae thickening and calcification are observed especially in the anterior . dorsal kyphosis configuration slightly increased . thickening and calcification are also observed in the . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs including sections there is a decrease in density consistent with steatosis in the liver . no space occupying lesion was detected . lung parenchyma sequelae changes were observed in both lungs . a nonspecific parenchymal nodule with a diameter of 54 mm was observed in the anterobasal segment of the lower pole of the left lung . when examined in the lung parenchyma window no mass infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . aberrant right subclavian artery anomaly was observed . mediastinal and bilateral axillary short axis lymph nodes as small as 1 cm were observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window tubular bronchiectatic changes and minimal peribronchial thickening were observed in both lungs . centriacinar ground glass nodules were observed in the upper and lower lobes of the left lung and the appearance was evaluated in favor of bronchopneumonia . no mass lesion with delineated borders was detected in the lung parenchyma . sequelae atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . liver parenchymal density is diffusely decreased consistent with hepatosteatosis . the spleen is normal . lung parenchyma when examined in the lung parenchyma window there are atelectatic changes at basal levels in both lung lower lobes . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques in the coronary arteries aortic arch post-op changes in the mediastinum and post-op changes in the sternum are observed . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques in the coronary arteries aortic arch post-op changes in the mediastinum and post-op changes in the sternum are observed . pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures diffuse density reduction degenerative changes and osteopenic appearances are present in bone structures . there is height loss in the upper endplate of the vertebral body . abdomen other upper abdominal organs included in the sections are normal . suspicious small stones are observed in the gallbladder . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques in the coronary arteries aortic arch post-op changes in the mediastinum and post-op changes in the sternum are observed . thoracic aorta diameter is normal . a suboptimal finding consistent with a small cortical cyst was observed in the left kidney that entered the cross-sectional area . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . it is recommended to be evaluated for covid pneumonia together with clinical and laboratory findings . when examined in the lung parenchyma window scattered peripherally located and focal appearance ground-glass-like density increases are observed in both lungs . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum millimetric sized calcific atheroma plaques are observed at the level of the aortic arch and descending aorta . it is wider than normal . calibration of other major vascular structures is natural . the aortic arch calibration is 33 mm . there are millimetric lymph nodes in the mediastinum . pulmonary trunk calibration is 31 mm . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures there are findings compatible with dish at the mid-thoracic level . degenerative changes are observed in the bone structure entering the examination area . abdomen nodular formation which is considered compatible with the accessory spleen is observed in the anterior neighborhood of the spleen . in the upper abdominal organs included in the sections a decrease in density consistent with steatosis in the liver is observed . millimetric sized calcific atheroma plaques are observed at the level of the aortic arch and descending aorta . the central mesentery is dirty . it is wider than normal . according to the previous review it looks stable . calibration of other major vascular structures is natural . the aortic arch calibration is 33 mm . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no mass or infiltrative lesion was observed in both lungs . there is a 35 mm diameter ground-glass nodule in the superior segment of the right lung lower lobe . there are areas of subsegmental atelectasis in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen no relevant findings . lung parenchyma clinical laboratory correlation is recommended . when examined in the lung parenchyma window mild sequelae changes are observed at the apical level . there are focal peripheral ground-glass-like density increases which are more prominent in the lower lobes of both lungs and occasionally consolidative appearances and there are interstitial tissue thickenings accompanying the lesions on this background . the outlook is suggestive of covid pneumonia . there were no pathologically sized and configured lymph nodes at both hilar levels . bilateral pleural effusion pneumothorax were not detected there is a hypodense lesion of approximately mm in the medial aspect of the left kidney superior part junction . airways no relevant findings . mediastinum calibration of mediastinal and other major vascular structures is natural . cto is normal . calibration of the aortic arch is at the maximal physiological limit . there are lymph nodes in the mediastinum in the upper-lower paratracheal area in the aorticopulmonary window in the subcarinal area the largest in the right upper paratracheal area and mm in size slightly prominent according to the scan mm in the old examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . it may be compatible with cortical cyst . cto is normal . calibration of the aortic arch is at the maximal physiological limit . lung parenchyma in lung parenchyma evaluation aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen there is moderate hepatosteatosis in liver parenchyma density . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no fractures or lytic lesions were detected in bone structures . osteophytic tapering is observed in the anterior part of vertebra . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . other upper abdominal organs are normal . usg is recommended . in the left kidney a hypodense lesion with a size of 20 mm was observed in the middle part anteriorly which partially entered the section cyst . lung parenchyma when examined in the lung parenchyma window diffuse emphysematous changes in paraseptal appearance were observed in the upper lobes of both lungs . a few millimetric nonspecific parenchymal nodules were observed in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways no obstructive pathology was detected in the lumen of the trachea and both main bronchi . minimal peribronchial thickening was observed in the segmental bronchi of both lungs . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures osteodegenerative changes were observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a millimetric hyperdense nodular lesion was observed in the upper pole of the left kidney hemorrhagic cyst . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma minimal peribronchial thickening was observed in both lungs . although the described appearance is not specific it may be compatible with a specific infection when evaluated together with clinical information . there is a cavity inside the nodule . there is a 5 mm diameter nodule with a ground-glass appearance around the middle lobe of the right lung and the lower lobe of the left lung . no mass was detected in both lungs . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there is a central venous catheter on the right . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there is a decrease in density in the bone structures within the sections and a new height loss in the l2 vertebral body . abdomen there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . minimal thickening was observed in the left adrenal gland corpus . lung parenchyma there are smooth interlobular-interstitial septal thickness increases observed more clearly in the lower lobes of both lungs . when examined in the lung parenchyma window there is a mosaic attenuation pattern in both lungs small airway diseasesmall vessel disease and sequela parenchymal changes in both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum calcified atheroma plaques are observed on the wall of the aorta and coronary vascular structures . an increase is observed in the calibrations of the ascending aorta descending aorta pulmonary conus and both pulmonary arteries and heart sizes have increased . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . there are calcified atheroma plaques on the wall of the abdominal aorta and its main vascular structures . no pathological increase in wall thickness was detected in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end . heart and great vessels the described findings were evaluated as secondary to cardiac stasis . osseous structures cortical destruction soft component is observed . there is left-facing scoliosis in the thoracic vertebral column . apart from this widespread degenerative changes in bone structures were noted . there is a loss of height in the center of the l2 vertebral body in the bone structures within the study area . the outlook was primarily evaluated in favor of a benign compression fracture . there was no increase in the anteroposterior diameter of the vertebral corpus . abdomen liver contour acuity is decreased . since the examination is it cannot be clearly characterized cyst . calcified atheroma plaques are observed on the wall of the aorta and coronary vascular structures . a decrease in the dimensions of both kidneys is observed in the upper abdominal sections within the image and there is a 35 mm diameter lesion in the middle zone of the left kidney with a cortical exophytic extension with a hypodense fluid density . an increase is observed in the calibrations of the ascending aorta descending aorta pulmonary conus and both pulmonary arteries and heart sizes have increased . there are calcified atheroma plaques on the wall of the abdominal aorta and its main vascular structures . there are millimetrically sized hyperdense stones in the gallbladder lumen . evaluation for liver parenchymal disease is recommended . lung parenchyma when examined in the lung parenchyma window both hemithorax are symmetrical . there are 3 mm diameter nodules and mild sequelae changes in the lingular segment of the left lung . there are sequelae changes at the apical level in both lungs . sequelae changes are observed in the upper lobe posterior level in the left lung . there are several lymph nodes at the right hilar level some of which are calcific but the short axis does not exceed 1 cm . there were no findings consistent with pneumonia pleural effusion pneumothorax in both lungs . sequelae changes are observed in the upper lobe of the right lung starting from the lateral subpleural area and continuing towards the peribronchial sheath . a subpleural nodule with a diameter of 3 mm is observed at the laterobasal level of the left lung . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum mediastinal main vascular structures are normal . thoracic aorta diameter is normal . no pathologically sized and configured lymph nodes were detected at mediastinal and both hilar levels . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . density compatible with 3 mm diameter calculi in the superior pole of the right kidney and several densities the largest of which is 3 mm in diameter are observed in the middle and superior parts of the left kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the distributions and appearances of the described lesions are in the style frequently observed in covid 19 pneumonia and these appearances were evaluated in favor of covid 19 pneumonia during the pandemic process . consolidations and ground glass areas are observed in both lungs more prominently in the lower lobes and peripheral areas . some of these views include enlarged vascular structures . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . there is a decrease in liver parenchyma density consistent with advanced adiposity . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . there was no finding compatible with pneumonia . when examined in the lung parenchyma window slight shaped changes are observed at the apical level . pleural effusion or pneumothorax is not observed . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structures in the examination area . abdomen surrounding soft tissue plans are natural . sonographic examination is recommended . in the upper abdominal organs included in the sections there is grade 2 ectasia in the left kidney or hypodense appearance compatible with parapelvic cysts . lung parenchyma more common cystic bronchiectasis areas are observed in both lungs most prominently in the right middle and bilateral lower lobes . aeration differences and increased aeration are observed in both upper lobes of the lungs . no pneumonic infiltration was detected in the aerated lung parenchyma . in the lower lobe of the left lung there are air-fluid levels and secretions within the ectatic bronchial lumens . airways the trachea and both main bronchial air passages are open . mediastinum there are nonspecific millimetric lymph nodes located in the right upper and lower paratracheal and paravascular locations in the mediastinum . the diameters of the right and left main pulmonary arteries in the pulmonary trunk are slightly prominent . truncus diameter and 37 mm right main pulmonary artery diameter was 31 mm and left main pulmonary artery diameter was 34 mm . there is a sliding type hiatal hernia . heart and great vessels a short segment calcific atherosclerotic plaque is observed at the origin of the lad . pericardial effusion was not detected . heart sizes are of normal width . osseous structures no fracture was observed . there is osteoporosis in bone structures . an increase in thoracic kyphosis and degenerative changes in the vertebrae are observed . there is mild scoliosis with the apex pointing to the left at the lower thoracic level . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesion that can be distinguished by ct was detected in the bone structures . abdomen no space-occupying lesion was observed . it measures 63 mm in diameter on the left and 50 mm on the right . a hyperdense appearance of the calcules that level within the gallbladder lumen is observed . cysts are present in both kidneys in upper abdominal sections . lung parenchyma there is a regression in the dimensions of the nodular lesion found in the previous ct scan in the upper lobe anterior segment of the left lung with a ground glass area around it . in addition there are stable nonspecific nodules in millimetric sizes in both lung parenchyma . in the current examination there is a newly developed nodule of ground glass density in the right lung middle lobe lateral segment and it was primarily evaluated in favor of nodular consolidation areas . mild emphysematous changes are observed in both lungs . when examined in the lung parenchyma window no mass is observed in both lung parenchyma and pneumonic infiltration areas are observed in the right lung upper lobe posterior lower lobe mediobasal and posterobasal segments and left lung lower lobe posterobasal segment . there is an effusion measuring 60 mm at its deepest point in the right pleural area and 58 mm at its deepest point in the left pleural area . according to the previous examination bilateral pleural effusion is observed to become more pronounced . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum aorta is observed as diffuse plaque . there is diffuse plaque formation on the wall of the abdominal aorta and iliac vascular structures . calibration of mediastinal major vascular structures is natural . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast . calcified atheroma plaques are also present in the pulmonary arteries . in the mediastinum there are lymph nodes measuring 10 mm in diameter the largest of which is in the right area . thoracic aorta diameter is normal . no pathological increase in wall thickness is observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels pericardial effusion-thickening was not observed . there is minimal pericardial effusion . mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast . heart contour size is normal . osseous structures bilateral neural foramina are narrowed . no lytic-destructive lesions are detected in the bone structures and there are osteophytes in the vertebral corpus end plateaus . abdomen intraabdominal free or loculated fluid is not observed . there is grade i ectasia that has newly developed in the right kidney collecting system . aorta is observed as diffuse plaque . there is diffuse plaque formation on the wall of the abdominal aorta and iliac vascular structures . there are millimetric stones in the right kidney . although they could not be characterized because no contrast agent was given they were thought to belong to cysts when evaluated together with their density . thoracic aorta diameter is normal . there are hypodense lesions in both kidneys which are more prominent on the left . no solid mass was detected within the limits of non-contrast ct in the upper abdominal sections within the image . lung parenchyma no mass or infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window minimal bronchiectasis is observed in the left lung inferior lingular segment . there are several millimetric stable pulmonary nodules in both lungs . no pathological lymphadenopathy was observed in the supraclavicular region lower neck sections upper-lower mediastinal area aortopulmonary level subcarinal region and both lung hilum within the limits of non-contrast examination . pericardial pleural effusion-thickening was not observed . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures heart contour and size are normal in the non-contrast scan margins . lymphadenomegaly with a short axis of 15 mm in the left axilla is observed in both axillae and its dimensions have decreased when evaluated together with the previous thinning . no pathological lymphadenopathy was observed in the supraclavicular region lower neck sections upper-lower mediastinal area aortopulmonary level subcarinal region and both lung hilum within the limits of non-contrast examination . thoracic esophageal wall thickness is normal . heart and great vessels mediastinal main vascular structures heart contour and size are normal in the non-contrast scan margins . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pneumonic infiltration is considered in the ethology of the findings . when examined in the lung parenchyma window in the upper lobe of the left lung apicoposterior and inferior lingular segments centriacinar nodular density increases are observed in the appearance of a tree with buds . there are minimal emphysematous changes in both lungs . no mass lesions were detected in both lungs . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes were observed in the mediastinum bilateral supraclavicular fossae and axillary pathological dimensions and appearance . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen the ascending aorta diameter is 43 mm and the descending aorta diameter is 32 mm showing aneurysmatic dilatation . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen there is diffuse density reduction secondary to hepatosteatosis in the liver parenchyma . as far as can be seen the ascending aorta diameter is 43 mm and the descending aorta diameter is 32 mm showing aneurysmatic dilatation . no intraabdominal free fluid loculated collection was detected . as far as can be seen within the borders of non-contrast ct in the upper abdominal sections within the image the gallbladder diameter is 43 mm and it is distended . lung parenchyma no nodular lesions were detected in both lung parenchyma . apart from this peripherally located faint barely distinguishable ground glass opacities are observed in both lungs . when examined in the lung parenchyma window 5 mm diameter ground-glass opacity nodule is observed centrally located in the left lung upper lobe lingular segment . the outlook may be compatible with covid-19 pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . in the laterobasal segment there are two adjacent nodules with a diameter of 3 mm . sequelae changes are observed at the apical level of the left lung . sequelae changes are observed in the inferior lingular segment . a nodule with a diameter of 3 mm is observed in the superior segment of the lower lobe . right lung upper lobe posterior segment 4 mm in diameter dorsal subpleural area 2 mm in diameter anterolateral 2 mm in diameter anterior segment caudally mm a little more caudally 5x3 mm larger 4 mm in lower lobe posterobasal segment a few laterobasal there are nodules with a diameter of 3 mm in the segment . a subpleural nodule with a diameter of 3 mm is observed in the diaphragmatic subpleural area in the anteromediobasal segment . airways when examined in the lung parenchyma window the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures there is minimal left-facing scoliosis in the dorsal region . mild degenerative changes are observed in the bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the upper abdominal organs including sections the spleen is slightly enlarged . lung parenchyma with right diaphragmatic elevation and lower lobe atelectasis the volume of the aerated right lung was markedly decreased . these lesions were primarily evaluated in favor of pneumonic infiltration . no consolidation was observed in the left lung parenchyma . in the upper lobe of the right lung the consolidation area of approximately cm in which necrosis is observed in the central part has just developed . smaller lesions with similar are observed in the right lung lower lobe posterobasal left lung upper lobe posterior and lingula inferior segments . there is an anky effusion between the leaves of the pleura and its diameter was 7 cm in the basal segment at its widest point . no pleural effusion was detected on the left . pneumothorax right pleural effusion and are observed . in his current examination it is seen that the cavitary lesion both into the bronchus and between the pleural leaves and fistula developed . a drainage catheter was placed between the leaves of the pleura . airways no relevant findings . mediastinum mediastinal lymph nodes are stable . heart and great vessels calcific atherosclerotic plaque is present in lad . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma the described manifestations were evaluated in favor of viral pneumonia . these findings are common in covid-19 pneumonia . consolidation and ground glass appearances are observed in both lungs especially in peripheral areas . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and left coronary artery . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . abdomen no upper abdominal free fluid-collection was observed in the sections . there are atheromatous plaques in the aorta and left coronary artery . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is minimal bronchiectasis and minimal peribronchial thickening in the central segments of both lungs . there are subsegmental atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment inferior subsegment . there are calcific lymph nodes in both hilar regions . there are millimetric calcific nodules in both lungs . no mass or infiltrative lesion was detected . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph node was observed . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma when examined in the lung parenchyma window patchy ground glass densities air bronchogram signs and enlargement in vascular structures are observed in both lungs especially in the lower lobes . small nodules measuring up to 5 mm in size are observed more than in both lung parenchyma . no significant dimensional numerical difference was detected in the described nodules . findings can be seen in covid-19 viral pneumonia . clinical laboratory correlation is recommended for differential diagnosis of other infectious processes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . other mediastinal main vascular structures heart contour size are normal . it is slightly wider than normal . a few small lymph nodes are observed in the mediastinum the largest of which is 9 mm anterior to the trachea and up to 10 mm in the aorticopulmonary window . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta measures 38 mm . other mediastinal main vascular structures heart contour size are normal . osseous structures no relevant findings . abdomen a finding compatible with a millimetric stone is observed in the gallbladder . it is slightly wider than normal . thickening of the right adrenal gland is observed . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma viral pneumonia is considered in the etiology of the described findings . density increases and ground glass densities compatible with consolidation are observed in the right lung upper lobe posterior and lower upper lobe lateral and posterobasal segments and left lung lower lobe posterobasal lateral and anterior segments . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structures within the image and an increase in thoracic kyphosis vacuum phenomenon in the lower thoracic intervertebral disc distances sclerosis adjacent to the disc distance and in the plateaus were noted . abdomen thoracic aorta diameter is normal . no pathology was detected in the upper abdomen sections within the image . lung parenchyma in the lower lobe of the left lung a consolidation-soft tissue appearance is observed starting from the hilar area and extending towards the periphery . the described appearances were evaluated as compatible with lymphangitis carcinomatosa . however the presence of pneumonia in this localization may have developed in addition to lymphangitis carcinomatosis . these findings are also present in the patients previous ct examination and it is understood that the findings are . in the right upper lobe and middle lobe anterior parts of the right lung there are bronchiectasis and peribronchial thickness increases structural distortion and volume loss which are more prominent in the peripheral areas and they are evaluated in favor of sequelae . they were thought to be sequelae changes secondary to treatments . in the lower lobe of the left lung areas of density increase in ground glass density interlobular-interstitial thickness increases and areas of nodular consolidation are accompanying . it is also present in the previous examinations of the patient and no change was detected . there are emphysematous changes in both lungs . ground-glass appearances and density increases were observed in the right lung more prominently in the upper lobes . in both pleural spaces there is a newly developed effusion up to 12 mm in depth on the left at its deepest point . airways no relevant findings . mediastinum no lymph nodes in pathological size and appearance were detected in both axillary regions in the retropectoral area and adjacent to the internal mammary vascular structure . there are lymph nodes in the mediastinum prevascular aorticopulmonary window and paratracheal aorta the largest of which is at the subcarinal level with a short diameter of 17 mm in the current examination and 14 mm in size in the previous ct examination and increased in size . heart and great vessels no relevant findings . osseous structures there are findings of fracture sequelae in the right 8th 7th and 6th rib lateral . no lytic or destructive lesions were detected in the bone structures within the image . abdomen no lymph node was observed in intraabdominal pathological size and appearance . in the upper abdominal sections within the image a stable hypodense lesion which was also observed in the patients previous ct examinations was observed in the lateral segment of the liver left lobe . no intraabdominal free fluid loculated collection was detected . there are masses between the fatty in both hemithorax posterior more prominent on the right and were evaluated in favor of metastases . lung parenchyma subpleural consolidation is observed in the right lower lobe basal segment . pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma in all segments of both lungs patchy ground-glass densities are observed the peripherally located subpleural space . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the medial crus of the left adrenal gland is thick . apart from this no significant pathology was detected in the non-contrast sections . lung parenchyma no mass lesion-active infiltration was detected in both lungs . a few millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in lad . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma interlobular septal thickenings and ground glass densities that are more prominent in the lower lobes are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . right upper bilateral lower paratracheal aorta pulmonary millimetric lymph nodes are observed . heart and great vessels there are calcifications in the walls of the coronary artery . it was mostly evaluated as secondary to cardiac overload . osseous structures suture materials secondary to bypass surgery in the sternum are observed . no lytic-destructive lesion was observed in bone structures . abdomen bilateral adrenal glands appear natural . right upper bilateral lower paratracheal aorta pulmonary millimetric lymph nodes are observed . in the sections passing through the upper part of the west liver diaphragmatic face calcification is observed . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . intervertebral disc distances are preserved . vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the evaluation of both lung parenchyma a few millimetric calcific nodules are observed in both lungs . apart from this no mass nodule-infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper paratracheal aortopulmonary lymph node in millimetric size is observed . no pathological lap was detected in the mediastinum . there is a sliding type hiatal hernia . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . no obvious pathology was detected in non-contrast abdominal sections . lung parenchyma viral pneumonias covid-19 pneumonia are considered in the etiology of the findings . no mass lesions were detected in both lungs . when examined in the lung parenchyma window in both lung parenchyma areas of multilobar consolidation with indistinct borders mostly peripheral subpleural localization and density increase in ground glass density are observed . pericardial pleural effusion was not detected . airways trachea both main bronchi are open . mediastinum no lymph node was detected in pathological size and appearance . pathological lymph nodes with fusiform configuration are observed in the mediastinum the largest of which is at the right upper paratracheal and subcarinal level with a short diameter of 10 mm . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures in addition no lymph nodes in pathological size and appearance were observed in both axillary regions and in the supraclavicular fossa . no lytic or destructive lesions were observed in the bone structures within the image . abdomen no intraabdominal free liqu- ulated collection was detected . no lymph node was observed in pathological size and appearance . in upper abdominal sections there is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis . lung parenchyma minimal bronchiectasis and minimal peribronchial thickening were observed in both lungs especially in the central parts . in the lower lobe of the right lung consolidation in the posterobasal segment and a ground-glass appearance are observed around it . no mass was observed in both lungs . there are millimetric nonspecific nodules in both lungs . apart from this no appearance compatible with pneumonic infiltration was detected in both lungs . findings were evaluated in favor of pneumonic infiltration . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma calcific with a diameter of 3 mm is observed in the anterior segment of the right lung upper lobe . ground glass densities accompany the lower lobe posterobasal segment on the right . there are millimetric nonspecific nodules in both lungs . when examined in the lung parenchyma window sequelae changes are observed in the posterobasal segments of the lower lobes of both lungs extending towards the pleura more prominently on the right . airways calcifications are observed in the main bronchus and bronchial branch walls . tracheostomy cannula is observed and the cannula terminates approximately 4 cm proximal from the carina . trachea and both main bronchi are open . mediastinum calcific plaque formations are observed in the aortic arch vessel walls aortic valve and coronary artery walls . as far as can be evaluated in the non-contrast series mediastinal main vascular structures are observed in normal calibration . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . sliding type hernia is observed . heart and great vessels pericardial effusion-thickening was not observed . calcific plaque formations are observed in the aortic arch vessel walls aortic valve and coronary artery walls . heart contour size is normal . osseous structures no lytic-destructive lesions were detected in the thoracic vertebral column and the bones forming the thorax . s-shaped scoliosis is observed in the segment where the fusion is observed with the opening facing to the right in the proximal and the opening to the left in the distal . when the bone is examined in the window total fusion is observed in the thoracic 4 and 5 vertebrae and the intervertebral disc space is . abdomen calcific plaque formations are observed in the aortic arch vessel walls aortic valve and coronary artery walls . liver gallbladder spleen bilateral adrenal glands are normal in the upper abdominal organs included in the examination area . in addition upper calyceal 7 mm and lower calyceal 2 mm diameter stones are observed in the form of in the left kidney which has taken the shape of the lower calyx . there are two 2 and 3 mm diameter stones in the right kidney lower calyceal . lung parenchyma clinical and laboratory evaluation is recommended . no pericardial pleural effusion or thickening was detected . when examined in the lung parenchyma window widespread mostly peripheral subpleural localized density increase areas and ground glass densities are observed in both lung parenchyma and covid-19 pneumonia is considered in the etiology of the findings . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . calibration of major mediastinal vascular structures heart contour and size are normal . no lymph node is observed in the mediastinum and both axillary regions in the supraclavicular fossa in pathological size and appearance . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . calibration of major mediastinal vascular structures heart contour and size are normal . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no solid mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . no intraabdominal free fluid or loculated collection is observed . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are sequelae fibrotic changes in the upper lobes of the lung . when examined in the lung parenchyma window multiple widespread solid metastases the larger ones reaching mm in are observed in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures again milimetric metastatic lesion is observed in the 12th rib on the left . in addition multiple millimetric lytic metastatic lesions are observed in the vertebrae and ribs within the sections . in the t6 vertebral corpus 25 of the collapse is observed due to metastatic lesion . a mm metastatic mass involving the 9th rib is also observed on the left . at this level the metastatic lesion appears to the and right neural foramen . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . thoracic aorta diameter is normal . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the upper lobe of the right lung a 7 mm diameter nodular consolidated area with faint borders is observed . post-treatment follow-up imaging would be appropriate . in the evaluation of the lung parenchyma density increases are observed in the left lung segment in favor of the sequelae of chronic radiation pneumonia in the radiotherapy locus . widespread centracinar nodules and bronchopneumonic infiltration are observed in the upper lobe and lower lobe of the right lung . slight increase in parenchymal density parenchymal fibrosis and traction bronchiectasis are observed in the lower lobe basal segments which are more prominent on the right in both lungs . right lung lower lobe basal segment pleuroparenchymal linear density increases are consistent with linear atelectasis . it is in favor of chronic pleural fluid . there is a stable pleural effusion measuring approximately 7 mm in diameter between the right pleural leaves . airways no relevant findings . mediastinum a central venous catheter is observed . esophageal calibration was followed naturally . heart and great vessels no space-occupying lesion was detected in the paracardiac fat pad . the heart size compartments appear natural . pericardial effusion was not detected . osseous structures no lytic-destructive lesion was detected in the bone structures . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . abdomen in the upper abdominal sections there was a faintly circumscribed hypodense area adjacent to the portal vein in the liver in segment 4b localization and there was no difference in the previous examination focal adiposity . these findings are also present in the previous examination and are stable . lung parenchyma in the evaluation of both lung parenchyma a peripherally located ground-glass consolidation area is observed in the superior segment of the lower lobe of the right lung . there is subsegmental atelectasis in the middle lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . in addition there are subpleural striations in the basal segment of both lung lower lobes . in the superior segment of the left lung lower lobe a ground-glass consolidation area is observed adjacent to the subpleural lines . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . fluid is observed in superior paracardiac recession . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . a nodular structure compatible with the accessory spleen is observed adjacent to the upper pole of the spleen . lung parenchyma right upper-bilateral lower paratracheal millimetric lymph node is observed . in the evaluation of both lung parenchyma nonspecific appearance ground glass density is observed in the left lung lingular segment . there are a few nonspecific nodules with a diameter of 3 mm ima in the posterobasal segment of the lower lobe of the right lung and 2 mm in diameter in the middle lobe ima . although the origin is not typical for covid-19 pneumonia it cannot be ruled out in the presence of a pandemic . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . mediastinal vascular structures have a natural appearance . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion was detected in bone structures . suture materials secondary to surgery are observed in the sternum . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . there is calculus in the gallbladder . lung parenchyma when examined in the lung parenchyma window a nodule measuring 7 mm in size is observed in series 2 image in the superior right lung lower lobe . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a tendency to merge in these densities in the lower lobes and there are bronchiectasis in their neighborhood . when examined in the lung parenchyma window peripheral weighted nodular ground glass densities and consolidations are observed in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . lymph nodes with a short axis not exceeding 1 cm were observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs included in the sections are natural . thoracic aorta diameter is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . there are increases in density of ground glass density in the lower lobe basal segments of both lungs primarily considered secondary to the dependent effect . pleural effusion-thickening was not detected . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma a primary maligt mass with a spiculated contour sitting on a fissure in the posterior segment of the left lung upper lobe is observed . emphysema is present in the aerated lung parenchyma . the basal segment of the lower lobe of the left lung is not ventilated . compression atelectasis is observed adjacent to the effusion in the lower lobe of the right lung . no area of pneumonic consolidation or infiltration was detected . it is observed that the mass extends to the right upper lobe posterior segment bronchus and narrows the bronchial air passage . there is a pleural effusion with a diameter of 7 cm between the leaves of the right pleura and 5 cm between the leaves of the left pleura . airways no relevant findings . mediastinum a solid nodule with a diameter of 18 mm is observed in the adipose tissue in the anterior mediastinum . no lymph node was observed in the mediastinum in pathological size and appearance . a metastatic mass with a diameter of 24 mm is observed in the posterior esophagus and posterior mediastinum . it has been evaluated in favor of metastasis and its dimensions are stable . a metastatic mass with a diameter of 24 mm is observed in the posterior esophagus and posterior mediastinum . heart and great vessels no relevant findings . osseous structures bone metastases are present . abdomen left adrenal metastasis has infiltration into the kidney parenchyma . in the upper abdominal sections both adrenal gland metastases are observed . lung parenchyma there is a nodular lesion measuring 21 mm in length at its widest point series 2 section in the medial of the superior segment of the right lung lower lobe . when the previous examinations of the patient were examined it was learned that this appearance was metastasis . no appearance compatible with pneumonic infiltration was detected in both lungs . there is no difference in the number and size of these nodules . in addition there are millimetric nonspecific nodules in both lungs . it is understood that lymphadenopathy observed in the subcarinal pulmonary hilum in the previous examinations of the patient was selected as the target lesion . there is a millimetric nodule in the superior segment of the lower lobe of the right lung . the described appearance was considered to be the patients primary mass . there are emphysematous changes and occasional atelectasis in both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . when the previous examinations of the patient were examined it was understood that some of these lymph nodes were metastatic . in this examination the short diameter of this lymph node was measured as 8 mm . no pathologically enlarged lymph nodes were observed . there are lymph nodes in the mediastinum and hilar regions some of which are calcific . mediastinal structures could not be evaluated optimally because no contrast agent was given . atheroma plaques are observed in the aorta . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the patients examination was evaluated together with the previous examinations . osseous structures no fracture or lytic-destructive lesion was detected in the bone structures within the sections . abdomen atheroma plaques are observed in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma it is recommended that the patient be evaluated together with the clinic for pneumonic infiltration . in the right lung upper lobe posterior segment peribronchovascular thickness increases along with centriacinar nodules and ground glass areas accompanied by interlobular septal thickness increases are observed in places . a similar appearance is also present in the posterior and lateral segments of the lower lobe of the left lung . airways no relevant findings . mediastinum within the limits of non-contrast examination no lymphadenopathy was detected in the mediastinal region with pathological size and appearance . no significant dilatation was detected in the mediastinal main vascular structures . calcific atheroma plaques are observed in the aorta and coronary arteries . hiatal hernia appearance is observed . esophageal calibration included in the examination was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . in the left kidney approximately 8 mm diameter calculi which is thought to cause dilatation in the collecting system and significant dilatation in the left collecting system are observed . liver density was diffusely decreased in line with adiposity . if the patient to be evaluated together with clinic us examination is recommended . lung parenchyma when examined in the lung parenchyma window fibrotic densities and bilateral millimetric nonspecific nodules in the right lung upper lobe posterior are stable . band atelectasis is observed in the anterobasal lower lobe of the lung on the right . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen intra-abdominal free fluid density findings have decreased . thoracic aorta diameter is normal . the right adrenal gland locus is normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . left adrenal nodular lesion size decreased from 30 mm to 26 mm . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window linear atelectasis is observed in the basal levels of the lower lobes of both lungs . no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma these findings were primarily evaluated in favor of infective pathology . there are consolidations in small areas in the upper and lower lobes of both lungs and in the middle lobe of the right lung and there are areas of ground glass around them and centriacinar nodules some of which have the appearance of budding trees . both lungs have mosaic attenuation patterns small airway disease small vessel disease . however it is observed that the findings increase in this examination . no mass was detected in both lungs . the described appearance can also be observed in the previous examination of the patient . no pleural effusion or thickening was detected . airways trachea and both main bronchi are normal . there is no obstructive pathology in the trachea and both main bronchi . mediastinum aorta diameter is normal . there are lymphadenopathies in the paratracheal and subcarinal regions the largest in the paratracheal region and measuring 14 mm in short diameter . no pathologically enlarged lymph nodes were observed . mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery was 40 mm in diameter and wider than normal . there is a slight increase in the size of the lymphadenopathies . the described lymphadenopathies can also be observed in the previous examination of the patient . there is no pathological wall thickness increase in the esophagus within the sections . sliding type hiatal hernia is observed at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . there is a pericardial effusion measuring approximately 15 mm at its widest point . pericardial thickening can also be observed in the previous examination of the patient and no difference was detected . pericardial thickening was not detected . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . aorta diameter is normal . lung parenchyma when examined in the lung parenchyma window there are subpleural weighted ground glass densities in both lung parenchyma more prominent in the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calibration of other mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . calcific atheroma plaques are observed in the coronary arteries . osseous structures there is an increase in thoracic kyphosis . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma evaluation for distal airway disease is recommended . there are centracinar nodules in the peripheral areas in the basal segments of the lower lobes of both lungs more prominently on the right . the views described are nonspecific . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there are no enlarged lymph nodes in pathological dimensions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there are atheromatous plaques in the coronary arteries . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen in non-contrast sections liver right kidney gall bladder spleen and pancreas are normal . surgical suture materials were observed in the left site . the left kidney was not observed secondary to the operation . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window pleuroparenchymal fibroatelectasis sequelae changes were observed in the left lung upper lobe lingular and right lung upper lobe anterior segment . airways no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures spur formations bridging with each other were observed in the right anterolateral corner of the mid-thoracic vertebral corpus . abdomen an accessory spleen with a diameter of 15 cm was observed in the anterior neighborhood of the upper pole of the spleen . right adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . a 1 cm diameter adenoma was observed in the left adrenal gland corpus . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen on non-contrast sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma minimal bronchiectasis is observed in the central part of both lungs . no mass or infiltrative lesion was detected in both lungs . there is linear atelectasis in the inferior subsegment in the left lung upper lobe lingular segment . linear atelectasis was also observed in the left lung lower lobe laterobasal segment . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways trachea and both main bronchi are normal . there is no obstructive pathology in the trachea and both main bronchi . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were observed . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . it is understood that the patient underwent coronary by-pass surgery . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . there is a decrease in liver parenchyma density consistent with advanced adiposity . lung parenchyma there are minimal emphysematous changes in both lungs . there are nonspecific nodules in both lungs measuring approximately 6x4 mm the largest of which is in the lower lobe of the left lung . no mass or infiltrative lesion was detected in both lungs . atelectasis was observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pacemaker electrodes terminate in the right heart . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma nodular peribronchial ground glass densities were observed in the left lung lingula and left lower lobe anterior . when examined in the lung parenchyma window there is minimal emphysematous appearance in both lungs . subpleural air cysts are seen in the posterior right lower lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . in the upper abdominal sections millimetric stones were observed in the gallbladder . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no relevant findings . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen in the middle zone of the right kidney calculus with a diameter of 7 mm was observed in the pelvicalyceal structures . again a cortical cyst of 17 mm in diameter was observed in the upper pole of the right kidney . lung parenchyma when examined in the lung parenchyma window millimetric sized nonspecific parenchymal nodules were observed in both lungs . no mass or infiltration was detected in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial thickening-effusion was not detected . heart contour size is natural . the ascending aorta measures 41 mm in diameter and shows slight dilatation . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window tubular bronchiectasis with thickened walls in the right lung middle lobe medial segment and left lung lower lobe anteromediobasal segment and peribronchial centracinar nodular infiltrates and budding tree view on this background were observed . no mass lesion with distinguishable borders was detected in both lungs . segmentary tubular bronchiectasis was observed in both lungs . airways the appearance is compatible with bronchiolitis . trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum in the mediastinum lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . calcified atheroma plaques were observed in lad . osseous structures thoracic kyphosis is increased . vertebral corpus heights are preserved . abdomen as far as can be seen on non-contrast sections a peripheral subcapsular localized hypodense lesion area of mm was observed in segment 7 of the liver and could not be characterized in this examination cyst hemangioma . gallbladder spleen both adrenal glands and both kidneys and pancreas are natural . lung parenchyma pleuroparenchymal sequelae changes were observed in both lung apex . there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum atheroma plaques are present in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pacemaker electrodes terminate in the atria and . the ascending aorta measured 49 mm in anterior-posterior diameter and is wider than normal . osseous structures the neural foramina are open . in the vertebrae within the sections low density compatible with osteopenia and minimal height loss in the vertebral bodies are observed . abdomen atheroma plaques are present in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma minimal bronchiectatic changes and minimal peribronchial thickening were observed in both lungs . when examined in the lung parenchyma window several nonspecific parenchymal nodules with a diameter of 35 mm were observed in both lungs the largest of which was in the left lung lower lobe laterobasal segment . no mass lesion-active infiltration with distinguishable borders was observed in the lung parenchyma . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper part of the left kidney several calcules with a diameter of 25 mm were observed . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in this area the dimensions were measured as in the old examination and in the new examination . in addition fibroatelectatic changes were observed in the right lung upper lobe posterior segment and middle lobe . it is stable . when examined in the lung parenchyma window in both lungs increased aeration consistent with panlobular emphysema and peripherally located formations were observed . a thick-walled cavitary lesion was observed in the anterior segment of the left lung upper lobe . in the posterior segment of the upper lobe of the left lung there is a stable massive ground-glass appearance of in size with irregular borders and mm in size with irregular borders . stable parenchymal nodules were observed in both lungs the largest of which was approximately in diameter in the left lung upper lobe apicoposterior segment . consolidation in the superior segment of the right lung upper lobe showed significant size reduction in the current examination and fibroatelectatic changes were observed in . pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum calcified atheroma plaques were observed in the mediastinal main vascular structures . lymph nodes with a short hilar diameter of approximately 8 mm were observed in the mediastinal prevascular area aortopulmonary window and paratracheal area and bilaterally . thoracic esophagus is in normal calibration . sliding type hiatal hernia was observed at the esophagogastric junction . heart and great vessels pericardial effusion-thickening was not observed . the heart is normal . osseous structures other bone structures in the study area are natural . a mass is observed in the 6th rib on the right . vertebral corpus heights are preserved . there was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . was observed in the left kidney . sliding type hiatal hernia was observed at the esophagogastric junction . metastases to the liver parenchyma are present in the upper abdominal organs that fall into the imaging field . no pathological wall thickening was detected . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . a 2 mm diameter calcific nodule is observed in the superior segment of the left lung lower lobe . in the evaluation of both lungs in the parenchyma window mild sequelae changes are observed at the apical level . a little more caudally one or two 2-3 mm nodules are observed on the sequelae in the dorsal subpleural area . there is a 2 mm diameter subpleural nodule in the posterior segment of the right lung upper lobe . there was no significant pneumonia pleural effusion or pneumothorax in both lungs . airways no relevant findings . mediastinum no lymph node with size and configuration was detected in the mediastinum . calibration of the main mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pleuroparenchymal sequelae changes are observed in both lung apex . right lung volume decreased . metastatic nodules were observed in the upper lobe of the right lung the superior segment of the lower lobe and the aerated parts of the right lung and the left lung . the largest metastatic nodules were measured in the basal segment of the lower lobe of the right lung with a diameter of approximately mm mm in the previous examination . no newly emerged nodules were detected in the current examination . no significant difference was observed in the sizes of the metastatic nodules that could be observed . a large consolidation area is observed in the middle and lower lobe central part of the right lung atelectasis . when examined in the lung parenchyma window an effusion measuring 7 cm 23 cm in the previous examination was observed in the right pleural space extending from the apex to the basal area . airways trachea and main bronchus are open and no obstructive pathology is observed . mediastinum calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen the port chamber is seen on the anterior chest wall on the right and the catheter extending to the level of the superior vena cava-right atrium junction is observed . calibration of the main mediastinal vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calibration of the main mediastinal vascular structures heart contour size are normal . osseous structures there is right-facing scoliosis in the dorsal localization . no lytic-destructive lesion was observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peripherally located patchy ground glass densities are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal organs included in the sections the gallbladder is operated . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma findings were evaluated as compatible with syndrome . no active infiltration or mass lesion was detected in both lung parenchyma . when examined in the lung parenchyma window and minimal expansion are observed in the lower lobe of the left lung and there is a decrease in pulmonary vascular structures at these levels . no pleural pericardial effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and heart could not be evaluated optimally because contrast agent was not given . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . there is a sliding type minimal hiatal hernia at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels mediastinal vascular structures and heart could not be evaluated optimally because contrast agent was not given . heart contour size is normal . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen it is natural . there is no lymph node in the upper abdominal free fluid collection pathological size and appearance . in the upper abdominal organs included in the sections no discernible mass was detected within the limits of non-contrast ct as far as it can be observed . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma ground glass density is observed in the left lung inferior lingular segment . there are subsegmental atelectasis in the middle lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . right upper bilateral lower paratracheal millimetric lymph nodes are observed . millimetric sized calcific plaques are observed in the descending aorta in the aortic arch and in the coronary arteries . heart and great vessels millimetric sized calcific plaques are observed in the descending aorta in the aortic arch and in the coronary arteries . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands appear natural . no significant pathology was detected in the non-contrast sections passing through the upper part of the abdomen . millimetric sized calcific plaques are observed in the descending aorta in the aortic arch and in the coronary arteries . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . no pleural effusion was observed . there are subpleural intralobular nonspecific septal thickness increases and accompanying air cysts in both upper lobe anterior segments of both lungs . airways a slight increase in bronchial wall thickness is observed in segmental bronchi . the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum in the section no lymph node in pathological size and appearance was observed in the supraclavicular fossa axilla and mediastinum . calibration of mediastinal major vascular structures is normal . no space-occupying lesion was detected in the esophageal wall . heart and great vessels long segment calcific atherosclerotic plaques are observed in lad . heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion that can be distinguished by ct was detected in bone structures . abdomen no features were detected in the upper abdomen sections within the image . lung parenchyma there is one millimetric nonspecific nodule in each lung one of which is calcific . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma in the current examination the disease is progressive due to newly emerged nodules in the lung parenchyma . when the first examination of the patient was evaluated it was understood that the appearances described in the middle and lower lobes of the right lung were the primary mass of the patient . multiple metastatic nodules are present in both lungs . multiple metastatic nodules were observed in both lungs . when examined in the lung parenchyma window in the right lung middle lobe and lower lobe a with air bronchograms extending from the central part to the peripheral area is observed . in addition bronchiectasis and peribronchial thickenings accompany the in the posterobasal and mediobasal segments in the lower lobe of the right lung . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the largest lymph nodes were measured 8 mm in the aortopulmonary window and 77 mm in the previous examination . prevascular and paraesophageal millimetric lymph nodes were observed . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen within the sections liver parenchyma density is diffusely decreased consistent with hepatosteatosis . other upper abdominal organs are normal . it does not show significant dimensional and numerical differences . lung parenchyma minimal structural distortion and volume loss are also observed around the described density increases . there is minimal volume loss in the medial segment of the right lung middle lobe and consolidation with air bronchogram in this localization . in addition in the described localization and at the junction of the right lung lower lobe superior segment and left lung upper lobe lingular segment inferior subsegment there are locally slightly irregular limited nodular density increases . in addition since the nodular density increases described especially in the lower lobe of the right lung are slightly irregular it is recommended that the patient be evaluated together with clinical and laboratory findings and previous examinations and followed closely . the largest of these density increases is observed at the superior segment junction series 2 section in the lower lobe of the right lung and its longest diameter was approximately mm . there is minimal bronchiectasis in the central parts of both lungs . honeycomb appearance is observed in the posterobasal-laterobasal segment of the lower lobe of the right lung and the posterobasal segment of the lower lobe of the left lung . emphysematous changes are more prominent in the upper lobes . there are also millimetric nodules in both lungs . when the described manifestations are evaluated together with the clinical knowledge of the patient they may belong to pneumonic infiltration or sequelae change . there are extensive emphysematous changes in both lungs . there is no pleural or pericardial effusion . airways trachea and both main bronchi are normal . there is no obstructive pathology in the trachea and both main bronchi . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were observed . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and coronary arteries . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . there is no mass in either adrenal gland . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few nonspecific nodules up to 2 mm in size were observed in both lungs . when examined in the lung parenchyma window sequela fibrotic changes were observed in the upper lobe apex of both lungs . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures heart contour size are normal . there are millimetric lymph nodes that do not reach pathological size and appearance in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is 38 mm and slightly ectatic . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a 53 mm stone was observed in the upper pole of the right kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma increases in pleuroparenchymal density in the upper lobe apical segments are in favor of previous infection sequelae . when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . there are millimetric nonspecific nodular density increases in the right lung upper lobe and middle lobe . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . no pleural effusion or thickening was detected . airways the air passages of the trachea lobar and segmental bronchi of both main bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are normal . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections in the calyceal system of both kidneys 6 calculi on the right and 2 on the left are observed within the cross-section . lung parenchyma no infiltrative lesion was detected in both lung parenchyma . fibrotic sequela bronchiectatic change is observed in the right lung lower lobe superior . when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there is a diffuse hypodense appearance in the anterior mediastinum compatible with thymic remt tissue . in the mediastinum small lymph nodes with a short axis measuring up to 5 mm are observed in the aorticopulmonary window . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . liver and spleen sizes are observed to increase . the upper abdomen was evaluated as suboptimal within the limits of the examination . lung parenchyma no lymph node was detected in the mediastinal and bilateral hilar region in pathological size and appearance . the described effusions extend into bilateral fissures . the effusion measured 72 mm on the right and 42 mm on the left at its widest point . no mass-infiltration was detected in both lungs . when examined in the lung parenchyma window in both lungs there are atelectatic changes adjacent to the effusion more prominently in the lower lobe . bilateral pleural effusion was observed . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta . no lymph node was detected in the mediastinal and bilateral hilar region in pathological size and appearance . mediastinal structures were evaluated as suboptimal because the examination was unenhanced . the main pulmonary artery diameter was 35 mm and increased . thoracic aorta calibration is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels heart size increased . a minimal effusion measuring 5 mm was observed in the thickest part of the pericardium . it was understood that mitral valve surgery was performed on the case . osseous structures no significant fractures were detected in the bone structures in the examination area . there are metallic suture materials of sternotomy on the anterior thorax wall . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta . it was evaluated in favor of hyperplasia rather than adenoma . diffuse thickening was observed in the left adrenal gland . no intra-abdominal free loculated fluid was detected in the upper abdominal sections in the examination area . thoracic aorta calibration is natural . lung parenchyma sequela parenchymal changes are observed in the middle lobe of the right lung the upper lobe of the left lung the inferior lingular segment and the lateral segment of the lower lobe . a few millimeter-sized nonspecific nodules are observed in both lungs . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . ventilation of both lungs is natural . pericardial pleural effusion is not observed . airways trachea both main bronchi are open and no occlusive pathology is detected . diffuse mild ectasia is observed in bronchial structures in bilateral lungs . mediastinum mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular in pathological size and appearance . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour size are natural . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . abdomen no solid mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . liver parenchyma density has a diffuse hypodense appearance secondary to hepatosteatosis . no intraabdominal free fluid or loculated collection is observed . lung parenchyma in the evaluation of both lung parenchyma ground-glass densities are observed in the peripheral lung parenchyma and peribronchial location in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum wall calcifications are observed in the coronary artery aortic arch descending aorta and abdominal aorta . no pathological lap was detected in the mediastinum . right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed in the mediastinum . heart and great vessels wall calcifications are observed in the coronary artery aortic arch descending aorta and abdominal aorta . fluid is observed in superior paracardiac recess . the cardiothoracic index increased in favor of the heart . osseous structures an increase in dorsal kyphosis is observed . bone structures are osteopenic . bridging osteophytes are observed in the anterior of the vertebrae . abdomen wall calcifications are observed in the coronary artery aortic arch descending aorta and abdominal aorta . in the uncontrasted sections a nodular lesion is observed in the body of the left adrenal gland which is considered to be compatible with a adenoma with a diameter of 13 mm with a hypodense hu value of . no additional significant pathology was detected in the non-contrast sections . lung parenchyma parenchymal sequela atelectatic changes were observed in the inferior lingular segment of the left lung upper lobe . in the central parts of the right lung middle lobe and left lung lingular segment and in the basal segments of both lung lower lobes there is a centracinar nodular infiltration and budding tree view . the described findings were evaluated in favor of bronchopneumonia . millimetric sized parenchymal nodules some of them calcified were observed in both lungs . there is segmental-subsegmental peribronchial thickening and luminal narrowing in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window more extensive centriacinar-paraseptal emphysema areas were observed in the upper lobes of both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum calibration of pulmonary arteries is natural . atherosclerotic wall calcifications and stent materials placed in the coronary arteries were observed in the aortic arch and coronary arteries . in the non-contrast examination the mediastinal could not be evaluated optimally . one or two pathologically sized lymph nodes measuring 13 mm on the short axis of the left lower paratracheal subcarinal larger one were observed . as far as can be seen the anterior-posterior diameter of the ascending aorta is 42 mm and the descending aorta is 30 mm in diameter which is larger than normal . apart from this a large number of lymph nodes that did not reach pathological dimensions were observed in other stations of the mediastinum and in the bilateral hilum . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . atherosclerotic wall calcifications and stent materials placed in the coronary arteries were observed in the aortic arch and coronary arteries . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen within the sections an accessory spleen with a diameter of 2 cm was observed in the inferior of the splenic hilus . as far as can be seen the anterior-posterior diameter of the ascending aorta is 42 mm and the descending aorta is 30 mm in diameter which is larger than normal . atherosclerotic wall calcifications and stent materials placed in the coronary arteries were observed in the aortic arch and coronary arteries . lung parenchyma there is a ground-glass nodule with a diameter of approximately 5 mm in the anterior segment of the upper lobe of the right lung . no lymph nodes with pathological size and configuration were observed at both hilar levels . parenchymal bands and pleuroparenchymal sequelae changes are observed in the inferior lingular segment and lower lobe posterobasal segment of the left lung . in the right lung consolidative areas with air bronchograms are observed in the middle lobe and band atelectasis appearances are observed in the lower lobe . there is a 3 mm diameter calcific nodule at the anterior-posterior segment transition of the upper lobe of the right lung . there is also a 3 mm diameter nodule in the subpleural area anteriorly . airways when examined in the lung parenchyma window calibration of trachea and main bronchus is natural . peribronchial thickening is observed . mediastinum the aortic arch calibration is 32 mm . in the descending aorta there are millimetric-sized calcific atheroma plaques in the aortic arch . it is slightly wider than normal . there are several lymph nodes in the mediastinum the largest of which is in the subcarinal area and approximately 13x9 mm in size . calibration of other mediastinal major vascular structures is normal . cto is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structure . abdomen two exophytic nodules are observed in the right kidney the largest of which is in the middle and posterior with a diameter of approximately 15 mm . the aortic arch calibration is 32 mm . in the descending aorta there are millimetric-sized calcific atheroma plaques in the aortic arch . it is slightly wider than normal . its density is about hu hemorrhagic cyst . both adrenals are natural . in sections passing through the upper west nodular densities compatible with the accessory spleen are observed in the vicinity of the spleen . cto is normal . first sonographic evaluation is recommended . lung parenchyma there are several millimeter-sized nonspecific nodules in both lungs . ventilation of both lungs is natural . there is bilateral peribronchial diffuse mild thickness increase . when examined in the lung parenchyma window no active infiltration or mass lesion was observed in both lungs . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen no pathology was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma sequela parenchymal changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window emphysematous changes were observed in the upper lobes of both lungs . a few stable millimetric nodules were observed in both lungs . in the superior segment of the left lung lower lobe 1 cm diameter parenchymal air cyst and accompanying atelectatic in the pleura were observed in the . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in their lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures degenerative changes were observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric calculus was observed in the middle part of the right kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe and lower lobe . no mass or infiltrative lesion was detected in both lungs . minimal emphysematous changes are observed in both lungs . there is minimal pleural effusion on the left . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . this lesion could not be characterized in this examination because contrast agent was not given . however it is also present in the previous examinations of the patient and there is no significant difference in size and appearance . there is a hypodense lesion measuring approximately 10 mm in diameter at the diaphragmatic dome localization in the right lobe of the liver . lung parenchyma when examined in the lung parenchyma window both hemithorax are symmetrical . a mm lymph node is observed at the right hilar level . in the case defined as covid positive focal ground glass areas are observed in the lower zones of both lungs . it is compatible with the anamnesis . it cannot be evaluated optimally in non-contrast examination . no significant pleural effusion or pneumothorax was detected . airways lumens are clear . calibrations of the trachea and main bronchi are normal . mediastinum no pathological size and configuration lymph nodes were detected in the mediastinum . no lymph node with pathological size and configuration was detected at other levels . there is thymic tissue in the anterior mediastinum with configuration and hypodense areas compatible with fatty involution which did not show any mass effect . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen the spleen is slightly enlarged . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . the spleen is larger than normal with an anterior-posterior diameter of 145 mm . in the evaluation of the upper abdominal organs included in the sections a decrease in density consistent with hepatosteatosis is observed in the liver . no space occupying lesion was detected . density compatible with 1-2 mm diameter calculi is observed in the middle part of the right kidney . a nodular density compatible with the accessory spleen is observed in its anterior neighborhood . lung parenchyma consolidation area is observed in the lateral part of the lower lobe and at the level of the upper lobe lateral lingular segment in the left lung secondary to atelectasis secondary to infection follow-up examination is recommended after treatment . there is compression atelectasis in the lung parenchyma accompanying the effusion in the left lung . left lung aeration was markedly reduced . mosaic attenuation pattern is observed in the right lung parenchyma . when examined in the lung parenchyma window pleural effusion reaching approximately 5 cm in the left lung and approximately 1 cm in the right lung is observed . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are present in the aorta and coronary arteries . thoracic aorta diameter is normal . other mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the diameter of the common bile duct is minimally wide . it would be appropriate to evaluate it together with clinical and examination findings in terms of . there is also contamination in the oily planes in the abdomen . a well-circumscribed nodular lesion which may be compatible with a cyst is observed in the left kidney . in the upper abdominal images included in the examination free fluid is observed in the perihepatic area in the abdomen . thoracic aorta diameter is normal . in the liver included in the examination air images are observed in the localization that the bile ducts . calcific atheroma plaques are present in the aorta and coronary arteries . lung parenchyma there are two nonspecific nodules the largest of which is 3 mm in diameter in the anterior segment of the right lung upper lobe . a nonspecific nodule with a diameter of 3 mm is observed in the laterobasal segment of the lower lobe of the left lung . sequelae changes are observed at the apical level . no pathological size and configuration of lymph nodes were detected at both hilar levels . a little more superiorly there is another nonspecific nodule with a diameter of 3 mm . there was no finding compatible with bilateral pleural effusion pneumothorax pneumonia . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum calibration of other mediastinal major vascular structures is natural . pulmonary trunk calibration is 26 mm . no lymph node with pathological size and configuration was detected in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . a prosthesis appearance is observed in the mitral valve . osseous structures there are changes secondary to sternotomy . degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . a calcific nodule with a diameter of 72 mm was observed in the lingular segment of the left lung . when examined in the lung parenchyma window there is an azygos fissure variation in the upper lobe of the right lung . pleuroparenchymal sequela fibroatelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe lingular and both lung apical segments . diffuse emphysematous changes with panacinar appearance were observed in the lower lobes of both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of pulmonary arteries is natural . millimetric calcific lymph nodes were observed at the level of the aortopulmonary window on the left . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcified atheroma plaques were observed in the thoracic aorta its supraaortic branches coronary arteries and abdominal aorta . as far as can be seen the anterior-posterior diameter of the ascending aorta was 48 mm and the anterior-posterior diameter of the descending aorta was 28 mm . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures in the t6 t7 t8 t9 t11 and l1 vertebrae there are height losses compatible with the compression fracture 95 most in the l1 vertebrae . thoracic kyphosis has increased . abdomen upper abdominal organs included in the sections are normal . calcified atheroma plaques were observed in the thoracic aorta its supraaortic branches coronary arteries and abdominal aorta . thickening was observed in both adrenal gland corpuscles . as far as can be seen the anterior-posterior diameter of the ascending aorta was 48 mm and the anterior-posterior diameter of the descending aorta was 28 mm . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma however in the new examination newly developed diffuse ground glass densities are observed in both lungs starting from the central and extending to the periphery which tends to merge most prominently in the right upper lobe posterior and bilateral lower lobe posteriors . when examined in the lung parenchyma window there are subpleural diffuse reticular density increases and subpleural diffuse millimetric air cyst in the peripheral area in both lung parenchyma . airways there are thickenings of the bronchial walls in the central part . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta and pulmonary trunk are ectatic 43 mm and 31 mm respectively . diffuse calcific plaques were observed in the coronary arteries . heart contour size is normal . osseous structures the compression fracture described in the l1 corpus is stable . diffuse degenerative changes and osteophyte forms are present in the vertebrae in the bone structures within the study area . abdomen it was not observed in the right kidney localization in the upper abdominal organs included in the sections . there are cortical millimetric cysts in the left kidney . lung parenchyma when the lung parenchyma window is examined there are patchy infiltration areas of ground glass density bilaterally asymmetrically distributed in both lungs . radiological findings were evaluated as compatible with covid pneumonia . septal thickness increases and areas of nodular consolidation are accompanying . no suspicious nodule or mass-occupying lesion was detected in the lung parenchyma . no pleural effusion was detected . airways trachea both main bronchi lobar and segmental bronchi air passages are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window in both lungs nodules up to 3 mm in diameter are observed . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma subsegmental atelectatic changes were observed in the lower lobes of both lungs and areas accompanying the consolidations . no mass lesion with distinguishable borders was detected in both lungs . it is recommended to evaluate clinical and laboratory together . when examined in the lung parenchyma window in the lung parenchyma multilobar multisegmental peripheral localized irregularly circumscribed patchy ground glass consolidations are observed and its appearance is highly suspicious for covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . nodular wall calcifications consistent with osteochondroplastica were observed in the walls of the trachea both main bronchi and lobar bronchi . mediastinum as far as can be observed the anterior-posterior diameter of the ascending aorta is 41 mm and the anterior-posterior diameter of the descending aorta is 30 mm larger than normal . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calibration of other vascular structures of the mediastinum is natural . calcific atheroma plaques were observed in the aortic arch and coronary arteries . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the aortic arch and coronary arteries . heart contour size is normal . osseous structures no lytic-destructive lesion in favor of metastasis was observed in bone structures . at the thoracic level left-facing scoliosis was observed . abdomen nodular thickening was observed in the left adrenal gland medial crus and corpus . as far as can be observed the anterior-posterior diameter of the ascending aorta is 41 mm and the anterior-posterior diameter of the descending aorta is 30 mm larger than normal . as far as can be seen in the sections a slightly hyperdense appearance was observed in the upper abdominal organs which the gallbladder lumen . nodular thickening was observed in the right adrenal gland corpus . it is recommended to be evaluated together with us . calcific atheroma plaques were observed in the aortic arch and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma emphysematous changes in both lungs i . when examined in the lung parenchyma window in both lungs there are ground glass densities with enlargement in the vascular structures around which halo signs are observed in a patchy manner more prominently on the right . the findings were evaluated in favor of covid-19 viral pneumonia . there is a pleural effusion measuring 22 mm on the right and 20 mm on the left in both hemithorax . airways trachea both main bronchi are open . mediastinum lymph nodes up to 27 mm in size are observed in the mediastinum especially in the aorticopulmonary window . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window although the examination cannot be performed optimally due to motion artifacts both lungs appear emphysematous . mass with selectable borders - no active infiltration was detected . pleural effusion-thickening was not detected . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum in the mediastinum and in the right lower paratracheal lymph node with a prominent fatty hilus and a short axis less than 1 cm was observed . thoracic aorta diameter is normal . no lymph node was observed in pathological size and appearance . in addition multiple millimetric lymph nodes were observed in the mediastinum and both axillae . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia is observed in the distal esophagus . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures locally osteodegenerative changes were observed in the thoracic vertebrae . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . intraabdominal free fluid - no loculated collection was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma the findings are consistent with widely reported imaging features of covid-19 pneumonia . when examined in the lung parenchyma window there are subpleural ground glass densities located mostly in a patchy manner in the basal segments of the lower lobes of both lungs and in the superior lobe of the right lung lower lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a hemangiomatous appearance in the vertebral body . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there was no finding in favor of residual or . the mass in the upper lobe lingular segment of the left lung which was observed to in previous examinations has completely disappeared in examination . airways trachea both are normal . mediastinum atherosclerotic changes are observed in the aorta and coronary arteries . a parenchymal nodule with a diameter of 8 . the patient has cardiomegaly minimal pericardial effusion atherosclerotic changes in the aorta and coronary arteries . there is 1 lymph node with a short diameter of 8 mm in the right paratracheal area . there are no or hilar pathologically enlarged lymph nodes . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal and bilateral hilar pathological dimensions . heart and great vessels a parenchymal nodule with a diameter of 8 . the patient has cardiomegaly minimal pericardial effusion atherosclerotic changes in the aorta and coronary arteries . atherosclerotic changes are observed in the aorta and coronary arteries . osseous structures no relevant findings . abdomen a parenchymal nodule with a diameter of 8 . the patient has cardiomegaly minimal pericardial effusion atherosclerotic changes in the aorta and coronary arteries . atherosclerotic changes are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window there are nonspecific subpleural millimetric nodules in both lungs especially at the upper levels . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum there are nodules with a short axis measuring 4 mm in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma no infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . abdomen no dilatation was detected in the thoracic aorta . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma the outlook is not typical for covid-19 pneumonia . however it cannot be ruled out . when examined in the lung parenchyma window peribronchovascular infiltration areas were observed in the peripheral subpleural area in the posterobasal segment of the lower lobe of the right lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . mediastinal upper-lower paratracheal prevascular lymph nodes measuring 8 mm in the short axis of the largest were observed . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . thoracic kyphosis has increased . abdomen calibration of the left adrenal gland was normal and no space-occupying lesion was detected . a hypodense lesion with a diameter of 13 mm was observed in the body part of the right adrenal gland . upper abdominal sections entering the examination area are natural . clinical and laboratory correlation is recommended . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma mosaic attenuation was found to be secondary to small airway walls . it may be compatible with sequelae or infective processes . some pleuroparenchymal fibroatelectasis sequelae changes were observed in both lungs . segmentary-subsegmental peribronchial thickening and luminal narrowing were observed in both lungs . no mass lesion with distinguishable borders was observed in the lung parenchyma . peribronchial ground-glass areas accompanied by linear atelectatic changes were observed in the posterobasal segment of the lower lobe of the right lung . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . the described finding is nonspecific . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen the mediastinal main vascular structures heart contour and size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures osteopenia was observed in the vertebrae . vertebral corpus heights are preserved . degenerative changes were observed in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma fissures are prominent and scattered ground glass densities are observed in the lung parenchyma . interseptal and interlobular thickness increases are observed in both lung parenchyma . when examined in the lung parenchyma window there are pleural effusions reaching 8 cm in the widest part of the right lung and approximately 55 cm in the widest part of the left lung and compression atelectasis in the parenchyma . airways trachea both main bronchi are open . mediastinum with a short axis measuring 14 mm are observed in the mediastinal area the largest in the right paratracheal area . in the anterior mediastinum a mass lesion with irregular contours and a density of soft tissue densities with the widest dimensions of mm is observed adjacent to the ascending aorta . calcific atheroma plaques are observed in the aorta and coronary arteries . calibrations of mediastinal major vascular structures are normal . heart and great vessels minimal effusion is observed in the pericardial area . in the anterior mediastinum a mass lesion with irregular contours and a density of soft tissue densities with the widest dimensions of mm is observed adjacent to the ascending aorta . calcific atheroma plaques are observed in the aorta and coronary arteries . osseous structures no relevant findings . abdomen calcific atheroma plaques are observed in the aorta and coronary arteries . numerous hypodense nodular lesions were observed in the upper abdominal sections included in the examination the largest of which was 65 mm in diameter in the liver right lobe segment 6 localization . evaluation of solid organs and vascular structures is suboptimal since the technique is non-contrast . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma focal consolidation and patchy ground glass densities are observed in both lungs the most prominent being the consolidation in which air bronchogram and air findings are observed in the right lung lower lobe superior segment and the ground glass density forming crazy paving in the left lung lower lobe posterobasal segment where interlobular septal thickenings are observed . no mass was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels millimetric sized calcific plaques are observed in the coronary arteries . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass or infiltrative lesion was detected in both lungs . linear atelectasis is observed in the lower lobe of the left lung . volume loss and structural distortion are observed in the apical segment of the right lung upper lobe . in addition there are similar appearances in the anterobasal segment of the lower lobe of the right lung . both lungs have millimetric nonspecific nodules some of which are calcific . there are emphysematous changes in both lungs . in addition density increases in the peripheral subpleural area minimal structural distortion and minimal volume loss are observed in the anterior sections of the right lung upper lobe and middle lobe . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . central venous catheter is seen on the right . no pathologically enlarged lymph nodes were observed . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . in addition no pathologically enlarged lymph nodes were detected in bilateral internal mammary artery traces . heart and great vessels there is minimal pericardial effusion . the venous catheter terminates in the right atrium . heart contour and size are normal . osseous structures the neural foramina are open . thoracic vertebral corpus heights and alignments are normal . multiple lytic bone lesions are observed in the bone structures within the sections . the described appearances are consistent with metastasis . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma there are thin fibrotic bands in the middle lobe on the right and the lingula on the left . when examined in the lung parenchyma window millimetric nonspecific nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the described appearance is also present in the patients previous examination . initially it was evaluated in favor of atelectasis . no significant difference was detected . the described findings are consistent with the diagnosis of lymphoma stated in the clinical preliminary diagnosis . apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window consolidation was observed in a small segment in the subpleural area in the posterobasal segment of the lower lobe of the left lung . pleural effusion-thickening was not observed . airways trachea is in the middle of both main bronchi and no obstructive parotology is observed in the lumen . mediastinum the main pulmonary artery diameter was 30 mm and it was minimally wider than normal . lymph nodes that did not reach pathological dimensions were observed in the mediastinum and hilar regions the short axis of the largest measuring 74 mm . in both axillae pathological multiple lymph nodes with a size of 18 . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels as far as can be seen heart contour size is normal . in the examination performed without contrast the median could not be evaluated optimally . central venous catheter is seen on the right and ends in the right atrium . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen the spleen is larger than normal . no intraabdominal free-loculated fluid was detected . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . structural distortion and volume loss in the left lung lingular segment in the right lung middle lobe and upper lobe anterior segment and an area of increase in density consistent with atelectasis accompanied by dilatation in the bronchial structures are observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures the heart contour and size are natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels due to the lack of contrast in the examination mediastinal vascular structures and the heart could not be evaluated optimally and the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures in the examination area and scoliosis with right-facing scoliosis is observed in the upper thoracic vertebral column . abdomen in the upper abdominal organs including sections as far as can be observed no solid mass was detected in contrast ct scans . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no pleural-pericardial effusion or thickening was detected . in the right lung lower lobe posterior segment the width of the consolidation area observed in the subpleural area has increased and it is understood that interlobular septal thickness increase and subsegmental atelectasis areas develop in its periphery . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . calcific atheroma plaques are observed in the anterior descending coronary artery and aorta . no pathological increase in wall thickness was detected in the esophagus . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels the diameter of the ascending aorta was 43 mm and increased . the examination of the patient was evaluated by comparing it with the thorax ct examination dated contour and size are normal . osseous structures there are widespread lytic lesions in the bone structures within the sections consistent with the patients primary maligcy and a compression fracture that causes loss of height in the t4 vertebral body is observed . abdomen as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . sliding type minimal hiatal hernia is observed at the esophagogastric junction . calcific atheroma plaques are observed in the anterior descending coronary artery and aorta . lung parenchyma in the evaluation of both lungs in the parenchyma window hemithorax are symmetrical . it is recommended to be evaluated together with the clinic in terms of infective processes . in the upper lobe of the right lung in the middle lobe and partially in both posterobasal levels there are milder grade views and accompanying ground-glass-like density increments at these levels . findings are atypical for covid pneumonia . there are sequelae changes in the linguistic segment . sequelae changes are observed at the lower lobe basal level . no pathological size and configuration of lymph nodes were detected at both hilar levels . there are sequelae changes at the middle lobe level on the right . there is a subpleural 6 mm diameter nodule at the posterobasal level of the lower lobe of the left lung . a mm subpleural nodule is observed in the middle lobe on the right . there is a 6x4 mm subpleural nodule on the right at the posterobasal level of the lower lobe . no bilateral pleural effusion or pneumothorax was detected . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum the aortic arch calibration is 30 mm slightly larger than normal . calcified atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . calcific atheroma plaques are observed at the level of the abdominal aorta . calibration of other mediastinal major vascular structures is normal . no lymph node in pathological size and configuration was detected in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the ascending aorta calibration is 40 mm it is in the maximal physiological limit . calcified atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . cto is at the maximal physiological limit . osseous structures degenerative changes were observed in the bone structure in the study area . in the left hemithorax there are sequelae fracture appearances at the level of the upper ribs . in the dorsal region there is prominent scoliosis with the left opening . dorsal kyphosis is markedly increased . abdomen the aortic arch calibration is 30 mm slightly larger than normal . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver entering the section area . calcified atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . calcific atheroma plaques are observed at the level of the abdominal aorta . upper abdominal organs included in the sections are normal . lung parenchyma at the apical levels of the upper lobes of both lungs there are slightly budding tree images more on the right and clinical laboratory correlation and follow-up are recommended for infectious processes . when examined in the lung parenchyma window mild thickening and mild atelectatic changes are observed in interlobular septa in both lung lower lobe basal segments . no pleural effusion was detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the coronary arteries and aortic arch . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not observed . heart size increased . calcific atheroma plaques are observed in the coronary arteries and aortic arch . osseous structures there is a diffuse density decrease in the bone structures in the examination area . abdomen calcific atheroma plaques are observed in the coronary arteries and aortic arch . bilateral adrenal glands were normal and no space-occupying lesion was detected . there is a small amount of effusion in the perihepatic area . upper abdominal organs included in the sections are normal . a small amount of effusion is observed in the perihepatic area . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the right lung upper lobe anterior segment paramediastinal area in the mediastinum there is a slightly heterogeneous internal mass lesion whose borders cannot be with irregular borders in places especially the brachiocephalic vein and superior vena cava the borders of which cannot be distinguished again invading the pericardium with calcifications in the non-contrast examination the borders cannot be clearly evaluated and the size cannot be given . in addition there is another lesion in the right lower paratracheal area with similar features as a calcific lymph node or another mass lesion . in the upper lobe anterior segment caudal there are also bud branches and focal ground-glass-like density increase . a superposed nodule of approximately 3 mm in diameter is observed on the interlobar fissure on the left and it has a faint appearance in the previous examination . in the previous examination it was observed as mild in the upper lobe and significant progression was observed in the findings . both hilar levels are normal as far as can be evaluated in the non-contrast examination . in the anterior-posterior segment transition of the right lung upper lobe branch views with faint buds are observed laterally . concomitant ground-glass-like density increases are observed in the lower lobe superior segment . it was not detected in the previous review . these lesions were not detected in the previous examination . in the upper lobe anterior segment of the right lung thickenings in the bronchial sheath around the lesion irregular thickenings and tractional bronchiectasis are observed . densities compatible with pleuroparenchymal sequelae are observed in the area extending caudally towards the middle lobe . focal bud branch view is observed in the left lung lower lobe superior segment . in the segment there is a branch with bud view in the right lung . no significant pleural effusion was detected in both lungs . airways no relevant findings . mediastinum calibration of the pulmonary trunk and other mediastinal major vascular structures in the mediastinum is natural . in the right lung upper lobe anterior segment paramediastinal area in the mediastinum there is a slightly heterogeneous internal mass lesion whose borders cannot be with irregular borders in places especially the brachiocephalic vein and superior vena cava the borders of which cannot be distinguished again invading the pericardium with calcifications in the non-contrast examination the borders cannot be clearly evaluated and the size cannot be given . in this lesion the size cannot be given in the non-contrast examination . the anterior mediastinum is dirty . no pathological size and configuration lymph nodes were detected at other levels in the mediastinum . heart and great vessels cto is within the normal range . pericardial thickening is observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that lung parenchyma when examined in the lung parenchyma window stable nodules with a diameter of 4 mm in the left lung lingular segment superior and 75 mm in the left lung lower lobe laterobasal are observed . apart from this no lesion was detected in both lungs . no pleural or pericardial effusion or thickening was detected . no increase in pleural effusion-thickness was detected in both hemithorax . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal and both hilar lymph nodes were not observed in pathological size and appearance . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesion was observed in bone structures . minimal osteophytic degenerative changes are observed in the vertebral corpus corners . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a 3 mm diameter nodule is observed in the right lung lower lobe laterobasal segment . when examined in the lung parenchyma window mild mosaic attenuation pattern in both lungs small vessel disease small airway disease . no significant pleural effusion pneumonia or pneumothorax was detected in both lungs . airways no relevant findings . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . millimetric sized calcific atheroma plaques are observed in the aortic arch . heart and great vessels cto is normal . osseous structures there are degenerative changes in the bone structure in the examination area . abdomen near the gallbladder there is a parenchyma area protected from fat in a plastering style . in the sections passing through the upper abdomen a decrease in density consistent with hepatosteatosis is observed in the liver . millimetric sized calcific atheroma plaques are observed in the aortic arch . lung parenchyma first of all the sequelae were interpreted in favor of the change . no active infiltration consolidation or space-occupying lesion was detected . the differential diagnosis also includes covid-19 pneumonia . when examined in the lung parenchyma window peripherally located millimetric sequela calcific nodules are observed in both lungs . pleuroparenchymal linear density in the lateral lingular segment of the left lung and a barely distinguishable ground-glass opacity are observed in this area . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the views described are not specific . there are pleuroparenchymal sequelae changes in the apical segment of the right lung upper lobe . no mass was detected in both lungs . minimal emphysematous changes were observed in both lungs . there are sometimes linear atelectasis in both lungs . but it was first evaluated in favor of an infective pathology . minimal ground-glass appearances and centriacinar nodules some of which have the appearance of budding trees were observed in both lungs more prominently in the lower lobes . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are millimetric atheroma plaques in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are millimetric atheroma plaques in the aorta . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . there are stones in both kidneys the largest measuring about 3 mm in diameter . lung parenchyma it does not show significant dimensional and structural differences . apart from this both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . follow-up is recommended . pleural effusion-thickening was not detected . when examined in the lung parenchyma window the consolidation area observed in the right lung middle lobe lateral segment is also present in the current examination and causes irregularities in pleural retraction . airways trachea both main bronchi are open . mediastinum there was no significant difference in the sizes of lymph nodes observed in the axillary regions . thoracic aorta diameter is normal . millimetric lymph nodes are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs are partially included in the examination and were evaluated as suboptimal . post-op clips are observed in the right adrenal region . thoracic aorta diameter is normal . lung parenchyma radiological findings were evaluated as compatible with covid pneumonia . there are atypical pneumonic infiltration areas in the form of bilateral peripheral asymmetric ground glass opacity in all segments of both lungs . airways no relevant findings . mediastinum no lymph node reaching pathological dimensions was observed in the mediastinum . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures in the supraclavicular fossa no lymph node in pathological size and appearance was observed in the axilla . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma subsegmental atelectatic changes were observed in the left lung upper lobe lingular and right lung lower lobe laterobasal segments . when examined in the lung parenchyma window as far as can be observed secondary to movement artifacts both lungs are emphysematous . a nonspecific calcific nodule with a diameter of 7 mm was observed in the laterobasal segment of the lower lobe of the left lung . a millimetric nonspecific parenchymal nodule was observed in the middle lobe of the right lung . the most prominent paraseptal emphysematous changes were observed in the right apex posterior of both lung apexes . lung parenchymal aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . sequelae thickening was observed in the posterior costal pleura in both hemithoraces . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum calcific atheroma plaques were observed in the aortic arch and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the aortic arch and coronary arteries . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures the findings are compatible with dish . spur formations bridging each other were observed in the right anterolateral corner of the thoracic vertebra . abdomen nodular lesions of fluid density with a diameter of 19 mm were observed in both kidneys the largest on the right cyst . gallbladder spleen pancreas both adrenal glands are normal . calcific atheroma plaques were observed in the aortic arch and coronary arteries . millimetric sequela nodular calcification was observed in the posterior right lobe of the liver as far as can be observed in the sections . lung parenchyma in the mediobasal segment of the lower lobe of the right lung there is a well-contoured nodule with borders and calcifications measuring mm in the peripheral area . it is also understood that the nodule described in the pet-ct examination of the patient did not show increased fdg uptake . there are millimetric nonspecific nodules in both lungs . there are sometimes linear atelectasis in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . the described nodule is also present in the patients previous pet-ct examination and no difference was found in its size and appearance . both lungs have a mosaic attenuation pattern small airway disease small vessel disease . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum aorta diameter is normal . there are lymph nodes in the mediastinum and hilar regions . the main pulmonary artery diameter was 33 mm and was wider than normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph node was detected in the pathological appearance . there are atheromatous plaques in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen there are atheromatous plaques in the aorta and coronary arteries . aorta diameter is normal . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma radiological findings were evaluated as compatible with covid pneumonia . linear subsegmental atelectasis areas are observed in both lungs and lower lobes . in the lung parenchyma there are atypical pneumonic infiltration areas in the ground glass density of subpleural and parenchymal localization which are slightly prominent towards the bilateral bases . airways the air passages of the trachea lobar and segmental bronchi of both main bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . no space-occupying lesion was detected in the mediastinal fat pad . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window in the upper lobes of both lungs peripherally located ground-glass opacities with faint borders are observed . a similar linear ground-glass opacity increase is observed in the left lung adjacent to the fissure . in the lower lobe anterior segment of the right lung a subpleural location with a faintly limited ground glass opacity is observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are millimetric nodules in both lungs the largest of which reaches 55 mm in diameter . when examined in the lung parenchyma window sequela fibrotic changes are observed in both lungs . airways trachea both main bronchi are open . mediastinum lymph nodes with a short axis of the larger ones reaching 10 mm were observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . diffuse calcific plaques are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures there is minimal degeneration in the vertebrae . there are changes related to sternotomy . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no active infiltration or mass lesion was detected in both lungs . pleural effusion-thickening was not detected . in the right pleural space there is a loculated collection in the anterior reaching a diameter of 57 mm in the deepest part showing loculation in places in which hyperdense areas of hemorrhagic character are observed . there is a 15 mm deep free effusion in the right pleural space . a nonspecific increase in pleura thickness is observed in the posterior basal segment of the left lung lower lobe . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the diameter of the artery is 47 mm the diameter of the right pulmonary artery is 36 mm and the left pulmonary artery is 37 mm in dilatation . in addition there is a hyperdense appearance of in the pulmonary artery . it has calcified atheroma plaques in millimeters on its wall . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels cto increased in favor of the heart . the operation material of mitral valve replacement . minimal pericardial effusion is observed . in addition stent material is observed in the coronary arteries . osseous structures there are post-operative suture materials in the sternum . no lytic or destructive lesions are observed in the bone structures within the image . abdomen liver contour acuity is decreased . in addition there is a hypodense and dense lesion measuring mm in size with cortical localized exophytic extension in the upper pole . in the middle zone of the right kidney there is a hyperdense lesion measuring 13x10 mm in anterior cortical location hemorrhagic cyst . no intraabdominal free fluid-loculated collection was observed . in the upper abdominal sections within the image there are millimeter-sized hyperdense stones in the gallbladder lumen . the described collection extends at the epigastric level . evaluation for liver parenchymal disease is recommended . it has calcified atheroma plaques in millimeters on its wall . lung parenchyma both lower lobe basal segment bronchi of both lungs collapsed and lobar consolidation areas with accompanying atelectasis parenchyma were considered suspicious in favor of pneumonic infiltration . primarily it was evaluated suspiciously in favor of the infective process . shooting was done in expiration . there are areas of ground glass opacity in the right lung middle lobe lateral segment upper lobe anterior segment and left lung upper lobe . no space-occupying mass or nodular lesion was observed in the ventilated lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels heart size increased . pericardial effusion was not detected . calcified atheroma plaques are observed in the coronary arteries . osseous structures height loss in favor of insufficiency fracture is observed in the t12 vertebral body . this level caused focal kyphosis . osteoporosis is evident in bone structures . abdomen it was evaluated in favor of polycystic kidney disease . an increase in the size of both kidneys and a large number of cysts are observed in the upper abdominal sections . lung parenchyma in the evaluation of both lung parenchyma peripheral patch-like and peribronchial ground-glass consolidations are observed in both lung parenchyma . there is a paving appearance formed by interlobular septal thickenings within the consolidated areas in places . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum millimetric-sized calcific atherosclerotic plaque is observed in the aortic arch . a few lymphadenomegaly with prominent hilar fat content are observed with a narrow diameter of the right upper-bilateral lower paratracheal larger one reaching 10 mm . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . the size of the liver which entered the examination part increased and its parenchyma decreased in accordance with hepatosteatosis . millimetric-sized calcific atherosclerotic plaque is observed in the aortic arch . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the middle lobe of the right lung there is an area of increase in density consistent with sequela atelectasis accompanied by structural distortion volume loss and bronchiectatic changes in the paracardiac area . in addition there are sequelae pleuroparenchymal bands in the right lung lower lobe laterobasal and posterobasal segments and in the left lung inferior lingular segment . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . no right pleural effusion was detected . bilateral pleural effusion was not detected . an effusion measuring 11 mm is observed in the deepest part of the left pleural area . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum lymph nodes with a fusiform configuration the largest of which is short at the subcarinal level and measuring 10 mm in size are not in pathological appearance . no lymph nodes were detected in pathological size and appearance in both axillary region and supraclavicular area . the ap diameter of the ascending aorta is 42 mm and the ap diameter of the descending aorta is 32 mm which is wider than normal . it is noteworthy that the pulmonary conus and both pulmonary arteries are wider than normal . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels it is present in the cardiothoracic ratio in favor of the heart . minimal fluid is observed in the pericardial area . osseous structures there is a significant increase in thoracic kyphosis in the bone structures within the image there is a left-facing scoliosis in the thoracic vertebral column and osteophytic degenerative changes are observed in the vertebral corpus end plateaus which tend to coalesce from place to place . abdomen the ap diameter of the ascending aorta is 42 mm and the ap diameter of the descending aorta is 32 mm which is wider than normal . an increase in liver and spleen sizes was noted in the abdominal sections within the image . there is a hypodense lesion of approximately mm in the subcapsular area which cannot be characterized in this examination at the level of junction of the liver segment . lung parenchyma when examined in the lung parenchyma window an increase in density is observed at the apical level of the right lung upper lobe and lower lobe superior slightly patchy which can hardly be distinguished from the parenchyma . there are several millimetric nodules in both lungs . clinical and laboratory correlation and follow-up are recommended for suspected early infectious process . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . small lymph nodes are observed in the mediastinum . small hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pulmonary parenchymal involvement of covid-19 cannot be excluded . in the left major fissure the has just developed . a chronic collection area with a thick wall structure measuring 52 mm in diameter is observed in the basal segment of the lower lobe of the right lung . the middle lobe and lower lobe segment bronchi are markedly narrowed . he had similar findings in his previous imaging . due to the lack of contrast material primary mass lesion in the mediastinum and metastatic laps cannot be distinguished from each other . there are areas of subsegmental atelectasis in the basal segment of the lower lobe of the left lung . the presence of infection could not be ruled out due to the presence of consolidation areas . mass borders and consolidated parenchyma borders cannot be selected . the right lung is almost not ventilated . the pleural effusion is stable reaching a diameter of 45 cm between the leaves of the left pleura . there are subpleural ground-glass density areas and septal thickenings in the left lung upper lobe lingula inferior segment . airways the middle lobe and lower lobe segment bronchi are markedly narrowed . upper lobe segment bronchi are . mediastinum due to the lack of contrast material primary mass lesion in the mediastinum and metastatic laps cannot be distinguished from each other . the mediastinum is . heart and great vessels there are calcified atheroma plaques in the coronary arteries . heart size increased . pericardial effusion observed in his previous examination was not detected in the current examination . calcified atheroma plaques are observed in the coronary arteries . osseous structures no fracture was detected . there is significant osteoporosis in bone structures . mild height loss due to osteoporosis is observed in the vertebra . abdomen in the upper abdominal sections there is diffuse distension in the abdomen . the dimensions of the central necrotic nodular lesion with a diameter of 16 mm in the are stable . subcutaneous edema was observed in abdominal sections . lung parenchyma parenchymal sequelae density increases were observed in the middle lobe of the right lung the inferior segment of the left lung and the anterobasal segment of the lower lobe . a calcified nonspecific parenchymal nodule with a diameter of 3 mm in the left lung lower lobe mediobasal was observed . pleuroparenchymal sequelae density increases were observed in both upper lobes of the lungs . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . minimal peribronchial thickening was observed in both lungs . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the abdominal aorta . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . mediastinal structures were evaluated as suboptimal because the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures in the left there are densities of the fixation material partially entering the examination area . mild degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen calcified atherosclerotic changes were observed in the wall of the abdominal aorta . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . calcules measuring 35 mm in diameter were observed on the left in the middle zone of both kidneys . in the upper abdominal sections in the study area liver parenchyma density was diffusely decreased in line with the adiposity . lung parenchyma when examined in the lung parenchyma window a millimetric-sized parenchymal nodule was observed in the laterobasal segment of the lower lobe of the left lung . no mass lesion-active infiltration was detected in the lung parenchyma . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative osteophytic taperings were observed in the right end plates of the vertebra corpus . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the nodule dimensions defined in the previous review were 5 mm . however the right hilus cannot be evaluated optimally due to consolidation . it is recommended to evaluate the case in terms of pneumonic consolidation . however other than that reticulonodular density increases bud branch view are observed in both lungs . there is an increase in size met . it was not detected in the previous review . again in the left lung a 9 mm diameter nodule is observed in the lingular segment anteriorly and it was 45 mm in diameter in the previous examination . no pathological size and configuration of lymph nodes were detected at both hilar levels . there is a 10 mm diameter nodule in the anterior segment of the left lung upper lobe . it is more limited in the left lung . in the lower lobe of the right lung there is a consolidation appearance with an air bronchogram that fills almost the entire parenchyma . no significant pleural effusion was detected . airways nasogastric tube is observed in the case . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels mild pericardial thickening is observed . cto is normal . it is also available in the old review . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . a nodular density of approximately 6 mm in diameter is observed in the anterolateral neighborhood of the splenic flexure lymph node . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window minimal emphysema was observed in the upper lobes of the lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . airways trachea both main bronchi are open . mediastinum the examination was considered suboptimal since no contrast agent was given . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the examination was considered suboptimal since no contrast agent was given . as far as can be seen mediastinal main vascular structures heart contour size are normal . pericardial effusion-thickening was not observed . osseous structures at the mid-thoracic level bridging spur formations were observed in the right anterolateral corners of the vertebrae . abdomen liver spleen pancreas both kidneys right adrenal gland are normal . no gall bladder was observed in the upper abdominal organs included in the sections operated . surgical suture materials were observed in the gallbladder fossa . nodular thickening was observed in the left adrenal gland corpus . lung parenchyma apart from this no nodular or infiltrative lesion was detected in both lung parenchyma . when examined in the lung parenchyma window mosaic attenuation patterns in both lungs bilateral pleural effusion measuring 26 mm in thickness on the right and 19 mm in thickness on the left . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are lymph nodes with a short axis measuring up to 10 mm in the aorticopulmonary window in more than one paratracheal area in the mediastinum and in the anterior mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures diffuse degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a nonspecific nodule with a diameter of 2 mm is observed in the posterior segment of the upper lobe of the right lung . there are mild sequelae changes at the apical level and a mild emphysema appearance . density compatible with pleuroparenchymal sequelae is observed in the inferior lingular segment . there is a 4x2 mm nonspecific nodule in the superior segment of the left lung lower lobe . there was no finding compatible with bilateral pleural effusion pneumothorax or pneumonia . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum calibration of major vascular structures in the mediastinum is natural . no lymph nodes with pathological size and configuration are observed in the mediastinum and both hilar . there is thymic tissue in the anterior mediastinum which has no mass effect and in which hypodense areas compatible with fatty are observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . a nodular formation compatible with the millimetric accessory spleen is observed in the anterior neighborhood of the spleen . in the sections passing through the upper abdomen there is a mild steatosis appearance in the liver . a hypodense nodular nonspecific lesion with a diameter of approximately 10 mm is observed at the level of the dome in the anterior segment of the right lobe of the liver . lung parenchyma no detectable prominent lymph nodes were detected in both hilar-level non-contrast examinations . in terms of infective processes evaluation together with clinical and laboratory findings is recommended . in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . there is a branch with bud view in the posterior segment caudal of the right lung upper lobe . branches with buds are observed in the left lung upper lobe apicoposterior segment caudal and lingular segment and lower lobe segments . in the middle lobe there is a view of a partially budded branch . there is light fluid in the interlobar fissure . in the right lung a focal consolidative area in the posterobasal segment and a dense branch with buds are observed in the area extending towards the superior segment . there is medial pleural pleural effusion in both lungs . airways calibration of trachea and main bronchus is natural . mediastinum calibration of other major mediastinal vascular structures is natural . calibration is measured at 37 mm . calcific atheroma plaques are observed in the coronary arteries and aortic arch . the aortic arch calibration is 29 mm . it extends posteriorly to the superior . it is larger than normal . calcific atheroma plaques are observed in the aortic arch descending and ascending aorta . there is aneurysmatic dilatation at the diaphragmatic level in the descending aorta . there are millimetric lymph nodes in the mediastinum . heart and great vessels the left atrium is hypertrophied . cto is normal . calcific atheroma plaques are observed in the coronary arteries and aortic arch . osseous structures dorsal kyphosis increased . there is significant height loss in the l1 vertebra more prominently on the corpus anterior and on the right . on the right the muscle is atrophic . intense is observed . there are intense degenerative changes in the bone structure . abdomen calibration is measured at 37 mm . calcific atheroma plaques are observed in the coronary arteries and aortic arch . bilateral adrenal glands were normal and no space-occupying lesion was detected . the aortic arch calibration is 29 mm . in the non-contrast sections passing through the upper abdomen a large of approximately mm in size is observed in the gallbladder . the liver is natural . there is localized thinning in the left kidney parenchyma . it is larger than normal . calcific atheroma plaques are observed in the aortic arch descending and ascending aorta . two cortical cysts the largest of which are in the upper pole posterior and approximately 22 mm in diameter are observed in the right kidney . there is aneurysmatic dilatation at the diaphragmatic level in the descending aorta . after a short segment it reaches normal calibration at the level of the kidney upper poles . however at the infrahilar level there is another aneurysmatic segment that reaches a calibration of approximately 39 mm again . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . accessory spleen was observed . lung parenchyma the described manifestations were primarily evaluated in favor of infective pathology . in addition there are centriacinar nodules some of which have the appearance of budding trees in the right lung upper lobe posterior segment middle lobe and lower lobe superior segment . no mass was detected in both lungs . consolidation is observed in the middle lobe of the right lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with discernible borders as far as it can be observed within the limits of unenhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma widespread consolidation in all segments of both lungs and density increases in ground glass density are observed . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen as far as it can be observed within the limits of non-contrast ct there is a diffuse density decrease secondary to hepatosteatosis in the liver parenchyma . lung parenchyma in lung parenchyma evaluation aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there are atelectatic changes in both lung lower lobes . pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . several nonspecific parenchymal nodules measuring 6 mm in diameter were observed in both lung parenchyma the largest of which was in the left lung lower lobe laterobasal segment . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . subpleural focal ground-glass density increases are observed in the upper lobe of the left lung and the mediobasal segment of the lower lobe of the right lung viral pneumonia . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . minimal calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls . when the upper abdominal sections in the examination area are evaluated there are densities of electrodes extending to the esophagogastric junction . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial minimal effusion was observed . increased heart size cardiomegaly . osseous structures no lytic-destructive lesion was detected in bone structures . degenerative changes are present . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . when the upper abdominal sections in the examination area are evaluated there are densities of electrodes extending to the esophagogastric junction . minimal calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls . lung parenchyma the outlook is consistent with covid-19 pneumonia . when examined in the lung parenchyma window multiple multisegmental and more common crazy paving patterns in the lower lobe basal segments in both lungs and large patchy ground-glass consolidations with vascular enlargement were observed . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels minimal effusion was observed in the pericardial space . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs including sections the spleen is full . lung parenchyma there are linear atelectatic changes observed in the middle lobe of the right lung extending to the paracardiac area in the inferior . when examined in the lung parenchyma window slight patchy ground-glass densities at the posterobasal level of the lower lobe of the right lung were initially evaluated in favor of dependent atelectasis . there are fibrotic sequelae changes and paraseptal emphysematous findings in the left lung upper lobe posterior and lower lobe superior . there was no finding evaluated in favor of a significant interstitial fibrosis . airways trachea both main bronchi are open . mediastinum there are several lymph nodes in the with a short axis measuring 4 mm . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures it is natural . there is a decrease in density and degenerative changes in the bone structures in the study area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma some purcalcified nonspecific nodules were observed in both lungs . there are minimal emphysematous changes at the apex . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures there are degenerative changes . it cannot be characterized in this examination . at the level of the corpus sterni hypodense lesions with smooth borders and soft tissue density measuring 10 mm in diameter were observed under the skin . no lytic or destructive lesions were detected in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdominal sections there is diffuse density loss in the liver . lung parenchyma no mass lesion-active infiltration was detected in both lungs . when examined in the lung parenchyma window passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung upper lobe inferior lingular segment . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum as far as can be seen the main vascular structures in the mediastinum heart contour and size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the main vascular structures in the mediastinum heart contour and size are normal . osseous structures in the bone structures within the study area spur formation bridging with each other in the right anterior lateral corners of the vertebral corpus at the mid-thoracic level and mild scoliosis with the opening facing left were observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area as far as can be seen in the non-contrast sections . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are a few millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are bilateral peribronchial thickenings . when examined in the lung parenchyma window diffuse patchy ground-glass density increases with septal thickenings were observed in both lungs . in addition consolidation areas were observed in the upper lobe posterior and lower lobe of the right lung . atelectatic changes were observed in the lower lobes of both lungs . a free pleural effusion measuring 24 mm in thickness was observed between the pleural leaves on the right . there are occasional calcified pleural plaques in both hemithoraces . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . in the upper abdominal sections in the study area calcified atherosclerotic changes were observed in the wall of the abdominal aorta . the diameter of the main pulmonary artery was 30 mm the right pulmonary artery was 22 mm and the left pulmonary artery was 24 mm in diameter and there was mild dilatation . there are lymph nodes measuring 9 mm on the short axis of the largest in the mediastinal upper-lower paratracheal prevascular subcarinal area and aorticopulmonary window . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased . the diameter of the ascending aorta was 42 mm and showed fusiform dilatation . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . there is a pacemaker and electrodes extending to the ventricle on the left chest wall . pericardial thickening-effusion was not detected . osseous structures diffuse degenerative changes were observed in the bone structures in the study area . no lytic-destructive lesion was detected in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . in the upper abdominal sections in the study area calcified atherosclerotic changes were observed in the wall of the abdominal aorta . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . ventilation of both lung parenchyma is natural . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were observed in both axillary regions bilateral supraclavicular fossae and mediastinum . calibration of mediastinal vascular structures heart contour and size are natural . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of mediastinal vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . apart from these both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . a mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . there are several nonspecific nodules in both lungs with a short diameter of less than 3 mm . no pleural-pericardial effusion or thickening was detected . there are ground glass areas in the subpleural area in the superior segment of the left lung lower lobe . airways no obstructive pathology was detected in the trachea and both main bronchi . peribronchial thickness increase is observed . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures approximately 70 height loss is stable in the t7 vertebra . there are extensive sclerotic changes in bone structures within the sections secondary . abdomen as far as it can be evaluated within the limits of non-contrast ct gall bladder is not observed operated . both kidneys are atrophic . calcific atheroma plaques are observed in the aorta . sliding type minimal hiatal hernia is observed at the esophagogastric junction . lung parenchyma in the evaluation of both lung parenchyma no mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels no relevant findings . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the west a large number of hypodense possibly cystic structures some of which are hemorrhagic are observed in the liver and left kidney in the examination area polycystic disease . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density changes in favor of steatosis . lung parenchyma when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lungs . there are sequela parenchymal changes in the apex of both lungs . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no solid-cystic mass was detected within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma no mass or infiltrative lesion was detected in both lungs . minimal emphysematous changes are observed in both lungs . there are millimetric nonspecific nodules in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . there are millimetric atheroma plaques in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures other thoracic vertebral body heights are normal . minimal height loss is observed in the t12 vertebra superior end plate . the neural foramina are open . abdomen there are millimetric atheroma plaques in the aorta . a mass measuring mm and evaluated in favor of adenoma is observed in the right adrenal gland . there is a stone about 1 cm in diameter in the middle part of the left kidney . lung parenchyma in lung parenchyma evaluation aeration of both lung parenchyma is normal and no nodular or mass lesion pneumonic infiltration area is detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological pathological size and appearance was observed in the mediastinum . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the limits of non-enhanced ct . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are millimetric osteophytes at the vertebral corpus corners . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma when examined in the lung parenchyma window peribronchial budding tree-like reticulonodular point density increases are observed in both lung parenchyma especially in the upper lobes . millimetric nonspecific nodules were observed in both lung parenchyma . airways trachea both main bronchi are open . there are thickenings of the bronchial walls . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . diffuse density loss was observed in the liver . thoracic aorta diameter is normal . lung parenchyma when examined in the lung parenchyma window patchy ground glass densities and mild consolidation areas are observed in both lungs most prominently in the right lung upper lobe and lower lobe posterobasal segments . the findings were evaluated in terms of covid-19 viral pneumonia and further examination is recommended for better differential diagnosis with clinical laboratory correlation . airways there are mild bronchiectasis and enlargement of the vascular structures in the described areas . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum in the mediastinum lymph nodes the largest of which are measured up to 9 in the short axis and 20 mm in the long axis are observed in the aorticopulmonary window . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . there is stent material in the left coronary artery . osseous structures there are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles and a decrease in density in the bone structures . abdomen there are diverticulum in the observable colon loops and no findings in favor of diverticulitis were detected . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma the findings were evaluated as secondary to covid-19 viral pneumonia in the patient known to be covid positive . when examined in the lung parenchyma window diffuse peripherally located halo sign patchy ground glass densities are observed in both lungs . clinical laboratory correlation and follow-up are recommended . there are mild bronchiectasis in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a bleb measuring mm was observed in the apical segment of the right lung . when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apexes . several nonspecific parenchymal nodules with a diameter of 42 mm were observed in both lungs the largest of which was adjacent to the minor fissure in the anterior segment of the right lung upper lobe . no mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . a millimetric diverticulum was observed in the right posterolateral aspect of the trachea superior part . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaque was observed in the aortic arch . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes were observed in the bone structures in the examination area . abdomen calcific atheroma plaque was observed in the aortic arch . nodular thickening was observed in the left adrenal gland lateral crus in the upper abdominal organs included in the sections . lung parenchyma no active infiltration or mass lesion was detected in both lungs . there are emphysematous changes in both lungs . structural distortion in the bilateral apex of the left lung upper lobe inferior segment and lower lobe posterobasal segment of the left lung and medial segment of the right lung middle lobe and density increases which are evaluated as linear nodular sequelae accompanied by volume loss were observed . there is an effusion measuring 11 mm in diameter at its deepest point in the left pleural space . airways trachea both main bronchi are open and no occlusive pathology is detected . when examined in the lung parenchyma window there are diffuse mild ectasia and peribronchial thickness increases in the bronchial structures in both lungs . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . calibration of mediastinal major vascular structures is natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels pericardial effusion was not detected . the heart contour and size are natural . osseous structures there are degenerative changes . no lytic-destructive lesion was observed in the bone structures within the image . abdomen in the upper abdominal sections within the image there is no free fluid loculated collection or lymph node in pathological size and appearance within the borders of non-contrast ct . calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections a peripheral subcapsular well-circumscribed hypodense lesion with a diameter of 6 mm was observed in segment 7 of the liver cyst . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in the bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . nodular lesion with a diameter of 21 mm was observed adjacent to the stomach fundus gastric diverticulum . upper abdominal sections entering the examination area are natural . lung parenchyma in the current examination with calcification extending from the hilar area along the neighborhood of the lower lobe bronchi in the lower lobe mediobasal segment of the left lung a primary mass measuring approximately mm in the previous pet ct examination is observed measuring approximately mm . there are sequela parenchymal changes in the right lung lower lobe mediobasal segment . there are minimal emphysematous changes . active infiltration was not observed in both lungs . no pleural effusion was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are lymph nodes in the mediastinum including calcifications in the prevascular paratracheal aorticopulmonary window subcarinal level and both hilar areas . in the previous ct examination the largest was measured at the subcarinal level with a short diameter of 15 mm and in the current examination it is 14 mm . calibration of mediastinal vascular structures is natural . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels there are calcific atheromatous plaques on the wall of the coronary vascular structures . minimal pericardial effusion was observed . osseous structures at the t7 level there is a soft tissue component extending from the left foramen to the paravertebral area in the left epidural area . there are sequelae fracture appearances in the anterior parts of both hemithorax . in addition at the t10 level there is a soft tissue component that almost completely fills the right neural foramen . a stable nodular lesion measuring approximately 14 mm in diameter with peripheral calcification was observed in the perihepatic fatty plane adjacent to the liver segment . in the bone structures within the image sclerotic metastatic bone lesions which were also observed in the previous pet ct examination were observed in the t7 t9 t10 and t11 vertebrae . there is a pathological fracture in the upper end plateau of the t7 vertebra corpus . abdomen in the upper abdominal sections within the image diffuse slight thickness increase was observed in the medial crus of the right adrenal gland which was also observed in the previous pet ct examination . there are surgical suture materials secondary to the operation . a stable nodular lesion measuring approximately 14 mm in diameter with peripheral calcification was observed in the perihepatic fatty plane adjacent to the liver segment . in the bone structures within the image sclerotic metastatic bone lesions which were also observed in the previous pet ct examination were observed in the t7 t9 t10 and t11 vertebrae . the gallbladder was not observed . lung parenchyma when examined in the lung parenchyma window there are emphysematous changes in the upper lobe of the right lung . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma active infiltration or mass lesion is not detected in both lungs and there are a few millimetric nonspecific nodules on the right . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma it is also observed in the previous examination and no significant change was detected in these findings . bilateral peribronchial thickenings were observed . clinical and laboratory correlation is recommended . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the outlook may be compatible with the infectious process . when examined in the lung parenchyma window bilateral pleural thickening-effusion was not detected . peribronchial irregular thickenings accompanying bronchiectatic changes interlobular septal thickening in the peripheral subpleural area and sequelae contour irregularities in the pleura were observed in both lungs . in the current examination newly emerged consolidative areas were observed in the posterobasal segment of the lower lobes of both lungs and prominently on the right in the subpleural area . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum an image of a catheter extending superiorly to the vena cava was observed . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no dilatation was detected in the thoracic aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . abdomen no dilatation was detected in the thoracic aorta . no significant pathology was detected in the upper abdominal sections that entered the examination area . lung parenchyma when examined in the lung parenchyma window thickening is noted in the perihilar areas of both lungs . nonspecific parenchymal nodules were observed in both lungs the largest of which was 25 mm in diameter in the superior segment of the lower lobe of the right lung . in the lung basals pleural thickening was observed in the lateral basal segment of the left lung lower lobe . airways calcifications were observed in tracheal . no occlusive pathology was detected in the lumen . trachea and both main bronchi are open . mediastinum lymph nodes were observed in the mediastinal prevascular area and in the paratracheal area as well as in the lower esophageal area . thoracic aorta diameter is normal . some of the lymph nodes are calcified . mediastinal main vascular structures heart contour size are normal . lymph nodes were observed in the mediastinal prevascular area and in the paratracheal area as well as in the lower esophageal area . thoracic esophagus is in normal calibration . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures sclerosis and osteophyte formations were observed in the vertebral corpus corners . in the evaluation of bone structures significant changes were observed in the bones and thoracic kyphosis increased . there was no lymph node that reached pathological size in the bilateral subraclavicular region and axillary region . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . type 1 hiatal hernia was observed distal . thoracic aorta diameter is normal . in the evaluation of the upper abdominal organs entering the imaging field is present in the left kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no nodular lesions were detected in both lung parenchyma . when examined in the lung parenchyma window in the posterobasal segment of the lower lobe of the right lung a consolidation area with patchy ground glass densities is observed . the findings were primarily evaluated in favor of lobar pneumonia . due to the current clinical laboratory correlation follow-up is recommended for the differential diagnosis of covid-19 viral pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in its periphery there are areas of density increase in ground glass density . in both lungs in the right lung upper lobe anterior and posterior middle lobe left lung upper lobe anterior and apicoposterior segment there are localized density increases in ground glass density and areas of nodular consolidation are observed in places . when examined in the lung parenchyma window there are millimetric nonspecific nodules in both lung parenchyma which were also observed in the patients previous ct examination . findings suggest pneumonia . there is also a newly developed subcentimetric pleural effusion in the current review . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph node was observed in pathological size and appearance in both axillary regions . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures height losses were observed in vertebra upper end plateaus . no lytic or destructive lesions were detected in bone structures . a soft tissue density lesion measuring approximately mm was observed extending into the right neural foramen adjacent to the thoracic 5th vertebra on the right and extending into the spinal canal the neural foramen . abdomen there is a 15 mm stone in the gallbladder lumen as far as it can be observed within the borders of unenhanced ct in the upper abdominal sections within the image . lung parenchyma no active infiltration or mass lesion was detected in the left lung parenchyma . in the right lung upper lobe posterior segment there is an area of increase in density consistent with the consolidation observed in air bronchograms . its etiology is primarily thought to be bacterial pneumonias . however the presence of an underlying mass cannot be excluded . pericardial left pleural effusion was not detected . subcentimetric minimal effusion was observed in the right pleural space . airways no relevant findings . mediastinum mediastinal vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . there are calcified atheroma plaques in the wall of the thoracic aorta . in addition lymph nodes that lost their fusiform configuration were observed in the mediastinum at the paratracheal and subcarinal level the largest of which was 15 mm in diameter . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels mediastinal vascular structures and heart examination iv . the ascending aorta is larger than normal with a diameter of 41 mm . osseous structures no lytic-destructive lesion is observed in the bone structures within the image there are degenerative changes . abdomen it could not be evaluated optimally due to lack of contrast . in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . there are calcified atheroma plaques in the wall of the thoracic aorta . lung parenchyma when examined in the lung parenchyma window in the left lung lower lobe and upper lobe posterior millimetric nonspecific calcified parenchymal nodules the largest of which is 3 mm in diameter were observed . no mass-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma in the evaluation of both lung parenchyma dependent density increases are observed in the lower lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum apart from this the heart and mediastinal vascular structures have a natural appearance . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . the ap diameter of the ascending aorta is 42 cm and it is wider than normal . heart and great vessels apart from this the heart and mediastinal vascular structures have a natural appearance . the heart and mediastinal vascular structures have a natural appearance . osseous structures dorsal kyphosis was markedly increased . in the dorsal localization height losses are observed in t5 and t8 vertebrae over 75 in t5 and 50 in t8 vertebra . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . parapelvic cysts with a diameter of 2 cm in the right kidney and cortical cysts with a diameter of 27 cm in the left kidney are observed in both kidneys . the ap diameter of the ascending aorta is 42 cm and it is wider than normal . in addition punctate hyperdensities in both kidneys and nodular density that may belong to a hyperdense hemorrhagic cyst smaller than 1 cm in the anterior cortex of the left kidney are observed . lung parenchyma there is a lymph node of approximately mm at the level of the right hilum . no lymph node was detected at the level of the left hilum . in the right lung there is a consolidative density in the upper lobe posterior segment caudal to the interlobar fissure in which a focal hypodense area is observed in the central part . there are also smaller consolidative areas in the middle lobe . in the lower lobe superior segment there is consolidative density which is observed as hypodense centrally and infiltrative density increases are observed around it . there are 1-2 nodules the largest of which is 2 mm in diameter in the upper lobe of the left lung . more caudally 4-5 nodules of 2 mm in size are observed . pleural effusion or pneumothorax is not observed . no pleural thickening was detected . airways lumens are clear . in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal . it is observed in the air bronchogram . mediastinum pulmonary trunk calibration both pulmonary artery calibration aortic arch calibration are normal . prevascular lymph nodes are observed in the upper-lower paratracheal area in the mediastinum the largest of which is mm in size with hilar fat in the right lower paratracheal area . there is thymic tissue in the anterior mediastinum with trigonal configuration which does not show a mass effect and where hypodense areas compatible with fatty involution are observed . there are 2 paraesophageal lymph nodes at the distal esophageal level the paraesophageal largest being 5x4 mm in size . the esophagus is natural . heart and great vessels cto is within the normal range . mild effusion is observed at the pericardial apex level . osseous structures mild degenerative changes are observed in the bone . abdomen the spleen is full in sections passing through the upper abdomen . lung parenchyma no mass nodule-infiltration was detected in both lung parenchyma . there is subsegmental atelectasis area in the left lung lower lobe laterobasal segment . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window a subpleural nonspecific ground glass density increase was observed in the posterobasal segment of the lower lobe of the right lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures mild scoliosis with left opening was observed in the thoracic vertebrae . mild degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen it was evaluated in favor of hyperplasia rather than adenoma . in the upper abdominal sections in the study area diffuse thickening was observed in both adrenal glands . no dilatation was detected in the thoracic aorta . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mild bronchiectatic changes were observed in both lungs . it is recommended to be evaluated in terms of interstitial lung diseases . contour irregularities subpleural striations and interlobular septal thickenings were observed in the peripheral subpleural area in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the coronary artery wall . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . parenchymal aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma prominent bronchovascular interstitium was observed in the bilateral lower lobes . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the appearances described are primarily suggestive of viral pneumonias . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window there are ground-glass-like density increases and accompanying consolidations in the peripheral subpleural area which is evident in the middle and lower lobes of both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are millimetric osteophytes in the vertebral corpus corners . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma the described appearance is nonspecific . no mass or infiltrative lesion was detected in both lungs . a ground glass nodule measuring approximately 5 mm in diameter was observed in the laterobasal segment of the lower lobe of the right lung . there are also a few millimetric nonspecific nodules in the right lung . it is recommended to follow . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . subsegmental atelectasis areas are noted in the lower lobes of both lungs in the middle lobe of the right lung and in the inferior lingular segment of the left lung . no mass-infiltration was detected in both lung parenchyma . interlobular septal thickening and increased thickness at the fissure level were observed in the lower lobes of both lungs . when both lung parenchyma windows are evaluated bilateral peribronchial thickenings were followed . effusion areas observed in the previous examination between the bilateral pleural leaves were not detected in the current examination . airways no relevant findings . mediastinum calcified atherosclerotic changes were observed in the wall of the abdominal aorta . according to the previous examination stable short axis lymph nodes smaller than 1 cm were observed in the mediastinal upper-lower paratracheal localization . there are calcified changes in the wall of the thoracic artery . heart and great vessels enlargement is observed in the bilateral atrium . calcified atherosclerotic changes were observed in the coronary arteries . because the examination was unenhanced cto increased in favor of the heart . osseous structures there is a appearance in the bone structure . thoracic kyphosis has increased . there are degenerative changes in bone structures . abdomen it is recommended to be evaluated for liver parenchymal disease . contours of the liver show lobulation in the upper abdominal sections in the study area . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . there are calcified changes in the wall of the thoracic artery . the contours of both kidneys show lobulation and the parenchyma is thinned . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma there are diffuse emphysematous changes in both lungs especially in the upper lobes . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . millimetric atheroma plaques are observed in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen millimetric atheroma plaques are observed in the aorta . there is no upper abdominal free fluid-collection within the sections . in the liver parenchyma density a decrease in density is observed which is compatible with advanced adiposity . lung parenchyma millimetric nonspecific nodules were observed in both lungs . there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there is no pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels the port catheter terminates at the superior atrium junction . there is minimal pericardial effusion . heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen it is recommended that the patient be evaluated together with their medical history . there is another hypodense lesion in the head of the pancreas which cannot be evaluated optimally because it does not fully the sections but measures approximately 50 mm in the longest diameter and is evaluated in favor of a pancreatic mass . hypodense masses are observed in the liver which cannot be characterized because contrast agent is not given in both lobes . there is a view of the stent within the bile ducts . there is air in the intrahepatic bile ducts . lung parenchyma however it is not specific and can be seen in other diseases . the findings were primarily evaluated in favor of pneumonia and clinical laboratory correlation is recommended for the differential diagnosis of viral pneumonia due to the current pandemic . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window in the posterobasal and lateral levels of the lower lobe of the left lung patchy ground glass densities are observed in crazy paving pattern . imaging features can be seen in covid-19 pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be observed the calibration of the vascular structures and the heart contour size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma no active infiltration or mass lesion was detected in both lungs . there are emphysematous changes in both lungs . it is recommended to evaluate or follow up with previous ct examinations if any . when examined in the lung parenchyma window there are areas of increased density compatible with linear atelectasis and pleuroparenchymal sequelae bands in the lower lobes of both lungs the left lung upper lobe inferior lingular segment and the right lung middle lobe more prominently on the right . a pleural-based nodule with a smooth border of 10 mm in diameter is observed in the posterior segment of the left lung upper lobe . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . as far as can be seen pulmonary trunk and both pulmonary artery calibrations were significantly increased . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance . no lymph node was observed in pathological size and appearance . there are calcified atheroma plaques in the abdominal aortic wall . no pathological increase in wall thickness was detected in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures there are degenerative changes . no lytic or destructive lesions were observed in the bone structures within the image . abdomen there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . no intraabdominal free fluid or loculated collection was observed . no solid or cystic mass was detected in the intra-abdominal parenchymal organs as far as it can be observed within the borders of unenhanced ct in the upper abdominal sections within the image . there are calcified atheroma plaques in the abdominal aortic wall . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . nonspecific parenchymal nodules with a diameter of 64 mm were observed in both lungs the largest of which was in the paramediastinal area of the upper lobe of the right lung . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen an accessory spleen with a diameter of 16 mm was observed inferior to the splenic hilus . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window in both lungs there are ground glass densities and consolidation areas in which the expansion of the vascular structures is observed in a peripheral localized patch style . clinical laboratory correlation and close follow-up are recommended . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequela parenchymal changes are observed in the left lung upper lobe inferior lingular segment right lung middle lobe medial segment both lung apexes and lower lobe posterobasal segments . no active infiltration or mass lesion was detected in both lungs . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are centriacinar emphysematous changes in both lungs . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in both axillary region and mediastinum no lymph nodes are observed in pathological size and appearance . calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . mediastinal vascular structures and heart were not evaluated optimally due to the lack of iv contrast and as far as can be observed within the limits of non-contrast ct the ascending aorta is wider than normal with an anterior posterior diameter of 40 mm and a descending aorta of an anterior and posterior diameter of 29 mm . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and heart were not evaluated optimally due to the lack of iv contrast and as far as can be observed within the limits of non-contrast ct the ascending aorta is wider than normal with an anterior posterior diameter of 40 mm and a descending aorta of an anterior and posterior diameter of 29 mm . osseous structures there are degenerative changes . no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . there was no finding in favor of fracture . abdomen mediastinal vascular structures and heart were not evaluated optimally due to the lack of iv contrast and as far as can be observed within the limits of non-contrast ct the ascending aorta is wider than normal with an anterior posterior diameter of 40 mm and a descending aorta of an anterior and posterior diameter of 29 mm . calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . free fluid loculated collection is not observed . in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are a few millimetric nonspecific nodules in both lungs . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type minimal hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window pneumonic infiltration which was described in the right lung in the previous examination was completely in the current examination . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . there are several millimetric non-specific nodules in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum there is a venous catheter in the superior vena cava . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . there is a small hiatal hernia . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition there is a pulmonary nodule with a diameter of approximately 4 mm in the lateral part of the right lung middle lobe . it was understood that some of them were newly developed and the largest of them was observed in the posterobasal part of the lower lobe of the right lung . its dimensions are measured as mm . when examined in the lung parenchyma window especially in the lower lobe superior and posterobasal segments of the right lung increased pleural thickness and nodular lesions that cannot be differentiated from subpleural nodules are observed . airways the trachea is in the midline and both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are lymphadenopathies in the mediastinal area the largest in the lower pretracheal area with a short axis of 12 mm in diameter which are also observed at the level of the aortopulmonary window . in addition there are calcific atheroma plaques in the aortic walls included in the examination . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta diameter increased by 40 mm . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the skin and subcutaneous tissues included in the examination have a natural appearance . other upper abdominal organs included in the examination are normal . in addition there are calcific atheroma plaques in the aortic walls included in the examination . thoracic aorta diameter is normal . an increase in nodular thickness is observed in the left adrenal gland corpus . evaluation of solid organs and major vascular structures is suboptimal because the is unenhanced . a well-circumscribed hypodense lesion was observed in the middle part of the right kidney cyst . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . several nodules with a diameter of 6 mm are observed in both lungs the largest of which is in the lateral segment of the lower lobe of the right lung . dependent density increase is present in both lower lobe posterior segments of both lungs . left lung upper lobe lingular segment left prominent atelectasis in both lung lower lobes and accompanying nonspecific ground glass areas are present . no pleural-pericardial effusion or thickening was detected . airways trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no pathological increase in wall thickness was detected in the esophagus . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels the diameter of the ascending aorta measured 37 mm and increased . heart contour and size are normal . osseous structures at the t2 vertebra level the appearance of soft tissue density on the right lateral wall of the trachea was evaluated in favor of mucoid secretion . no lytic-destructive lesion was detected in the bone structures including the . abdomen as far as it can be evaluated within the limits of non-contrast ct there is no mass with distinguishable borders in the abdominal organs . sliding type minimal hiatal hernia is observed at the esophagogastric junction . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding type hiatal at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma ground-glass appearance and interstitial pattern consistent with pulmonary fibrosis in both lungs are noteworthy . a parenchymal nodule with a diameter of approximately 3 mm was observed in the posterior segment of the left lung upper lobe . when examined in the lung parenchyma window fibroatelectatic changes were observed in bilateral lung basals . bronchiectatic changes starting from the perihilar area and continuing towards the lower lobes are observed in both lungs accompanied by peribronchial thickening . it is accompanied by pleural thickening in the right lung . airways a mm hypodense nodule was observed in the left thyroid lobe and the trachea was compressed to the right . no occlusive pathology was detected in the lumen . calcifications were observed in the tracheal . trachea both main bronchi are open . mediastinum lymph nodes with a short diameter of 13 mm were observed in the mediastinal prevascular area paratracheal area subcarinal level and bilateral hilar region . no pathological wall thickening was detected . the thoracic esophagus is in normal calibration . heart and great vessels calcified atheroma plaques are observed in the main vascular structures and there is significant cardiomegaly . no pericardial effusion or thickening was detected . the dilatation in the left atrium is more prominent and the heart valve prosthesis applied to the mitral valve draws attention . osseous structures in the evaluation of bone structures surgical materials secondary to the operation on the sternum were observed . there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . thoracic kyphosis increased and degenerative changes consistent with spondylosis were observed in the thoracic vertebrae . abdomen no significant pathology was detected in the evaluation of the upper abdominal organs that entered the imaging field . type i hiatal hernia was observed distal . lung parenchyma a millimetric nodule in the upper lobe of the right lung is stable . in the lung parenchyma interlobular smooth septal thickenings and mild fissural thickening which are more prominent in the upper lobes and in the basals were evaluated in favor of interstitial edema . in the left lung the primary mass lesion extends into the upper lobe bronchus lumen and the area of subsegmental atelectasis in the posterior segment of the upper lobe is accompanied by the narrowing of the air passage . it measures 11 mm in diameter . cavitation and necrosis areas observed in the central part of the lesion with treatment are stable . the presence of infection in the necrosis area in the central part of the primary lesion in which air images were observed could not be excluded with this imaging . there is a slight increase in metastatic nodule size in the right lung lower lobe superior segment . there is no significant difference in the dimensions of this lesion . it was 8 mm in the previous examination . there is a primary mass lesion showing infiltration into the hilum and mediastinum in the superior segment of the left lung lower lobe . no pneumonic consolidation was detected . airways no relevant findings . mediastinum it was 22 mm in the previous examination . the largest of these lymph nodes was 28 mm in diameter in the lower right paratracheal localization . mild size increases are observed in bilateral upper paratracheal lower paratracheal paraaortic subcarinal pathological lymph nodes in the mediastinum . heart and great vessels no relevant findings . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen the left kidney is atrophic . findings secondary to a previous bypass operation are observed . nodular lesion dimensions consistent with adenoma in the right adrenal gland are stable . lung parenchyma in the evaluation of both lungs in the parenchyma window both hemithorax are symmetrical . there is a mosaic attenuation pattern in both lungs small vessel disease small airway disease . there are mild sequelae changes at the laterobasal level and parenchymal band at the anteromediobasal level in the left lung . there were no findings consistent with significant pneumonia pleural effusion or pneumothorax in both lungs . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum calibration of major vascular structures in the mediastinum is natural . no pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is stable . in the pneumonectomy lodge a chronic collection area that creates a thick wall structure is observed . a few nonspecific nodules less than 3 mm in diameter are observed in the left lung . when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the left lung parenchyma . airways trachea and mediastinum are deviated to the right . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . a few nonspecific mediastinal lymph nodes are observed in the right upper paratracheal and lower paratracheal and the largest in the upper paratracheal localization with a short diameter of 9 mm . calcified atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta . trachea and mediastinum are deviated to the right . heart and great vessels calcified atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta . no space-occupying lesion was detected in the pericardial fat pad . pericardial effusion was not detected . calcific atherosclerotic plaques are present in the coronary arteries . osseous structures in the 6th rib callus formation is observed . no lytic-destructive lesion was detected in bone structures . the 5th rib is also displaced and no fusion is detected . fracture lines are observed in the posterior costa at the level of the right 6th and 5th costovertebral junction . abdomen in the upper abdominal sections no space-occupying lesion was detected in the adrenal tract . calcified atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta . no pathological finding was observed in the section . lung parenchyma ground glass appearances are observed in the peripheral areas of both lungs . no mass was detected in both lungs . in addition a finding in favor of an inverted halo sign was observed in the superior segment of the lower lobe of the right lung . the described findings are the most frequently observed findings of covid-19 and when evaluated together with the clinical information it was thought to be viral pneumonia . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there are appearances of enlarged veins in their frosted appearance . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window in the right lung lower lobe posterobasal segment nonspecific ground glass density increases were observed in the peripheral subpleural area . pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . as far as can be observed postoperative changes in the stomach and densities of the suture material were observed . lung parenchyma in the evaluation of both lung parenchyma no mass or nodule-infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . right upper-bilateral lower paratracheal subcarinal hilar fat content is evident and a few narrow lymph nodes with diameters less than 1 cm are observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the bilateral adrenal sites . in the sections passing through the upper part of the abdomen the liver contours are and the parenchymal density has an increased appearance consistent with hepatosteatosis . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment . mild emphysematous changes were observed in both lungs . millimetric sized parenchymal nodules some of them calcified were observed in both lungs . a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . the diameter of the ascending aorta was measured 40 mm showing dilatation and the diameter of the main pulmonary artery was measured 33 mm showing dilation . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels an showing the appearance of a pacemaker and extending to the floor of the ventricle was observed on the anterior wall of the left chest . dilatation is observed mostly in the right-left atrium . there are postoperative density increases at the mitral valve level and at the aortic valve . pericardial thickening-effusion was not detected . heart sizes were significantly increased . osseous structures metallic suture materials of sternotomy were observed in the sternum . abdomen a hypodense cortical cyst of 25 mm in diameter was observed in the middle zone anterior cortex of the left kidney . 3 mm diameter calculus was observed in the left kidney . no gall bladder was observed in the upper abdominal sections that entered the examination area . the diameter of the ascending aorta was measured 40 mm showing dilatation and the diameter of the main pulmonary artery was measured 33 mm showing dilation . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . lung parenchyma in the anterior segment of the upper lobe of the right lung several nodules of 2-3 mm in diameter with nonspecific appearance are observed . in addition focal ground glass areas are observed in the mediobasal segment of the lower lobe of the right lung medial in the lower lobe superior segment and anterior segments of the upper lobes of both lungs . in the evaluation of both lung parenchyma depandant density increases and subpleural streaks are observed in the lower lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper-bilateral lower paratracheal aortopulmonary millimetric lymph node is observed . no pathological lap was detected in the mediastinum . mediastinal vascular structures have a natural appearance . heart and great vessels the cardiothoracic index increased in favor of the heart . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . no significant pathology was detected in non-contrast abdominal sections . lung parenchyma when examined in the lung parenchyma window there are sequela fibrotic structures accompanied by structural distortion and volume loss in both lung apexes . active infiltration or mass lesion is not observed in both lung parenchyma . emphysematous changes are observed in both lungs . in the right lung middle lobe medial segment there is an increase in density consistent with subsegmentary atelectasis . pericardial pleural effusion is not observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node in pathological size and appearance was detected in mediastinal lymph node stations . the mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the descending aorta is slightly wider than normal with an anterior-posterior diameter of 29 mm . millimeter-sized lymph nodes with a fusiform configuration with a short diameter of less than 1 cm are observed . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels the mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the descending aorta is slightly wider than normal with an anterior-posterior diameter of 29 mm . osseous structures there is no increase in the anteroposterior diameter of the vertebra corpus and no soft tissue density . in the bony structures within the image there is compression in the central part of the t6 vertebral body that causes a height loss of less than 50 . the outlook was primarily evaluated in favor of a benign compression fracture . there are osteophytic degenerative changes in the vertebral corpus corners which tend to merge in the right anterolateral . abdomen free fluid loculated collection is not observed in the upper abdominal sections within the image within the borders of non-contrast ct . the mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the descending aorta is slightly wider than normal with an anterior-posterior diameter of 29 mm . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of other major vascular structures of the mediastinum is natural . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels as far as can be seen the ascending aorta is wider than normal with an anterior-posterior diameter of 38 mm . heart contour size is normal . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen liver parenchyma density in the cross-sectional area is minimally diffusely decreased consistent with hepatosteatosis . bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . thoracic aorta diameter is normal . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window millimetric nonspecific parenchymal nodules were observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour and size are normal . osseous structures degenerative changes are observed in bone structures . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are ground glass densities of central and peripheral nodular character in both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum soft tissue density of mm is observed in the mediastinum in the prevascular area . lymph nodes with a short not exceeding 1 cm are observed in the mediastinum . millimetric calcific atheroma plaques are observed in the aorta . mediastinal main vascular structures heart contour size are normal . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are anterior osteophyte formations in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . millimetric calcific atheroma plaques are observed in the aorta . lung parenchyma when examined in the lung parenchyma window there are ground glass densities in both lung parenchyma especially in the posterior and lower lobes and minimal consolidation in the left lower lobe posterior . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal sections stone density in the gallbladder is seen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window azygos fissure variation was observed in the upper lobe of the right lung . there are miliary centriacinar nodules and budding tree view in the peribronchial area in the medial segment of the right lung middle lobe in the basal and left lung lower lobe superior segments of both lungs . no mass lesion with distinguishable borders was detected in both lungs . reticulonodular sequela fibrotic density increases were observed in both lung apexes . the outlook is compatible with bronchopneumonia . bronchiectasis are observed in the left lung upper lobe apicoposterior right lung upper lobe posterior both lung lower lobe superior right lung middle lobe left lung inferior lingular and both lung lower lobe basal segments and bronchial walls are thick . airways mucus plugs were observed in the bronchial lumens . a 75 mm tracheal diverticulum associated with the tracheal lumen was observed in the right posterolateral aspect of the upper part of the trachea . trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum as far as can be seen . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma findings are one of the frequently observed findings in covid-19 pneumonia . when examined in the lung parenchyma window in both lungs especially in the lower lobes subpleural consolidation-ground glass areas are observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ventilation of both lungs is natural . no active infiltration or mass lesion was detected in both lung parenchyma . in the examination made in the lung parenchyma window nonspecific nodular lesions measuring 4 mm in size are observed in both lung parenchyma the largest of which is in the anterior segment of the left lung upper lobe . there are sequela parenchymal changes in the posterior and anterior segments of the right lung upper lobe and the posterobasal and inferior lingular segments of the left lung lower lobe . no pericardial and pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . there is diffuse mild ectasia in the bronchial structures in both lungs . mediastinum calibration of mediastinal vascular structures and heart contour and size are natural . no lymph node is observed in the mediastinum and in both axillary regions and in pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . there is a sliding type hiatal hernia at the lower end . heart and great vessels calibration of mediastinal vascular structures and heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures at the thoracic level mild was observed with the right opening . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as the upper abdominal organs included in the sections can be observed a 125 mm diameter nonspecific hypodense lesion area with peripheral subcapsular location was observed in liver segment 2 cyst . lung parenchyma when examined in the lung parenchyma window both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma . in the right lung lower lobe superior anterior a millimetric non-specific nodule is observed in series 2 images . upper abdominal organs included in the sections are normal . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no significant nodule or mass appearance was detected in both lungs . when examined in the lung parenchyma window a ground-glass-like nodule with a diameter of approximately 4 mm is observed in the segment of the lower lobe of the left lung . pneumonia pleural effusion or pneumothorax is not observed . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in bone structures . abdomen a nonspecific hypodense lesion with a diameter of approximately 4 mm is observed in the anterior part of the superior pole of the spleen . bilateral adrenal glands were normal and no space-occupying lesion was detected . mild hiatal hernia is observed . both kidneys are natural . upper abdominal organs included in the sections are normal . postoperative changes are observed in the stomach . the surrounding soft tissue plans of the study area are natural . the spleen is natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are changes in the upper lobe and middle lobe of the right lung due to positive changes . mild emphysematous changes were observed in both lungs . clinical evaluation and control is recommended . it was understood that the patient underwent right lung lower lobectomy because of the peripheral localized primary tumor mass in the lower lobe of the right lung . the appearance may be due to post-rt change . an infectious process can be considered in the differential diagnosis . in the current examination focal consolidation areas were observed in the middle lobe and upper lobe of the right lung . no pleural effusion-thickening was detected on the left . a chronic pleural effusion with a thickness of 21 mm 30 mm in the previous examination was observed between the pleural leaves in the lobectomy lodge and its dimensions were reduced . airways no relevant findings . mediastinum calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . no lymph node was detected in mediastinal pathological size and appearance . heart and great vessels mild effusion which was also observed in the previous pericardial examination was observed . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . no lytic-destructive lesions were detected in bone structures . abdomen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . contours of both kidneys show loculation in the upper abdominal sections entering the study area . lung parenchyma when examined in the lung parenchyma window there is a millimetric calcific nodule in the superior posterior of the lower lobe of the right lung . no difference was observed to a ct scan of the patient . aeration of the left lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . small hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are calcific atheromatous plaques in the coronary arteries . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is a millimetric calcific focus in the right lobe of the liver that enters the section area . lung parenchyma the described findings are consistent with idiopathic pulmonary fibrosis noted in the clinical preliminary diagnosis . contour irregularities and fibrotic recessions were observed in the pleura . when examined in the lung parenchyma window interlobular septal thickness increases in both lung parenchyma honeycomb appearance in peripheral subpleural areas and subpleural lines were observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum according to the previous examination stable millimetric lymph nodes were observed in the paratracheal paraesophageal area . calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures are normal . there is a sliding type hiatal hernia at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures no relevant findings . abdomen in the upper abdominal sections in the study area exophytic hypodense lesion with a diameter of 4 cm was observed in the upper pole of the right kidney cyst . calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . no new findings were detected in the current examination . lung parenchyma there are several millimetric parenchymal calcifications in both lung lower lobes . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . in the upper lobe of the right lung there are a few nonspecific nodular densities with a diameter of less than 3 mm with faint borders . linear and subsegmental atelectasis areas are observed in both lung lower lobes and left lung lingula inferior segment . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum in the section no lymph node in pathological size and appearance was observed in the supraclavicular fossa axilla and mediastinum . the diameters of the main mediastinal vascular structures are within normal limits . no space-occupying lesion was detected in the mediastinal fat pad . in the mediastinum nonspecific millimetric lymph nodes with short diameters less than 5 mm are observed bilaterally in the lower paratracheal peribronchial and subcarinal regions . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen a slight increase in liver size and moderate adiposity in the are observed in the upper abdominal sections . lung parenchyma there is linear atelectasis in the medial segment of the right lung middle lobe . apart from this both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . the neural foramina are open . vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there is a 5x2 mm calcific nodule superposed on the minor fissure . there was no finding in favor of pneumonia . no pleural effusion or pneumothorax was observed . when examined in the lung parenchyma window a subpleural nodule with a diameter of 3 mm is observed in the laterobasal segment of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum thymic tissue with trigonal configuration without mass effect is observed in the anterior mediastinum . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections millimetric calcification is observed in the right adrenal . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the evaluation of the upper abdominal organs within the sections a 2 mm diameter calculus was observed in the lower pole of the right kidney . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . posterior contours of other intervertebral discs are normal as far as can be observed in this examination . thoracic vertebral corpus heights alignments and densities are normal . minimal disc protrusion is present in intervertebral disc . intervertebral disc distances are preserved . abdomen in the liver parenchyma there is a decrease in density consistent with moderate adiposity . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma the described manifestations were evaluated primarily in favor of viral pneumonia . peripheral and centrally located ground-glass areas some of which are nodular are observed in the lower lobe of both lungs the upper lobe of the left lung and the middle lobe of the right lung . there are local in the vascular structures within the described ground glass areas . no mass was detected in both lungs . the described findings are of the type frequently encountered in covid-19 pneumonia . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebra corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . abdomen the gallbladder was not observed operated . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma a 2 mm diameter nodule is observed on the major fissure on the right intraparenchymal lymph node . apart from this no nodular or infiltrative lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a millimetric calcific nodule is observed in the posterior segment of the left lung upper lobe . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures in bone structures degenerative schmorl nodule impressions are observed in the end plateaus . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with a diameter of 11 mm is observed inferior to the splenic hilus . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . nodular ground-glass consolidation areas accompanied by interlobar septal thickenings and crazy paving pattern are observed in all lobes of the right lung and in the lingular segment of the left lung upper lobe and the appearance is highly suspicious for early covid-19 pneumonia . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinum was not evaluated optimally . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs are normal as far as can be observed in non-contrast examinations . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis was observed in both lungs more prominently in the lower lobes . there are linear atelectasis in the right lung middle lobe medial segment left lung upper lobe lingular segment and both lung lower lobes . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . there are nodules in both lungs the largest of which is in the peripheral-subpleural area in the laterobasal segment in the lower lobe of the left lung and the longest diameter is approximately 6 mm in diameter . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . diffuse atheroma plaques are observed in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen it is recommended that the patient be evaluated by upper endoscopy . there is a solid appearance lesion in the stomach fundus section with the longest diameter measuring approximately 70 mm . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . diffuse atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window there are minimal sequelae fibrotic changes in both lung parenchyma and no parenchymal infiltration or mass was detected . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . on the left a catheter inserted from the jugular extending to the superior vena cava is observed . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial minimal effusion was observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were observed . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window at the basal level of the lower lobe of the left lung a 6 mm nodular density with a halo sign is observed in series 2 image findings described are not specific for covid-19 viral pneumonia . it was evaluated in favor of the nodule in the first place and clinical laboratory correlation follow-up is recommended for an early-stage infectious process . atelectasis is observed in the lung parenchyma secondary to hypertrophic osteophytic taperings in the endplates of the vertebral corpuscles . in the lung parenchyma around the vertebral corpus and endplates there are mild atelectasis hypertrophic and mild atelectasis appearances secondary to osteophytic taperings . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . a few small lymph nodes are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures atelectasis is observed in the lung parenchyma secondary to hypertrophic osteophytic taperings in the endplates of the vertebral corpuscles . in the lung parenchyma around the vertebral corpus and endplates there are mild atelectasis hypertrophic and mild atelectasis appearances secondary to osteophytic taperings . abdomen thoracic aorta diameter is normal . an appearance compatible with steatosis is observed in the liver parenchyma . in the 16 hypodense fluid attenuation in the subdiaphragmatic area of the right lobe of the liver the finding was initially evaluated as suboptimal within the limits of the examination and was evaluated in favor of a cyst . lung parenchyma there is a nonspecific nodule of approximately 4 mm in diameter with thin pleuroparenchymal extensions slightly more caudally . pleuroparenchymal sequelae changes are observed in the middle lobe on the right . a nodule measuring 4x3 mm is observed in the upper lobe anterior segment periphery in the left lung . sequelae changes are observed in the inferior lingular segment . sequelae changes are observed in the middle lobe . there are sequelae changes at the apical level in the left lung . density reduction compatible with emphysema is observed . there is a calcific 5 mm diameter nonspecific nodule in the anterior subpleural area of the middle lobe . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum a venous port is observed at the right pectoral level and its catheter terminates in the superior vena cava . no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calcific atheroma plaques are observed in the descending aorta in the aortic arch and in the coronary arteries . calibration of the aortic arch was 38 mm and the calibration of the mediastinal main vascular structures at levels other than normal is normal . cto is within normal limits . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the descending aorta in the aortic arch and in the coronary arteries . osseous structures degenerative changes are observed in the bone structure . abdomen other upper abdominal organs included in the sections are normal . the right adrenal gland locus is normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the descending aorta in the aortic arch and in the coronary arteries . calibration of the aortic arch was 38 mm and the calibration of the mediastinal main vascular structures at levels other than normal is normal . cto is within normal limits . sequelae changes are observed in the midline at the epigastric level entering the examination area . surrounding soft tissue planes are normal . sequelae changes are observed at the skin subcutaneous level . lung parenchyma when examined in the lung parenchyma window there are millimetric nonspecific nodules and sequela fibrotic changes in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated mild irregularity and are observed in liver contours . lung parenchyma there is a nonspecific nodule measuring 45 mm in size adjacent to the fissure in the posterior upper lobe of the left lung . no active infiltration or mass lesion was observed in both lungs . ventilation of both lungs is normal . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there is an appearance evaluated in favor of an hypodense lymph node with a diameter of from this no lymph nodes in pathological size and appearance were detected in both axillary areas in the prevascular pre-paratracheal subcarinal and left hilar regions . the mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was observed in the bone structures in the study area . abdomen no free fluid-loculated collection was observed . thoracic aorta diameter is normal . no solid mass was detected within the contrast ct margins in the upper abdominal sections within the image . its size and appearance are stable . lung parenchyma when examined in the lung parenchyma window there are widespread ground-glass densities in both lung parenchyma with a tendency to peripheral subpleural fusion . airways trachea both main bronchi are open . mediastinum there are calcific atheroma plaques in the thoracic aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the coronary arteries . the ascending aorta is ectatic 42 mm . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdomen the gallbladder is operated . there are calcific atheroma plaques in the thoracic aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lungs there are ground-glass density increases with septal thickenings that show a common tendency to coalesce in the lower lobes . other viral pneumonias can be considered in the differential diagnosis . the described outlook includes typical-probable manifestations of covid-19 pneumonia . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . in the mediastinal upper-lower paratracheal prevascular area lymph nodes measuring 7 mm in the short axis of the largest were observed . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen laboratory correlation is recommended . an uncharacterized hypodense lesion with a diameter of 7 mm was observed in the right lobe posterior of the liver . liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area consistent with adiposity . no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma when examined in the lung parenchyma window there are space-occupying nodular lesions in both lungs the largest of which is observed in the anterior part of the left lung upper lobe and its size was measured up to mm in the current study . mild mosaic pattern attenuations are observed in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum there is a venous catheter in the superior vena cava . there are a few small lymph nodes in the mediastinum with a short axis measuring up to 6 mm which was also observed in previous studies . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the cardiothoracic index increased in favor of the heart . osseous structures there is diffuse density reduction in bone structures . hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles . abdomen the upper abdominal organs are partially included in the study and significant ectasia is observed in the pelvicalyceal structures of both kidneys . the gallbladder is operated . there is an appearance compatible with herniation containing intestinal loops in the anterior abdominal wall . lung parenchyma there is minimal bronchiectasis in the central parts of both lungs . a bleb formation with a diameter of 35 mm was observed in the apical segment of the upper lobe of the right lung . no mass was detected in both lungs . emphysematous changes were observed in both lungs . no pleural or pericardial effusion was detected . there is minimal medullary edema in the subpleural area and centriacinar nodules in the right lung upper lobe posterior segment and left lung upper lobe anterior segment anterior segment . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum when evaluated together with his clinical knowledge it was thought that these appearances might be compatible with infective pathology . the widths of the mediastinal main vascular structures are normal . no pathologically enlarged lymph nodes were observed . millimetric atheroma plaque is observed in the aorta . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen there is no upper abdominal free fluid-collection within the sections . millimetric atheroma plaque is observed in the aorta . lung parenchyma the described appearance was thought to be compatible with the change . in this examination an infiltrative soft tissue lesion located centrally in the mediastinum at the level of the superior segment of the right lung lower lobe is observed . linear density increases and volume loss are observed in the lateral segment of the upper lobe of the right lung . the largest of these nodules is observed in the lateral segment of the right lung middle lobe and measured 8 mm in diameter . it is observed that the mass extends in infiltrative character along the bronchial structures in the lower lobe of the right lung and the right lung is almost completely atelectatic . the described appearance was understood to be the primary mass of the patient . nodules were observed in both lungs . the described appearance is non-specific . there is volume loss and interlobular septal thickening in the lower lobe of the right lung . since contrast material is not given a clear assessment cannot be made and the boundaries of the mass cannot be distinguished from the mediastinal main vascular structures the right main bronchus and the right lower lobe bronchus . the mass extends along the lower lobe bronchus of the right lung . there was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs . linear density increases were also observed in both lungs . there are emphysematous changes in both lungs . this appearance may be compatible with lymphangitis carcinomatosis . in addition calcified pleural plaques were observed on the right . minimal pleural effusion is observed on the right . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum in addition there are conglomerated lymphadenopathies in the mediastinum in the previous examination . when the previous examinations of the patient are evaluated a large centrally located mass in the mediastinum is observed . lymphadenopathies are observed in the mediastinum . since contrast material is not given a clear assessment cannot be made and the boundaries of the mass cannot be distinguished from the mediastinal main vascular structures the right main bronchus and the right lower lobe bronchus . mediastinal structures cannot be evaluated optimally because contrast material is not given . the largest of these lymphadenopathies is observed in the paratracheal region and is approximately mm in size . heart and great vessels there is minimal pericardial effusion . heart contour and size are normal . osseous structures lytic bone lesions were observed in the bone structures within the sections and were thought to be metastases . abdomen there is a stone in the gallbladder . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures thoracic kyphosis has decreased . no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the findings were primarily evaluated in terms of changes . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . at the described level pleural recessions are observed in the lung parenchyma in the right lung parenchyma anterior . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . when the upper abdominal sections in the examination area are evaluated hepatosteatosis in the liver parenchyma and an increase in the size of the liver and spleen are observed . lung parenchyma focal density increases were observed in the right lung lower lobe mediobasal segment adjacent to the osteophyte . appearance is nonspecific . pleuroparenchymal fibroatelectasis sequelae changes were observed in the left lung inferior lingular segment . in the first plan it was evaluated in favor of sequelae . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window pleural thickening and subpleural minimally compressive atelectasis were observed in the anterior parts of the middle lobe of the right lung changes secondary to . sequelae thickening was observed in the posterior costal pleura in the left hemithorax . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in its lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . atherosclerotic wall calcifications were observed in the abdominal aorta and splenic artery . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures thoracic kyphosis increased and left-facing scoliosis was observed . no lytic-destructive lesion was observed in bone structures . at the mid-thoracic level bridging osteophyte formations are observed in the right anterolateral corner of the vertebrae and are consistent with diffuse idiopathic bone hyperostosis . abdomen in the upper abdominal organs including sections liver parenchyma density is diffusely decreased consistent with hepatosteatosis . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . atherosclerotic wall calcifications were observed in the abdominal aorta and splenic artery . lung parenchyma in the left lung interstitial distances more prominent in the left lung density increases in the upper lobe of the right lung are observed in the interstitial distances secondary to radiotherapy . in addition there is significant in the lower lobe of the left lung . calcifications are observed on the pleural surfaces on the left . pleural effusions that show in the upper middle and lower hemithorax and enter into the fissure are observed in the left hemithorax measuring 6 cm in the thickest part of the right hemithorax . airways contrast trachea and main bronchi are open . mediastinum bilateral subraclavicular prevascular right upper-lower paratracheal lymph nodes are observed . mediastinal lymph nodes cannot be clearly distinguished on non-contrast examination . heart and great vessels no relevant findings . osseous structures no obvious pathology was distinguished in bone structures . abdomen in the sections passing through the upper part of the abdomen it appears without contrast in the examination due to the of the contrast under the skin . as far as can be observed no obvious pathology was observed in the abdominal sections . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window both lungs are emphysematous . millimetric parenchymal air cyst was observed in the left lung lower lobe laterobasal segment . focal bronchiectatic changes were observed in the anteromediobasal segment of the lower lobe of the left lung and in the paramediastinal area of the anterobasal subsegment . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . peribronchial thickening was observed in the walls of segmental-subsegmental bronchi in both lungs . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of other vascular structures of the mediastinum is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed the anterior-posterior diameter of the ascending aorta is 38 mm which is wider than normal . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area is detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . no pleural effusion was observed . airways trachea both main bronchi lobar and segmental bronchi and air passages are open . mediastinum the diameters of the main mediastinal vascular structures are within normal limits . no lymph node was observed in the mediastinum in pathological size and appearance . no mass space-occupying lesion was observed on the esophageal wall . sliding type hiatal hernia is present . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . in the section no lymph node in pathological size and appearance was observed in the supraclavicular fossa and in both axillae . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal emphysematous changes in both lungs . occasionally linear atelectasis was observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window mild dependent atelectasis changes were observed in both lower lobe posteriors of both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it was thought that there were changes secondary to post rt . no mass-infiltration was detected in both lung parenchyma . when both lung parenchyma windows are evaluated in the upper lobe of the right lung contour irregularities and subpleural changes were observed in the pleura . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar pathological dimensions were detected . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . sliding type hiatal hernia was observed . heart and great vessels pericardial minimal effusion was observed . right atrium and right ventricle show dilatation . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ground-glass appearances are observed in the peripheral and central regions of both lungs . the appearances described during the pandemic process were evaluated in favor of covid-19 pneumonia . no mass was detected in both lungs . ground glass appearances are more pronounced in peripheral areas . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were detected . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and the left coronary artery . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . vertebral corpus heights and alignments are normal . abdomen there are atheromatous plaques in the aorta and the left coronary artery . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are occasional sequela parenchymal changes in both lungs . in the parenchyma of both lungs nodular lesions the largest of which is 8 mm in size are observed in the anterior segment of the lower lobe of the right lung and metastasis cannot be excluded in a case with primary colonic ca . when examined in the lung parenchyma window active infiltration or mass lesion is not observed in both lung parenchyma . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum mediastinal main vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of mediastinal vascular structures and heart contour size are normal . no lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance . calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary artery vascular structures . sliding type hiatal hernia is observed at the lower end . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal main vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of mediastinal vascular structures and heart contour size are normal . calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary artery vascular structures . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen there is diffuse thickness increase in both adrenal glands . in the upper abdomen sections within the image there are multiple hypodense masses consistent with metastasis in both lobes of the liver the borders of which cannot be clearly distinguished from each other . in the middle zone of the left kidney a lesion with a diameter of 28 mm is observed in hypodense fluid density . first of all it was evaluated in favor of hyperplasia . minimal free fluid is observed in the area . the evaluation performed together with the previous mri examination revealed that it was a cyst . calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary artery vascular structures . lung parenchyma the upper lobe apical parts of the left lung have a partially appearance and there are and intralobular septal thickness increases within this lung parenchyma . it is appropriate to evaluate the patient with clinical and laboratory findings in terms of covid-19 pneumonia . there are air bronchograms within collapsed lung segments in the central part of the left lung . in the right lung especially in the lower lobe diffusely localized interlobular septal thickness increases and scattered ground-glass opacities are observed . the lung parenchyma around the effusion has collapsed appearance . there is a pleural effusion reaching approximately 2 cm in the right lung . pleural effusion is observed that fills the left lung almost completely and creates loculated in places . airways no relevant findings . mediastinum an image of a port catheter extending to the junction of the inferior vena cava and the right heart is observed on the anterior aspect of the right hemithorax . in addition there are pathologically sized lymphadenopathies in the paraaortic paracaval and retrocrural regions . although the evaluation of mediastinal vascular structures and the heart is suboptimal due to the lack of contrast there are lymphadenopathies in the left hilar level at the level of the aortopulmonary window and in the paratracheal area . heart and great vessels minimal pericardial effusion is observed in the pericardial area . heart contour size is normal . although the evaluation of mediastinal vascular structures and the heart is suboptimal due to the lack of contrast there are lymphadenopathies in the left hilar level at the level of the aortopulmonary window and in the paratracheal area . osseous structures sclerotic bone lesions may be compatible with metastasis in the t12 and l2 vertebrae included in the study . abdomen free fluid is observed in the abdomen . in addition there are pathologically sized lymphadenopathies in the paraaortic paracaval and retrocrural regions . there are hypodense nodular lesions in the liver included in the examination which may be consistent with multiple metastases . lung parenchyma there are nonspecific nodules measuring approximately 75 mm in diameter the largest in the middle lobe of the right lung in both lungs . no mass or infiltrative lesion was detected in both lungs . linear atelectasis is observed in the medial segment of the right lung middle lobe . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . atheroma plaque is observed in the aortic arch . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph node was observed . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen atheroma plaque is observed in the aortic arch . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma however it cannot be excluded . the appearance is not a common finding of covid-19 pneumonia . in the left lung upper lobe posterior upper lobe inferior lingular segment and lower lobe there are increases in peribronchial thickness accompanied by an increase in centriacinar nodular density with indistinct borders in the appearance of a tree with buds . when examined in the lung parenchyma window mucus plug is observed in the lower lobe bronchus of the left lung . pneumonic infiltration is considered in the etiology of the findings . no mass lesion was observed in both lungs . there is a subcentimetric minimal effusion in the left pleural space . pericardial and right pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are calcified atheromatous plaques in the wall of the aortic arch descending aorta and lad . mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . sliding type hiatal hernia was observed at the lower end . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was observed in the bone structures within the image . there is left-facing scoliosis in the thoracic vertebral column . abdomen there are calcified atheromatous plaques in the wall of the aortic arch descending aorta and lad . in the upper abdominal sections within the image in liver segment 2 there is a hypodense lesion of approximately 9 mm in size which can not be clearly characterized within the borders of ct which was also observed in the previous ct examination . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window atelectatic changes were observed in right lung middle lobe medial and left lung inferior lingular segments . airways trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it was evaluated in favor of early infiltration . findings were primarily evaluated in favor of pneumonic infiltration and radiological findings were consistent with covid pneumonia . there are several nonspecific nodular lesions in both lungs . there are parenchymal ground-glass infiltration areas in the right lung upper lobe anterior segment and lower lobe anteromediobasal segment . a similar but finding is also present in the left upper lobe of the lung . airways in parenchymal infiltration localization an increase in diameter in the distal bronchi and an appearance in the form of air bronchograms are observed . in segmental bronchi filling defects due to secretions are observed in the bronchial lumen from time to time . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no feature was observed in the upper abdomen sections . lung parenchyma at these levels focal faintly circumscribed ground glass densities sequelae fibrotic densities and band atelectasis were observed . lymph nodes up to 55 mm in diameter are present in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . lymph nodes with a short axis reaching 12 mm in diameter the largest of which are located in the right paratracheal region are observed in the mediastinum . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaque is present in lad . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the described appearance was first evaluated in favor of sequelae change . volume loss and structural distortion are observed in the left lung upper lobe lingular segment inferior subsegment . apart from this area both lung are normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . there is a decrease in liver parenchyma density consistent with moderate to severe adiposity . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma it is recommended to be evaluated together with clinical or examination findings in terms of covid-19 pneumonia . when examined in the lung parenchyma window linear subsegmental atelectasis areas which are more prominent in the right lung lower lobe laterobasal section are observed and there is nonspecific ground glass density in this area . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen evaluation of solid organs and vascular structures is suboptimal due to the lack of contrast in the examination . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ground glass areas are accompanied by linear atelectasis from time to time . the frosted glass areas are more prominent in the peripheral areas and are occasionally round in shape . the findings were evaluated in favor of covid-19 pneumonia . no mass was detected in both lungs . diffuse ground glass areas are observed in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there is a decrease in liver parenchyma density consistent with adiposity . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass nodule infiltration was detected in both lungs . in the evaluation of both lung parenchyma mosaic atteniation is observed in both lung parenchyma small airway disease small vessel disease . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper paratracheal aortic pulmonary lymph nodes in millimetric size are observed . calcification is observed in the aortic arch and coronary artery walls . no pathological lap was detected in the mediastinum . the ap diameter of the descending aorta is 3 cm and wider than normal . heart and great vessels calcifications are observed in the walls of the coronary artery . calcification is observed in the aortic arch and coronary artery walls . the cardiothoracic index increased in favor of the heart . osseous structures no lytic-destructive lesions were detected in bone structures . there are suture materials secondary to bypass surgery in the sternum . abdomen calcification is observed in the aortic arch and coronary artery walls . the ap diameter of the descending aorta is 3 cm and wider than normal . no pathology was detected in bilateral adrenal glands in the sections passing through the upper part of the abdomen . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma in the evaluation of both lung parenchyma patchy peripheral-subpleural crazy paving appearances were observed in the left lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with discernible borders was detected as far as it can be observed within the borders of unenhanced ct . lung parenchyma however during the pandemic process it was primarily thought that the appearances were compatible with covid-19 pneumonia . peripheral ground-glass appearances are observed in both lungs being more prominent in the upper lobes . the views described are not specific . no mass was detected in both lungs . there is minimal peribronchial thickening in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the outlook was evaluated in accordance with the frequently reported imaging features of covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . when examined in the lung parenchyma window in both lungs there are ground-glass-like density increases in the peribronchovascular area and peripheral subpleural area which tend to coalesce from place to place . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . clinical laboratory correlation is recommended . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no mass-infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window multiple air cysts were observed in both lungs the largest of which was 17 mm in the upper lobe of the right lung and 25 mm in the anterobasal segment of the left lung lower lobe . bilateral pleural thickening-effusion was not detected . the largest is located in the posterobasal segment of the right lung lower lobe subpleural 59 mm in the left lung subpleural multiple parenchymal nodules measuring 37 mm in diameter were observed in the lower lobe laterobasal segment . airways bilateral peribronchial thickenings were observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be seen soft tissue densities were observed in the anterior mediastinum remt thymus . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . appearance is nonspecific . it is recommended to evaluate and follow-up together with previous examinations if any . when examined in the lung parenchyma window ground-glass nodules less than 5 mm in diameter were observed in the posterobasal segment of the left lung lower lobe and the anterobasal segment of the right lung lower lobe . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . as far as can be seen in the sections a calculi image of 47 mm in diameter was observed in the upper and middle poles of the left kidney . lung parenchyma no newly developed pathology was detected . in the current examination there is an increase in the size of the nodular consolidation areas observed in both lung lower lobe posterior left lung lower lobe superior right lung middle lobe medial and both lung lower lobe medial segment . when examined in the lung parenchyma window in the right lung middle lobe medial segment the atelectasis area accompanied by traction bronchiectasis in the paramediastinal area is stable . there are subsegmental atelectasis areas in the left lung upper lobe inferior lingular segment and both lung lower lobes . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum millimetrically calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . no lymph nodes were detected in pathological size and appearance in both axillary regions and mediastinum . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . calibration of mediastinal vascular structures is natural . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels as far as can be observed the heart contour is natural in size . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen millimetrically calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . lung parenchyma pleuroparenchymal fibrotic recessions were observed in the right lung lower lobe superior segment and left lung upper lobe inferior lingular segment . millimetric sized nonspecific parenchymal nodules were observed in the lung parenchyma . when examined in the lung parenchyma window segmentary peribronchial thickening was observed in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . bilateral adrenal glands appear natural . apart from this no significant pathology was detected in the abdominal sections in the non-contrast examination . in the sections passing through the upper part of the abdomen a mass lesion measuring 22 cm in size with hu values of 10 and evaluated as adenoma is observed in the left adrenal gland localization . lung parenchyma radiological findings were evaluated as compatible with covid pneumonia . when examined in the lung parenchyma window atypical pneumonic infiltration areas in the form of peripherally located ground glass opacity and intralobular septal thickening are observed in the right upper lobe of the right lung and in the superior segments of the lower lobes of both lungs in the basal segment on the right . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . the esophagus is observed in normal calibration . heart and great vessels no effusion was detected between pericardial leaves . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window ground-glass-consolidation areas are observed in both lungs which are scattered and tend to coalesce from place to place . findings are consistent with viral pneumonia . these findings are also frequently observed in covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . hepatosteatosis and are observed in the liver entering the section area . thoracic aorta diameter is normal . lung parenchyma a ground-glass nodule with a diameter of approximately 55 mm is observed at the central level in the lower lobe of the right lung and is also present in the previous examination . when examined in the lung parenchyma window mild sequelae changes are observed at the apical level . there is a slightly consolidative parenchyma area in the right middle lobe . mild sequelae changes are observed in the linguistic segment . in the case who was for covid-19 pneumonia parenchymal ground-glass-style density increases observed in the ct dated in the previous examination were not detected in the current examination . no pleural effusion or pneumothorax was detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are fibrotic recessions at the apical levels of both lungs . when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . hyperdense oval-shaped findings measuring up to 5 mm more than in both kidneys were evaluated in favor of calcules . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no newly emerged infiltration area was detected in the current examination . a free pleural effusion measuring 9 mm in thickness is observed on the left . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . stable size and number of lymph nodes were observed in the mediastinal upper-lower paratracheal prevascular area in the subcarinal localization in the left axillary area the largest at the subcarinal level with a short axis of 12 mm . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels minimal stable pericardial effusion was observed . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . millimetric sized calcules were observed in the gallbladder . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . it was also observed in the previous examination and no significant change was detected . lung parenchyma when examined in the lung parenchyma window linear atelectasis was observed in the segments of the left lung lower lobe . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window a millimetric calcific focus is observed in the posterior of the right lung upper lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no enlargement or stenosis-occlusion was detected in the abdominal aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures grade i is observed at level . bone structures entering the cross-sectional area are natural . there is a hemangiomatous appearance in the central part of the and l1 vertebral corpuscles . a millimetric bone islet is observed in the central part of the l2 vertebra corpus . vertebra corpus superior end plate posteriorly there is a finding that is evaluated primarily in favor of a milimetric cystic schmorl nodule . there are hypertrophic osteophytic taperings in the anterior of the vertebral corpus endplates . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . no renal solid or cystic mass was detected . splenic vein width is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . the contour size parenchyma density of the spleen is normal . in the axial sections the canal almost completely in the distal of the common bile duct there is a finding consistent with an obstructive stone with a slight dilatation at the proximal part measuring 66 mm . no space-occupying solid or cystic mass lesion is observed . hepatic and portal venous systems are normal . no enlargement or stenosis-occlusion was detected in the abdominal aorta . there is also dilatation of the intrahepatic bile ducts . no space-occupying solid or cystic mass lesion was detected . abdominal vascular structures are natural . contour size parenchymal density of the liver are normal . extrahepatic biliary tract gallbladder are normal . no significant tumoral wall thickening obstruction-dilatation was detected in the tract . the contour size parenchyma density of the pancreas is natural . no intraabdominal free-loculated fluid was detected . contour size localization parenchymal thickness parenchymal staining pelvicalyceal structures of both kidneys are normal . no enlargement was detected in the main pancreatic duct . lung parenchyma no mass lesion-pneumonic infiltration with distinguishable borders was observed in the lung parenchyma . in this examination an increase in soft tissue thickness is observed around the right lung upper lobe bronchus especially along the anterior segment bronchus . density increases structural distortion and volume loss which are evaluated in favor of atelectasis and pleuroparenchymal sequelae changes are observed in the anterior and apical segments of the upper lobe of the right lung . when the first examination of the patient was examined it was understood that there was a large mass in the central part of the upper lobe of the right lung . there are also soft tissue thickness increases around the right lung middle lobe and lower lobe bronchi . emphysematous changes were observed in both lungs . a few millimetric parenchymal nodules were observed in both lungs . no mass with discernible borders was observed in this localization . it was learned that the patient had undergone radiotherapy and these findings were primarily thought to be changes . these appearances were thought to be changes . airways trachea heart and mediastinum are deviated to the right . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum concentric wall calcification causing moderate to severe stenosis was observed in the middle distal section of the superior mesenteric artery . diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . diffuse calcific atheroma plaques were observed in the abdominal aorta and iliac arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . trachea heart and mediastinum are deviated to the right . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels trachea heart and mediastinum are deviated to the right . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . diffuse calcific atheroma plaques were observed in the abdominal aorta and iliac arteries . within the sections the upper abdominal organs are natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . branches with buds are observed in the posterobasal and lower lobe superior segments of the left lung lower lobe . bilateral pleural effusion pneumothorax were not detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum calibration of the main mediastinal vascular structures is natural . millimetric sized lymph nodes are observed in the mediastinum . mild hiatal hernia is observed . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated a decrease in density consistent with mild steatosis is observed in the liver . density compatible with 2 mm diameter calculi is observed in the middle part of the right kidney . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are appearances evaluated in favor of pleuroparenchymal sequelae changes in both lung apexes . both lungs have millimetric nonspecific nodules some of which are calcific . there are emphysematous changes in both lungs . minimal peribronchial thickening is observed in both lungs especially in the central parts . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathologically enlarged lymph nodes were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . pulmonary artery diameters are normal . the aortic arch is elongated . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels the ascending and descending aorta diameters are normal . as far as can be observed the heart is larger than normal . osseous structures there are hypertrophic osteophytes in the vertebral corpus corners . minimal height loss is observed in the t12 vertebra superior end plate . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . apart from that vertebral corpus heights are normal . intervertebral disc distances are narrowed . abdomen no upper abdominal free fluid-collection was detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . the aortic arch is elongated . lung parenchyma it is understood that it is newly developed . it is more prominent in the basal segments . aeration differences and increases in aeration are observed in both lungs . in the evaluation of parenchymal structures highly millimetric centriacinar ground glass opacities are observed in the upper lobes of both lungs and in the superior segment of the right lung lower lobe with prominent basal segments preserved in the upper lobes . differential diagnosis for etiology together with its clinic will be appropriate . there is a pleural effusion reaching a diameter of 16 mm between the leaves of the right pleura . millimetric atelectatic areas causing pleural irregularity are observed in places . airways findings are compatible with bronchiolitis . mediastinum there are millimetric nonspecific mediastinal lymph nodes located prevascular right upper paratracheal and lower paratracheal and subcarinal . calibration of mediastinal major vascular structures is natural . heart and great vessels heart dimensions and compartments were observed naturally . osseous structures no lytic-sclerotic space-occupying lesions were detected in bone structures . abdomen gross pathology was not noticed in the upper abdomen sections entering the image area . lung parenchyma in the peribronchial areas more prominent in the lower lobes ground glass densities minimal consolidations in the lower lobe and budding tree views are seen in places . emphysematous appearance and mosaic density differences are observed in both lungs more prominently in the upper lobes . airways when examined in the lung parenchyma window the bronchial walls are diffusely thickened at the central level in both lungs . mediastinum in the mediastinum lymph nodes with a diameter of 15 mm are observed on the short axis of the larger ones . heart and great vessels especially the left heart chambers are dilated . widespread calcific plaques are present in the coronary arteries . the heart is larger than normal . osseous structures bone structures are widely degenerative and osteoporotic . there is left-facing scoliosis in the thoracic vertebrae . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window ground glass opacities are observed in both lungs especially in the upper lobe of the left lung . these appearances are also frequently observed findings in covid-19 pneumonia . the outlooks were primarily evaluated in favor of viral pneumonia . pleural effusion-thickening was not detected . no pleural effusion was observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size was slightly increased . pericardial effusion was not observed . operation materials are observed in the localization where the heart valves are located . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific nodules in both lungs and bronchiectasis inferior to the soft tissue finding described above . airways in the posterior of the right main bronchus there are findings in soft tissue density with an oval shape smooth contour measuring mm in dimensions which do not show significant pressure on the bronchial wall . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . lymph node evaluated in its favour . it was evaluated in favor of remt thymus tissue . in the upper mediastinum there is a full appearance in the soft tissue density extending towards the anterior mediastinum adjacent to the heart anteriorly . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial thickening-effusion was not detected . heart contour size is natural . in the upper mediastinum there is a full appearance in the soft tissue density extending towards the anterior mediastinum adjacent to the heart anteriorly . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma these views are not specific . consolidations and ground glass areas are observed in the lower lobe of both lungs and the middle lobe of the right lung especially in the peribronchovascular area . it is recommended that the patient be evaluated together with the laboratory findings . no mass was detected in both lungs . there are sometimes linear atelectasis in both lungs . the described findings were absent in the previous examination of the patient . these findings can be observed in covid-19 pneumonia . minimal pleural effusion and minimal pericardial effusion are observed on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . however it is observed that the dimensions increase minimally . there are no pathologically large lymph nodes in both axillae . there are lymph nodes in the mediastinum and hilar regions . the largest of the described lymph nodes are observed in the paratracheal region and their short diameter is 8 mm . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels the heart is minimally larger than normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no masses or collections with distinguishable borders in the upper abdomen or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . subsegmental atelectatic changes were observed in the lower lobe of the left lung . no mass nodule-infiltration was detected in both lungs . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . there are free pleural effusions and atelectatic changes up to 3 cm in thickness on the left . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum there are calcified atherosclerotic changes and densities of stent material in the walls of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation . heart contour size is natural . pericardial thickening-effusion was not detected . anterior pericardial post-op suture materials are available . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen it is natural in upper abdominal sections entering the examination area . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . there are calcified atherosclerotic changes and densities of stent material in the walls of the thoracic aorta and coronary artery . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma several nonspecific pulmonary nodules measuring 4 mm in diameter were observed in the right lung lower lobe superior segment and laterobasal segment . no mass-infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window pleuraparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum the diameter of the ascending aorta was 49 mm and showed fusiform aneurysmatic dilatation . the diameter of the aortic arch was 36 mm and the diameter of the descending aorta was 38 mm showing dilatation . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . lymph nodes measuring 13x7 mm in size were observed in prevascular upper-lower paratracheal aorticopulmonary and subcarinal localizations . no lymph node was detected in pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . a minimal effusion measuring 4 mm in thickness was observed in the anterior pericardium . heart contour size is natural . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesions were detected in bone structures . a well-circumscribed milimetric sclerotic lesion was observed on the left humeral head . abdomen upper abdominal sections entering the examination area are natural . the diameter of the ascending aorta was 49 mm and showed fusiform aneurysmatic dilatation . the diameter of the aortic arch was 36 mm and the diameter of the descending aorta was 38 mm showing dilatation . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . a hypodense lesion consistent with two cortical cysts the largest of which is 60 mm in diameter was observed in the upper pole posterior cortex of the right kidney . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma an area of parenchymal change with air bronchogram is observed in the paramediastinal area in the anterior upper lobe of the right lung which was also observed in the previous examination . there are sequelae pleuroparenchymal band - fibrotic recessions in the left lung lingular segment inferior and both lung lower lobes posterobasal . when examined in the lung parenchyma window sequelae pleuroparenchymal recessions are observed in the apex of the right lung upper lobe . no significant difference was found in these findings changes secondary to rt . parenchymal evaluation could not be performed optimally because contrast material was not given . sequelae are accompanied by pleuroparenchymal bands . stable nonspecific pulmonary nodules reaching 3 mm are observed in both lungs . pleural effusion-thickening was not detected . airways as far as can be observed trachea both main bronchi are open . the bronchial structures in both lungs have a more prominent ectatic appearance in the center . mediastinum other mediastinal major vascular structures are normal . a soft tissue lesion with a reduced size of 24 mm in the previous examination with a long axis diameter of 12 mm in the present examination is observed in the anterior of the aortic arch in the right half of the anterior mediastinum lap . there are widespread calcific atheroma plaques in the branches of the abdominal aorta . in the pre-paratracheal aorticopulmonary window in the mediastinum milimetric stable lymph nodes are observed in the prevascular area subcarinal and both hilar short axis diameters not exceeding 1 cm . there are widespread calcific atheroma plaques at the level of the thoracic aorta and coronary arteries . there is minimal hiatal hernia in the case . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is in diameter and the aneurysm is dilated . heart contour size is normal . osseous structures stable sclerotic lesion is also observed in the right scapula . there is a collapse fracture that causes loss of height in the l3 vertebral corpus height . there is loss of intervertebral disc height . widespread bridging and osteophytic degenerative changes are observed in the vertebral bodies . abdomen no renal solid or cystic mass was detected . pancreatic body and tail cut are natural . in the patient with the history of operated gastric ca the anastomosis line is observed and the passage of the contrast material is observed without . at the pancreatic head level a soft tissue lesion whose borders cannot be clearly distinguished from the liver hilar level and the periportal area has areas and a soft tissue lesion with a long axis diameter of approximately 45 cm in the axial plane with no obvious difference in size and appearance . liver sizes increased . splenic vein width is normal . no dilatation was detected in the pancreatic duct . bilateral adrenal glands were normal and no lung parenchyma peripheral and centrally located ground-glass appearances and consolidations and linear density increases and minimal volume loss accompanying the findings were observed in both lungs . the appearances described during the pandemic process were evaluated in favor of covid-19 pneumonia . there are minimal emphysematous changes in both lungs . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . the short diameters of the described lymph nodes are less than 1 cm . there are lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . atria are minimally larger than normal . osseous structures vertebral corpus heights within the sections are normal . the neural foramina are open . intervertebral disc spaces are narrowed and there is degenerative sclerosis of the end plates adjacent to the intervertebral discs . there are hypertrophic osteophytes in the vertebral corpuscles . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma primarily peripheral nodular and sometimes appearances in the right lung suggested primarily bacterial - other viral pneumonias . when examined in the lung parenchyma window diffuse emphysematous areas are observed in both lungs . in both lungs there are nodular ground glass opacities and appearances which are more domit in the right lung in the lower segments of the upper lobes and in the peripheral parts of the lower lobes . although the findings are not similar to the typical appearances observed in covid-19 pneumonia covid-19 pneumonia is also included in the differential diagnosis because it is partially located peripherally . there are scattered sequela changes in the parenchyma of the bilateral lungs . no pleural effusion was observed . airways trachea both main bronchi are open . mediastinum there are extensive calcific atheroma plaques in the coronary arteries and aorta . there are calcific sequela lymph nodes between the planes . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . minimal effusion is observed in the pericardial space . heart size increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are extensive calcific atheroma plaques in the coronary arteries and aorta . in the upper abdominal organs including sections cortical well-circumscribed hypodense nodular appearance is observed in the left kidney cyst . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this the left lung is not ventilated . clinical correlation is recommended . the anterior segment of the left lung upper lobe is partially ventilated . subsegmental atelectasis areas are observed in the basal and superior segments of the lower lobe of the right lung . lower lobe and upper lobe posterior segment parenchyma are compressed . no pneumonic infiltration or consolidation area is observed in the right lung parenchyma . it may belong to the atelectatic parenchyma but early bronchopneumonic infiltration could not be excluded . there are areas of non-specific millimetric nodular consolidation around the right lung middle lobe medial segment bronchi . there is a pleural effusion reaching 13 cm in diameter in the left hemithorax . there is a pleural effusion reaching 2 cm in diameter between the right pleural leaves . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . the diameters of the main mediastinal vascular structures are normal . a slight deviation to the right is observed in the mediastinum . heart and great vessels pericardial effusion was not detected . osseous structures no relevant findings . abdomen tumoral tissue cannot be distinguished from the stomach wall because the stomach is . lung parenchyma there is minimal peribronchial thickening in both lungs . no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma again in the superior part of the lower lobe of the left lung consolidation areas with ground glass densities are observed in places . pneumonic infiltration is present in the differential diagnosis . again minimal consolidation area is observed in the paramediastinal area in the posterior part of the left lung upper lobe . these appearances were interpreted primarily in favor of atelectatic change . when examined in the lung parenchyma window pleural effusion reaching approximately 2 cm in thickness in the right lung and atelectasis in the accompanying parenchyma are observed . airways trachea is in the midline both main bronchi are open . evaluation is suboptimal due to of breath . mediastinum calibration of mediastinal vascular structures is normal . calcific atheroma plaques are observed in the aorta and coronary arteries in the mediastinal area . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures there are widespread degenerative changes in the bones . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries in the mediastinal area . widespread free fluid is observed in the perihepatic area in the abdomen . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma chilaiditi syndrome is observed . in the evaluation of both lung parenchyma dependent density increases are observed in the lower lobes of both lungs . focal pleural thickenings some of which are calcified are observed in the right hemithorax and pleural effusion and calcifications in the form of smearing are observed in the left hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . atherosclerotic calcifications are observed in the coronary arteries and aortic arch . heart and great vessels atherosclerotic calcifications are observed in the coronary arteries and aortic arch . osseous structures no lytic-destructive lesion was detected in bone structures . suture materials secondary to bypass surgery are observed in the sternum . abdomen no significant pathology was detected in the non-contrast examination of the sections passing through the upper part of the abdomen . atherosclerotic calcifications are observed in the coronary arteries and aortic arch . lung parenchyma mild sequela changes are observed in the middle lobe of the right lung . there is a nodule of approximately 5x4 mm in size at the level of the superior segment of the lower lobe a little more superiorly . sequelae changes are observed in the inferior lingular segment on the left . when examined in the lung parenchyma window there are findings consistent with emphysema in both lungs . pleural effusion-thickening was not detected . there is a stable nodule of 3 mm diameter subpleural at the posterobasal level of the lower lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . kto is in normal calibration . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are also ground glass nodular density increases in the bilateral lower lobe . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window nodules with a size not exceeding 3 mm are observed in the lower lobe of both lungs . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma a parenchymal nodule with a diameter of 6 mm was observed in the middle lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were primarily evaluated as secondary to heart failure . when examined in the lung parenchyma window there are smooth interlobular septal thickness increases and increases in ground glass density which are more clearly observed in the lower lobes of both lungs . no solid mass was detected as far as can be observed within the limits of unenhanced ct . in both lungs areas of increase in density consistent with atelectasis are observed in places . in both pleural spaces there is a free effusion up to 28 mm on the right at its deepest point . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum multiple lymph nodes are observed in the mediastinum with a fusiform configuration measuring 18 mm in diameter at the prevascular aortic pulmonary window paratracheal precarinal and subcarinal and bilateral hilum levels . calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . there is no pathological increase in wall thickness in the thoracic esophagus and there is a slight hiatal hernia with a sliding type at the lower end . heart and great vessels pericardial effusion was not observed . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed an increase in heart size is observed . the ascending aorta is wider than normal at 41 mm and the pulmonary trunk at 31 mm . osseous structures no lytic or destructive lesion was observed . in the bony structures within the image there are surgical suture materials in the sternum . thoracic kyphosis has increased . there are degenerative changes in bone structures . abdomen no lymph node was observed in intraabdominal pathological size and appearance . calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures . there is a hyperdense stone in millimetric sizes in the middle pole of the right kidney . in the upper abdominal sections within the image it has free . lung parenchyma no pathologically enlarged lymph nodes were detected at both hilar levels . thickening of the peribronchial sheath is observed and there are densities compatible with pleuroparenchymal sequelae in both lungs . when examined in the lung parenchyma window there is a mosaic attenuation pattern in both lungs . there are frosted glass style density increments that accompany the described looks . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum both pulmonary artery calibrations are normal . calibration of the ascending aorta and descending aorta is normal . the aortic arch calibration is 34 mm and wider than normal . there are millimetric lymph nodes in the mediastinum . calcific atheroma plaques are observed in the main branches of the aortic arch descending aorta and coronary arteries . pulmonary trunk calibration is at the maximal physiological limit . mild hiatal hernia is observed . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the main branches of the aortic arch descending aorta and coronary arteries . cto is within normal limits . the pericardium is slightly thickened and there is minimal pericardial effusion . osseous structures dorsal kyphosis increased . the patient has left-facing scoliosis in the thoracic region . significant degenerative changes are observed in the bone structures in the examination area . abdomen calibration of the ascending aorta and descending aorta is normal . in the upper abdominal organs included in the sections there is a decrease in density consistent with steatosis in the liver and millimetric parenchymal calcifications . it was evaluated as compatible with adenoma . a hypodense formation with a diameter of approximately 9 mm is observed at the level of the right adrenal gland giving a negative hu density value . the aortic arch calibration is 34 mm and wider than normal . a density that may be compatible with calculus is observed at the fundus level of the gallbladder . sonographic examination is recommended . calcific atheroma plaques are observed in the main branches of the aortic arch descending aorta and coronary arteries . however its localization cannot be evaluated clearly . a 43 mm diameter cortical exophytic cyst is observed in the middle part of the right kidney . lung parenchyma sequelae changes are observed at the apical level . when examined in the lung parenchyma window in the case under follow-up due to covid there are scattered and focal ground-glass-like density increases in the lower lobe which are slightly more common and are consistent with the anamnesis . a ground glass nodule with a diameter of 5 mm is observed at the laterobasal level of the lower lobe of the left lung . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . millimetric nodular fibrocalcific atheroma plaque is observed at the level of the aortic root . thymic tissue with configuration without mass effect is observed in the anterior mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric nodular fibrocalcific atheroma plaque is observed at the level of the aortic root . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical laboratory correlation for an early infectious process is recommended due to the current pandemic . interstitial signs are prominent and dependent atelectatic changes in both lungs are present with a mild mosaic attenuation pattern . when examined in the lung parenchyma window in the lower lobe of the left lung subpleural slightly patchy ground glass densities are observed at the level of the anteromedial lateral segments . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures diffuse density reduction is observed in bone structures entering the study area . no height loss was found in the vertebral corpuscles . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma no pneumonic infiltration was detected . when examined in the lung parenchyma window several calcific nodules 3 mm in size were observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a millimetric calcific nodule was observed in the anterior segment of the left lung upper lobe . the outlook is highly suspicious for covid-19 pneumonia . when examined in the lung parenchyma window reticulonodular sequelae density increases were observed in both lung apexes . peripheral patchy ground glass opacities were observed in the lower lobe of the left lung forming a more common crazy paving pattern in the superior segment of the lower lobe . apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thickening of the left adrenal gland corpus was observed as far as can be seen in the non-contrast sections . other upper abdominal organs are normal . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mild pleural irregularities are observed at the apical posterior level of the left lung upper lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . there are breath artifacts in the study . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the ascending aorta measures 42 mm . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative height loss is observed in the vertebral body . there is a diffuse density decrease in bone structures and there are hypertrophic osteophytic taperings in the anteriors of the vertebral corpuscles and end plates . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . cyst in the right lobe of the liver 10 mm in size in hypodense fluid attenuation evaluated towards . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . there are sequelae changes in the right lung in the lower lobe anterobasal segment . there was no finding compatible with pneumothorax in both lungs . it was evaluated as compatible with pneumonic infiltration . diffuse views budded branch views and ground glass-style density increments are present in both lungs . there are pleuroparenchymal sequelae densities accompanied by calcifications at the apical level in both lungs . sequelae changes are observed in the inferior lingular segment of the left lung . again in the right lung consolidative density is observed in the middle lobe which the heart contour and includes air bronchograms . in the lower lobe of the right lung possible atelectatic lung segments are observed adjacent to the basal pleural effusion . there is pleural effusion in both lungs reaching up to the middle zones reaching 48 mm on the right and 15 mm on the left in its thickest part . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum the arcus aorta was 33 mm pulmonary trunk calibration was 27 mm right pulmonary artery calibration was 26 mm left pulmonary artery calibration was 25 mm . the aortic arch and right pulmonary artery are slightly above normal . calcific atheroma plaques are observed in the descending aorta in the coronary arteries in the main branches of the aortic arch . multiple millimetric lymph nodes that do not reach pathological size and configuration are observed in the mediastinum . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto increased in favor of the heart . calcific atheroma plaques are observed in the descending aorta in the coronary arteries in the main branches of the aortic arch . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen calcific atheroma plaques are observed in the descending aorta in the coronary arteries in the main branches of the aortic arch . bilateral adrenal glands were normal and no space-occupying lesion was detected . parenchymal calcifications are observed in the right lobe of the liver . the arcus aorta was 33 mm pulmonary trunk calibration was 27 mm right pulmonary artery calibration was 26 mm left pulmonary artery calibration was 25 mm . the aortic arch and right pulmonary artery are slightly above normal . lung parenchyma it measures 10x7 mm in the old review . also available in old review . it is recommended to evaluate the case with clinical and laboratory findings in terms of viral pneumonias including covid . although nodularities are observed at other levels they cannot be optimally differentiated from the defined consolidation areas . widespread emphysema appearance in both lungs and sequelae changes are observed more prominently at the apical level . widespread consolidative areas with peripheral alignment and convergence are observed in both lungs and were not detected in his previous examination . its largest dimension is measured on the right as 17x12 mm . in both hilar levels lymph nodes are present although their size cannot be clearly evaluated in non-contrast examination . a nodule with a diameter of approximately 2 mm is observed peripherally in the left lung lower lobe laterobasal segment . pleural effusion is observed in both lungs which is more prominent on the right and reaches 9 mm in the left slightly regressed according to the previous examination . a subpleural nodule measuring approximately 5x3 mm is observed at the posterobasal level of the lower lobe of the right lung . airways there are thickenings of the peribronchial sheath . calibration of the trachea and main bronchi especially in the central part shows slight calibration increases consistent with bronchiectasis . mediastinum it is wider than normal . the aortic arch calibration is 36 mm . pulmonary trunk calibration is 29 mm . multiple lymph nodes are observed in the subcarinal area at the prevascular level in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum and the largest one is 14x10 mm in size in the aorticopulmonary window . in the previous examination the largest lesion dimensions were measured as mm . millimetric calcific atheroma plaques are observed in the aortic arch ascending aorta coronary arteries and descending aorta . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . mild pericardial thickening-effusion is observed . millimetric calcific atheroma plaques are observed in the aortic arch ascending aorta coronary arteries and descending aorta . osseous structures degenerative changes are observed in the bone structure . abdomen soft tissue plans that fall into the study area are natural . extrarenal pelvis variation is observed in the left kidney and a density of approximately mm consistent with calculus is observed in it . it is wider than normal . the aortic arch calibration is 36 mm . in the upper abdominal sections included in the sections a decrease in density consistent with mild steatosis is observed in the liver . millimetric calcific atheroma plaques are observed in the aortic arch ascending aorta coronary arteries and descending aorta . lung parenchyma apart from this no nodular or infiltrative lesion was detected in both lung parenchyma . there is slight thickening of the interlobular septa especially in the lower lobes . when examined in the lung parenchyma window there is mild thickening of interlobular septa in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlargement or stenosis-occlusion was detected in the abdominal aorta . other mediastinal main vascular structures heart contour size are normal . thoracic aorta diameter is normal . several lymph nodes measuring 13 mm are observed in the area . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries . other mediastinal main vascular structures heart contour size are normal . osseous structures in the dorsal vertebral corpuscles there are prominent hypertrophic osteophytic taperings and hemangiomatous appearances in the anteriors of the end plates and osteopenic appearances are observed in the bone structures . there is a decrease in density . there are height losses in th12 l1 and l2 vertebral bodies with schmorl nodules in th12 which was also observed in the previous examination . clinical correlation and follow-up are recommended . abdomen no renal solid or cystic mass was detected . thoracic aorta diameter is normal . splenic vein width is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . several lymph nodes measuring 13 mm are observed in the area . the spleen measures mm in size and is larger than normal . periprostatic fatty tissues are clear . the contour and parenchyma density of the liver are normal . no space-occupying solid or cystic mass lesion is observed . hepatic and portal venous systems are normal . the liver was measured mm in the craniocaudal axis and is observed as the same as in the previous examination . no enlargement or stenosis-occlusion was detected in the abdominal aorta . no space-occupying solid or cystic mass lesion was detected . abdominal vascular structures are natural . no lymph node was detected in intraabdominal and bilateral inguinal pathological size and appearance . intra and extrahepatic bile ducts gallbladder are normal . the contour and parenchyma density of the spleen are normal . no significant tumoral wall thickening obstruction-dilatation was detected in the tract . the contour size parenchyma density of the pancreas is natural . no intraabdominal free-loculated fluid was detected . contour size localization parenchymal thickness parenchymal staining pelvicalyceal structures of both kidneys are normal . no enlargement was detected in the main pancreatic duct . lung parenchyma when examined in the lung parenchyma window ground-glass densities are observed in the subpleural area in the anterior upper lobe of the right lung and in the subpleural area of the left lung upper lobe anteriorly which do not give very faint clear borders . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels minimal effusion is observed in the pericardial area . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a 17x10 mm hypodense lesion is observed on the lateral leg of the right adrenal gland . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . left adrenal gland locus is normal and no space-occupying lesion was detected . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . correlation with is recommended . the outlook is highly suspicious for ultra-early covid-19 pneumonia . when examined in the lung parenchyma window a ground glass nodule was observed in the superior segment of the lower lobe of the right lung . a few nonspecific millimetric calcific nodules were observed in both lungs . clinic and lab . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . other mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed the diameter of the ascending aorta was 30 mm and it was observed wider than normal . other mediastinal main vascular structures heart contour size are normal . osseous structures syndesmophytes bridging each other were observed on the anterior surfaces of the thoracic vertebrae . vertebral corpus heights were preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with a diameter of 13 mm was observed inferior to the splenic hilus . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma subsegmentary atelectasis was observed in the lateral segment of the right lung middle lobe . when examined in the lung parenchyma window several nonspecific nodules the largest of which is 5 mm in diameter were observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . calcified plaques were observed in the thoracic aorta and its branches . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . hiatal hernia was observed . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . calcified plaques were observed in the thoracic aorta and its branches . lung parenchyma in both lungs there are consolidations in the anterior sections of the upper lobe and in the middle lobe of the right lung a few thick-walled consolidations the largest of which is mm with in places causing destruction in the in their neighborhoods with fungal infection . widespread consolidations and budding tree views are present in the lower lobes of both lungs . when examined in the lung parenchyma window there are pleuroparenchymal sequelae densities in both upper lobe apicoposterior segments of both lungs . in both lungs there are tubular bronchiectasis which are more prominent in the lower lobes have a common appearance filled with secretions and thickened walls . airways trachea both main bronchi are open . mediastinum right lower paratracheal bilateral hilar calcified lymph nodes are present . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there are wall calcifications in the aorta . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are widespread lytic foci in the bones in the study area and they have a porotic appearance . there is a height loss of up to 50 in the anterior part of the l2 vertebra and free air images in the intervertebral disc spaces at the level of the plates . abdomen in the sections passing through the upper part of the west there is a 18 mm diameter nodular hypodense lesion cyst with cortical exophytic location in the middle part of the right kidney . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . there are wall calcifications in the aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when both lungs are evaluated in the parenchyma window a mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . bilateral pleural thickening-effusion was not detected . parenchymal nodules measuring 8 mm in diameter were observed in both lungs the largest of which was in the upper lobe of the right lung located subpleural . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcified atherosclerotic changes were observed in the wall of the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased . as far as can be observed the diameter of the ascending aorta is 41 mm and shows slight fusiform dilatation . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . calcified atherosclerotic changes were observed in the wall of the thoracic aorta . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window in both lungs patchy ground glass densities are observed peripherally located in the middle lobe of the right lung . the findings were evaluated in favor of covid-19 viral pneumonia . clinical laboratory correlation and close follow-up are recommended . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is also regression in the effusion observed in the previous examination in interlobar fissures . sequelae changes are observed in the middle lobe on the right . sequelae changes are observed bilaterally at the apical level . focal consolidation area is observed in the middle lobe of the right lung and was not detected in the previous examination . at its thickest point it is 15 mm on the right and 16 mm on the left . it is stable . there are sequelae changes in the right lung basal . a nodule with a diameter of approximately 5 mm which was also observed in the previous examination is observed at the laterobasal level in the right lung . no lymph node with pathological size and configuration was detected at the left hilar level . again focal ground-glass-like density increase is observed at the anterobasal level on the right and was not detected in the previous examination . at the level of the right hilum there is a lymph node with a size of approximately 13x10 mm with a light fatty hilus in the central part . when examined in the lung parenchyma window pleural effusion is observed in both lungs . airways tracheal diverticulum is observed on the right posterolateral at the level of the thoracic inlet . there is mild thickening of the peribronchial sheath . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . it measured 18x14 mm in his previous review . catheter appearances are observed extending from both subclavian veins to the superior vena cava and right atrium . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . mixed type hiatal hernia is observed in the case . heart and great vessels pericardial effusion is observed . cto increased in favor of the heart . osseous structures degenerative changes are observed in the bone structure . abdomen the gallbladder is contracted . it was not clearly selected in the previous review . there is a mild effusion in the pericholecystic area which was also observed in the previous examination . a nonspecific hypodense lesion measuring approximately mm is observed in the anterior segment of the right lobe of the liver . in the upper abdominal organs including sections a decrease in density consistent with mild steatosis is observed in the liver . it is recommended to be evaluated together with usg . surrounding soft tissue planes are normal . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . a nodule with a diameter of 3 mm is observed in the superior segment of the lower lobe . mild sequelae changes are observed at the apical level in the left lung . there are one or two nodules with a diameter of 3 mm at the laterobasal level . when examined in the lung parenchyma window both hemithorax are symmetrical . a subpleural 3 mm diameter nodule is observed at the posterobasal level of the lower lobe of the right lung . there was no finding consistent with pleural effusion pneumothorax or pneumonia in both lungs . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum thymic tissue without mass effect is observed in anterior mediastinum trigonal configuration . no lymph node with pathological size and configuration was detected in the mediastinum . calibration of the main mediastinal vascular structures is natural . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures appearance is observed in vertebra corpus anterior middle parts . degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several sequelae pleuroparenchymal bands in the left lung lingular segment inferior and both lung lower lobes posterobasal . when examined in the lung parenchyma window a nodule with a ground glass density of 35 mm in the anterior upper lobe of the left lung and 2 mm in diameter located close to the pleura in the lingular segment inferior is observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures dorsal kyphosis is preserved . vertebral corpus heights are preserved . no lytic-destructive lesion was observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is an accessory spleen with a diameter of 1 cm in the spleen hilum . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few millimeter-sized nonspecific nodules are observed in both lungs . when examined in the lung parenchyma window ventilation of both lungs is normal . thickness increases which are evaluated in favor of sequelae change in the posterior pleura are observed especially in the apical parts of the bilateral lungs . no pleural effusion or increase in pleural thickness was detected . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures appear natural . millimetric calcific plaques are observed in the coronary arteries and aortic walls . reactive lymph nodes with short axes not exceeding 20 mm are observed in the subcarinal and both hilar levels in the paratracheal area of the aorta pulmonary window . thoracic esophageal wall thickness is normal . minimal hiatal hernia is observed . heart and great vessels heart size and contour are normal . millimetric calcific plaques are observed in the coronary arteries and aortic walls . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric calcific plaques are observed in the coronary arteries and aortic walls . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . no pathological appearance was detected in the fatty tissues included in the examination within the limits of the examination . lung parenchyma sequelae changes at the apical level of both lungs prominent on the right paracicatricial emphysematous changes are present . a stable nodule with a diameter of 3 mm is observed at the laterobasal level of the lower lobe of the right lung . no pathologically enlarged lymph nodes were detected at both hilar levels . however it is recommended to exclude possible infective processes with clinical and laboratory findings . when examined in the lung parenchyma window there are findings consistent with emphysema in both lungs . there are sequelae changes in the left lung upper lobe anterior segment and lingular segment . a stable nodule with a diameter of 5 mm is observed in the anterior-posterior segment of the upper lobe of the right lung . a stable nodule with a diameter of 3 mm is observed at the laterobasal level of the left lung . there are pleuroparenchymal sequelae changes in the anterior segment and are also observed at the middle lobe level . on this background a nodular formation with dimensions of approximately mm is observed in the upper lobe of the right lung posteriorly . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures are normal . thoracic aorta diameter is normal . lymph nodes are observed in the mediastinum in the upper-lower area and in the aorticopulmonary window the largest of which is measured in the aorticopulmonary window and measures 11x8 mm . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . kto is in normal calibration . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical laboratory correlation monitoring is recommended . the findings were evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window slight patchy ground glass densities are observed in the posteriors of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are nodules most of which are peripherally located measuring approximately 8 mm in diameter with the larger of both lungs in the lower lobe of the left lung . no mass or infiltrative lesion was detected in both lungs . linear atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment . follow-up is recommended . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . abdomen it is recommended to correlate with usg . there is a hypodense lesion with a diameter of approximately 6 mm in the posterior part of the left kidney in the middle part . when evaluated together with its density it was thought to be a cyst . no upper abdominal free fluid-collection was detected in the sections . the lesion could not be characterized as no contrast agent was given . lung parenchyma the findings described in covid-19 pneumonia are frequently observed . the described appearance was in favor of viral pneumonia . consolidation and ground glass areas are observed in the peripheral regions of both lungs . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were observed . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc spaces are preserved . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma two nodules with a diameter of 2 mm are observed in the anterior segment of the left lung upper lobe . a nonspecific nodule with a diameter of 3 mm is observed at the laterobasal level of the lower lobe of the right lung . a nonspecific nodule with a diameter of 4 mm is observed at the level of the minor fissure in the right lung . pleuroparenchymal sequelae changes are observed in the lingular segment and laterobasal-posterobasal levels . there is a thin parenchymal band in the anterior segment of the right lung upper lobe . there was no finding compatible with bilateral pleural effusion pneumonia or pneumothorax . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum the aortic arch calibration is 30 mm . it is slightly wider than normal . pulmonary trunk caliber 29 mm wider than normal . there is paramediastinal density consistent with sequela atelectasis in the middle lobe . calibration of other mediastinal major vascular structures is natural . calibration of both pulmonary arteries is normal . no lymph node was detected in the mediastinum and in both hilar levels in pathological size and configuration . mild hiatal hernia is observed . there are collateral vascular structures in the paraesophageal area . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . calcific atheroma plaques are observed in the coronary arteries . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen the aortic arch calibration is 30 mm . it is slightly wider than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . wide defect in the muscle structures of the anterior abdominal wall is observed and the intestinal loops appear as a herniated subcutaneous tissue . there are tubular appearances that may be compatible with dilated vascular structures adjacent to the left lobe of the liver . the spleen could not be observed in the lodge . in the sections passing through the upper west in the case of liver line and postoperative changes are observed adjacent to the right lobe . lung parenchyma there is minimal mosaic density difference in the middle lobe . subpleural reticular densities are seen in the upper lobe anterior in the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there is minimal dilatation in the right heart chambers . minimal pericardial effusion is present and stable . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma minimal budding tree appearance is observed in the right lung middle lobe paramediastinal localization . in the evaluation of both lung parenchyma mosaic perfusion is observed in both lungs . nonspecific nodules with a diameter of 2 mm are observed in the middle lobe and mediobasal segment of the right lung in the anterobasal segment of the lower lobe and in the anterior segment of the upper lobe . pleural effusion-thickening was not distinguished in both hemithorax . airways it was thought to be compatible with bronchiolitis . trachea and main bronchi are open . mediastinum millimetric-sized calcified atherosclerotic plaques are observed in the aortic arch . right upper bilateral lower paratracheal aortopulmonary hilar lymph nodes with prominent fat content are observed . no pathological lap was detected in the mediastinum . heart and great vessels the cardiothoracic index was slightly increased in favor of the heart . osseous structures no obvious pathology was detected in bone structures . abdomen there is an appearance that may be compatible with dish disease in the anterior longitudinal ligament localization in the middle dorsal localization . in the sections passing through the upper part of the abdomen there are hypodense lesions which can be considered as adenoma with low hu values below 10 with a size of the largest one on the right and in the left adrenal gland in both adrenal gland localizations . millimetric-sized calcified atherosclerotic plaques are observed in the aortic arch . lung parenchyma in both lung parenchyma adjacent to the effusion there are areas of increased density consistent with consolidation in which air bronchograms are also observed which is evaluated primarily in favor of compressive atelectasis . underlying pneumonic infiltration cannot be excluded . no mass lesion was observed in both lungs . when examined in the lung parenchyma window there are minimal emphysematous changes in both lungs . in both pleural spaces an effusion measuring approximately 40 mm in the deepest part on the right and approximately 45 mm in the deepest part on the left was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no lymph nodes in pathological size and appearance were observed in both axillary regions supraclavicular fossa and mediastinum . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels there is a drainage catheter applied to the pericardial area adjacent to the left ventricle . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen the cardiothoracic ratio increased markedly in favor of the heart . minimal pericardial effusion was observed . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma no mass lesion-active infiltration was detected in the lung parenchyma . pleuroparenchymal fibroatelectasis sequelae change was observed in the left lung upper lobe inferior lingular segment . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . a sliding sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in lad . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen nodular thickening was observed in the left adrenal gland corpus and medial crus and in the right adrenal gland lateral crus . thoracic aorta diameter is normal . accessory spleen with a diameter of 2 cm was observed in the lower pole anteromedial neighborhood of the spleen entering the section area . other upper abdominal organs are normal as far as can be seen in the sections . left kidney dimensions and parenchyma thickness have decreased and there is lobulation in its contours . no space occupying lesion was detected in the liver . lung parenchyma apart from this no signs of active infiltration were detected in the lung . when examined in the lung parenchyma window peripheral nonspecific parenchymal nodules were observed in both lungs the largest of which was approximately 45 mm in diameter in the anterior segment of the right lung upper lobe . airways the right thyroid lobe is larger than normal and extends to the retrosternal area and the trachea to the left . trachea both main bronchi are open . mediastinum lymph nodes with a short diameter of 6 mm were observed in the mediastinal prevascular area in the aortopulmonary window in the paratracheal area and in the bilateral hilar region . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcifications were observed in the coronary arteries . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no obvious pathology was detected . osseous structures a minimal displacement fracture line is observed at the 10th rib on the left . apart from this no obvious pathology was detected in the bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no active infiltration or mass lesion is detected in both lung parenchyma . there are multiple nodules the largest of which is 5 mm in the anterior segment of the right lung upper lobe in both lungs and centracinar emphysematous changes are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen hyperdense calculus images are observed in the gallbladder lumen in the upper abdomen sections within the image . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in the upper lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no mass-nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways bilateral peribronchial thickenings were observed . no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window paraseptal-centriacinar emphysema areas are observed in the upper lobes of both lungs more prominently on the right . two nodules with diameters of 35 mm and 25 mm are observed in the lateral segment of the right lung middle lobe . linear atelectatic changes are observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar pathological dimensions were detected . thoracic aorta diameter is normal . reactive lymph nodes are observed in the bilateral axillary region . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no pathological lymph nodes were observed in the bilateral supraclavicular region . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a parenchymal cyst in the superior segment of the lower lobe of the right lung . covid-19 pneumonia could not be ruled out . sequelae changes are observed in the middle lobe on the right . there are faint focal ground-glass-like density increases in the lower lobe superior segments of both lungs . when examined in the lung parenchyma window there are findings compatible with emphysema . there is a 3 mm diameter subpleural nonspecific nodule in the posterior segment of the upper lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen in the sections passing through the upper abdomen a decrease in density consistent with hepatosteatosis is observed in the liver . hiatal hernia is observed . in the left kidney there is a density compatible with calculus with a diameter of 1-2 mm . thoracic aorta diameter is normal . the spleen is natural . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific nodules larger than 5 mm in size were observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are appearances of vascular enlargement within the described ground glass areas . although the described manifestations are not specific these findings were interpreted in favor of viral pneumonia when evaluated together with the clinical pre-diagnosis . peripheral ground glass areas are observed in the upper and lower lobes of both lungs . the findings described in covid-19 pneumonia can often be followed . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . there is no difference in the number and size of the nodules observed in both lungs . there are atelectasis in the left lung upper lobe lingular segment inferior subsegment and right lung middle lobe medial segment . in the lower lobe of the left lung volume loss and consolidation are observed in the basal segments adjacent to the effusion . there are nonspecific nodules in both lungs the largest of which is adjacent to the fissure in the middle lobe of the right lung and the largest measuring approximately in diameter . in addition linear atelectasis is observed in both lung lower lobes . it is recommended to evaluate the patient together with clinical and laboratory findings in terms of distinction . no mass is detected in either lung . due to the presence of volume loss it was first evaluated in favor of atelectasis . minimal pleural effusion is observed on the left . there is regression in the amount of pleural effusion observed on the left and in the consolidation observed in its vicinity . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal structures cannot be optimally evaluated because no contrast material is given . the diameters of the arcus aorta and descending aorta are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . its diameter was and wider than normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathologically enlarged lymph node was detected . a minimal hiatal hernia with sliding type in the lower end of the esophagus . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels it is understood that the patient had aortic valve replacement . as far as can be observed the heart is larger than normal . no pericardial effusion is detected . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen its diameter was and wider than normal . no upper abdominal free fluid-collection was detected in the sections . the diameters of the arcus aorta and descending aorta are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there is more prominent emphysema in the upper lobes of the lung parenchyma . paraseptal emphysema areas and pleuroparenchymal sequelae fibrotic density increases are observed in the upper lobe apical segments . although they could not be characterized in this examination these nodules were evaluated as suspicious in the case with a primary one . in addition there are several nonspecific nodules in both lungs . in the right lung two nodules of similar size the largest 65 mm in diameter were observed in the lower lobe superior segment . in the right lung lower lobe superior segment linear density increase extending from segment bronchi to pleura was evaluated in favor of sequelae change . airways tracheomegaly is observed due to loss of in the lung parenchyma . mediastinum there is a new double lumen appearance in the anterior of the aorta . in the lower pole of the sma outlet the abdominal aorta appears to be totally . the diameter of the ascending aorta was 53 mm the diameter at the widest part of the aortic arch was 43 mm and the diameter at the widest part of the thoracic aorta was 36 mm in the proximal part . diffuse calcified atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta . no lymph node was observed in the mediastinum in pathological size and appearance . fusiform enlargement is observed in the ascending aorta aortic arch and thoracic aorta . heart and great vessels heart size increased . diffuse calcific atherosclerotic plaques are observed in the coronary arteries . pericardial effusion was not detected . the diameter of the ascending aorta was 53 mm the diameter at the widest part of the aortic arch was 43 mm and the diameter at the widest part of the thoracic aorta was 36 mm in the proximal part . diffuse calcified atherosclerotic plaques are observed in the ascending aorta aortic arch and thoracic aorta . fusiform enlargement is observed in the ascending aorta aortic arch and thoracic aorta . osseous structures in the axilla and supraclavicular fossa no lymph node in pathological size and appearance was observed within the section . no lytic-destructive space-occupying lesion was detected in the bone structures entering the cross-sectional area . abdomen no loculated or free fluid was detected in the abdomen . no dilatation was detected in the common bile duct . a few simple cysts were observed in both kidneys the largest of which was 55 mm in diameter on the right . no lymph node in pathological size and appearance was observed in the portal hilus paraaortic paracaval localization main iliac chain internal iliac chain and right external iliac chain in the abdomen . no space-occupying lesion was detected in the intestinal and colonic lumens that can be distinguished by this examination . both kidney sizes are normal . it is nonspecific . the contour size parenchyma density of the spleen is normal . millimetric calculi were observed in the gallbladder lumen . peritoneal nodular lung parenchyma minimal ground glass appearance was observed around the nodule observed in the left lung upper lobe lingular segment . this nodule measured approximately 3 mm in diameter . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma the findings described are highly suspicious for covid-19 pneumonia . subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular and right lung middle lobe medial segment . no mass lesion with distinguishable borders was detected in both lungs . a millimetric nonspecific calcific nodule was observed in the anterior segment of the right lung upper lobe . ground-glass opacities in the superior and posterobasal segments of the lower lobe of the right lung are accompanied by subsegmental atelectatic changes . when examined in the lung parenchyma window patchy ground glass opacities with multilobar peripheral weight crazy paving pattern and vascular enlargement were observed in both lungs . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . calcific atheroma plaques were observed in the aortic arch and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening is observed . calcific atheroma plaques were observed in the aortic arch and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures an increase in trabeculation secondary to osteoporosis was also observed in the thoracic vertebrae within the sections . at the mid-thoracic level osteophyte formations bridging with each other were observed in the right anterolateral corner of the vertebrae . abdomen calcific atheroma plaques were observed in the aortic arch and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis is observed in both lungs especially in the middle lobe . no active infiltration consolidation or space-occupying lesion was observed in both lungs . when examined in the lung parenchyma window ventilation of both lungs is normal . pericardial pleural effusion was not observed . airways trachea both main bronchi are open . mediastinum the aorta emerging from the aortic root has a dilated appearance and reaches 58 mm in diameter at its widest point . no pathological lymphadenopathy was observed in the mediastinal area . calcific atheroma plaques are observed in the aortic walls . heart and great vessels no pathology was observed in the precardiac fat pad . heart contour size is normal . osseous structures degenerative changes in bones follow . abdomen the aorta emerging from the aortic root has a dilated appearance and reaches 58 mm in diameter at its widest point . calcific atheroma plaques are observed in the aortic walls . lung parenchyma there is a pleuroparenchymal fibrotic sequelae band in the medial of the middle lobe of the right lung . when examined in the lung parenchyma window both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . a nonspecific pulmonary nodule with a diameter of 3 mm is observed in the right lung the largest of which is located subpleural in the laterobasal segment . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . there is a 2 mm diameter calculi in the middle zone of the right kidney . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peribronchial and diffusely localized minimal density increases are observed in both lungs in a style that can hardly be distinguished . apart from this ground glass opacities consistent with covid-19 pneumonia are observed in the subpleural areas of both lungs . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the coronary arteries and aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen calcific atheroma plaques are observed in the coronary arteries and aorta . in addition millimetric calculi in the left kidney were noted . a few hypodense nodular lesions in fluid density in both kidneys included in the examination were evaluated as compatible with cysts . lung parenchyma several nonspecific parenchymal nodules with a diameter of 44 mm were observed in both lungs the largest of which was in the posterobasal segment of the right lung lower lobe . no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window minimal peribronchial thickening was observed in both lungs . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . apart from these both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma there are minimal pleuroparenchymal sequelae changes in both lung apexes . there are millimetric nodules in both lungs some of which are calcific . no mass or infiltrative lesion was detected in both lungs . linear atelectasis and minimal emphysematous changes were observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the diameters of the pulmonary arteries are normal . the diameters of the aortic arch and descending aorta are normal . there are no enlarged lymph nodes in pathological size and appearance . there are lymph nodes in the mediastinum and hilar regions some of which are calcific . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen the diameters of the aortic arch and descending aorta are normal . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma apart from this there are multiple nodular lesions in different localizations in both lung parenchyma the largest of which is evaluated in favor of metastasis with a long axis of 17 mm in the left inferior lingular segment . apart from the defined mass lesions there are large areas of consolidation in the lower lobe basal segments of both lungs and they have recently emerged in the current examination . mass lesions with irregular borders that did not increase in size were observed . it was evaluated in favor of the infectious process in the first plan . when both lung parenchyma windows are evaluated the long axis narrowing the middle lobe bronchus which obliterates the upper lobe bronchi extending to the upper lobe in the right hilar region is 62 mm in the current examination 61 mm in the previous examination and the long axis narrowing the upper lobe bronchi in the left hilar region is 57 mm 52 mm in the previous examination in the current examination . between the bilateral pleural leaves a newly emerged free pleural effusion measuring 17 mm on the right and 23 mm on the left was observed in the current examination . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum the main pulmonary artery diameter was 30 mm and was at the upper limits . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits . heart and great vessels calibration of the ascending aorta is natural . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . there is a mild effusion measuring 5 mm in the thickest part of the pericardium . heart contour and size are normal . osseous structures sclerotic lesions which were evaluated in favor of metastasis in the previous examination are observed in different localizations especially in the t1 vertebra in the bone structures included in the examination area . abdomen in the upper abdominal sections entering the examination area the gallbladder has a hydropic appearance . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . there is a mass lesion in the left adrenal gland locus which extends from the kidney hilum and whose borders cannot be distinguished from the kidney parenchyma with dimensions of approximately mm mm in the previous examination in the current examination and no significant change in dimensions was found which was initially evaluated in favor of metastasis . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . a subsegmental atelectatic change was observed in the inferior lingular segment of the left lung upper lobe . when examined in the lung parenchyma window a millimetric calcific nodule was observed in the upper lobe of the right lung . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of other vascular structures of the mediastinum is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart contour size is normal . as far as can be observed the ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm . pericardial effusion-thickening was not observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a nodular lesion with exophytic millimetric fluid density was observed in the middle part posterior of the right kidney cyst . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window both lungs are mildly emphysematous . fibroatelectasis sequelae causing mild parenchymal distortion and minimal volume loss were observed in the right lung middle lobe medial segment . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with a diameter of 14 mm was observed adjacent to the lower pole of the spleen . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window bilateral peribronchial thickenings were observed . significant emphysematous changes were observed in the upper lobes of both lungs . between the bilateral pleural leaves free pleural effusion with a thickness of 23 mm on the right and 34 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . lymph nodes measuring 17x11 mm in size were observed in the mediastinal upper-lower paratracheal prevascular and subcarinal areas . pulmonary artery calibration is natural . sliding type hiatal hernia was observed . heart and great vessels calcific atherosclerotic changes and stent material were observed in the coronary artery wall . heart size increased . pericardial thickening-effusion was not detected . the ascending aorta measures 41 mm in diameter and shows slight dilatation . osseous structures no lytic-destructive lesion was detected in the bone structures . abdomen a slight increase in thickness was observed in the bilateral adrenal gland hyperplasia . upper abdominal sections entering the examination area are natural . lung parenchyma no mass lesion-active infiltration was detected in both lungs . a few millimetric nonspecific parenchymal nodules were observed in both lungs . a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . when examined in the lung parenchyma window minimal passive atelectatic changes were observed in the paracardiac areas of the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . atherosclerotic wall calcifications were observed in the abdominal aorta . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . atherosclerotic wall calcifications were observed in the abdominal aorta . upper abdominal organs are normal as far as can be seen in the sections . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no suspicious mass or nodular space-occupying lesion was detected in the aerated lung parenchyma . subsegmental atelectasis areas are observed in both lung lower lobes . no pneumonia was detected in the lung parenchyma . no pneumonia was detected . not inspiration . no pleural effusion was detected . no pleural effusion was observed . airways trachea both main bronchi lobar and segmental bronchi air passages are open . mediastinum thoracic aorta diameter was measured 35 mm at its widest point . a fusiform slight increase in diameter is observed in the aortic arch and thoracic aorta . wall calcifications of the ascending aorta aortic arch and thoracic aorta are observed . no lymph node was observed in the mediastinum in pathological size and appearance . a nasogastric tube is available . heart and great vessels wall calcifications of the ascending aorta aortic arch and thoracic aorta are observed . diffuse calcific atherosclerotic plaques are observed in the coronary arteries . pericardial effusion was not detected . heart sizes are of normal width . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen thoracic aorta diameter was measured 35 mm at its widest point . a fusiform slight increase in diameter is observed in the aortic arch and thoracic aorta . wall calcifications of the ascending aorta aortic arch and thoracic aorta are observed . lung parenchyma changes consistent with pleuroparenchymal sequelae are observed in the lower lobe of the left lung . there is a wide pneumothorax appearance in the right lung extending from the basal to the apex . there are air bubbles in places . in a short segment in the upper lobe of the right lung parenchyma is normal . however at other levels the lung parenchyma is mostly collapsed and is observed centrally in the mid-lower zone . bilateral pleural effusion was not observed . airways there is mild thickening of the peribronchial sheath . the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels kto is natural . osseous structures degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window mosaic attenuation areas are observed in both lungs small airway disease small vessel disease . fibroatelectatic changes are observed in both lungs . between the bilateral pleural leaves free pleural effusion with a thickness of 25 mm on the right and 26 mm on the left and mild atelectatic changes in the adjacent lung parenchyma are observed . airways trachea lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal pathological size and appearance . it was evaluated in favor of hyperplasia rather than adenoma . calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be seen mediastinal major vascular structures are normal . diffuse calcific atherosclerotic changes are observed in the wall of the abdominal aorta . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased cardiomegaly . pericardial mild diffuse thickening is observed . calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . osseous structures right-facing scoliosis is observed in the thoracic vertebrae . degenerative changes are observed in bone structures . abdomen it was evaluated in favor of hyperplasia rather than adenoma . diffuse calcific atherosclerotic changes are observed in the wall of the abdominal aorta . diffuse thickening of the right adrenal gland is observed in the upper abdominal sections entering the examination area . calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . lung parenchyma the described findings were evaluated as compatible with covid-19 pneumonia . bilateral pleural thickening-effusion was not detected . in both lungs ground-glass density increases in the peripheral subpleural areas that are evident in the basal segments of the lower lobes and consolidation areas with accompanying air bronchogram are remarkable . airways as far as can be seen trachea both main bronchi are open . mediastinum the diameter of the main pulmonary artery is 30 mm and it shows mild dilation . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . according to the previous examination there are lymph nodes measuring 7 mm in the short axis of the stable larger one in the mediastinum . heart and great vessels heart contour size is normal . osseous structures degenerative changes are observed in bone structures . abdomen coarse calcifications were observed in the spleen . upper abdominal sections entering the examination area have a natural appearance . lung parenchyma it was that infiltration areas were observed at this level before and the findings were evaluated in favor of regression . no newly emerged infiltration area was detected in the current examination . when evaluated in the parenchyma window of both lungs a mosaic attenuation pattern was observed in both lung parenchyma small airway disease small vessel disease . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be observed a lymph node of 18x13 mm was observed in the anterior mediastinum . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels heart size increased . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma lower lobe basal segment aeration was markedly decreased . mass lesion dimensions are progressive . it has markedly narrowed the middle lobe and lower lobe segment . lymphangitic involvement is observed in the right lung lower lobe basal segment and middle lobe . metastatic lesions are present in both lungs small lesions increase in size and multiple newly developed metastatic foci are observed in both lungs . the right lung shows conglomeration around the lower lobe and middle lobe bronchus and the conglomerated metastatic lesion is quite progressive and prominent in the current examination . new millimetric metastatic foci were detected in the pericardial pleura . the pleural effusion reaching a diameter of 17 mm at its widest point has just developed between the right pleural leaves . airways a mass lesion with mediastinal invasion is observed in the middle part of the trachea and at the level of the carina . there is stent material applied to the trachea and both main bronchi . mediastinum there are metastatic lymph nodes located in the upper mediastinum in the paraesophageal area . heart and great vessels no relevant findings . osseous structures it could not be characterized in this examination . a few pathological lymph nodes with short axes exceeding 1 cm in both supraclavicular fossa and level 4 localization were found to be newly developed in the current examination . no discernible space-occupying lesion was detected in the vertebral body within the ct margins . it is progressive . there is an osteoporotic appearance in the bone structure . a height line was observed in the upper end plateau of the t11 vertebra . it was evaluated primarily in favor of a fracture . bone metastasis is observed in the manubrium . at this level a mild lytic appearance in the facet joints is observed especially in the right facet joint . abdomen no relevant findings . lung parenchyma since other viral pneumonias are included in the differential diagnosis it is recommended to be given with clinical and laboratory findings . ground-glass-like density increases with peripheral distribution of fat in all areas of both lungs are observed and were evaluated as compatible with covid pneumonia . when examined in the lung parenchyma window sequelae changes are observed in both lungs at the apical level . no bilateral pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum thoracic aorta diameter is normal . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . mediastinal main vascular structures heart contour size are normal . a hiatal hernia was observed at the lower end of the thoracic esophagus . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen there is mild steatosis appearance in the liver entering the cross-sectional area . surrounding soft tissue plans are natural . in the spleen hilum a nodular formation is observed which is isodense with the spleen which is compatible with the accessory spleen with a diameter of approximately 18 mm . no space occupying lesion was detected . thoracic aorta diameter is normal . sequelae changes are observed in the inferior pole of the right kidney at the level that partially enters the image . upper abdominal organs included in the sections are normal . there are sequelae changes in the middle part posterior of the left kidney . the spleen and both adrenals are normal . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . right-facing scoliosis was observed in the thoracic vertebrae . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma however regression was observed in the findings . in addition linear atelectasis and emphysematous changes are observed in both lungs . consolidation is observed in a small area in the middle lobe of the right lung . since the patient is not breathing properly during the examination the lung parenchyma cannot be clearly evaluated in terms of focal lesion . the described manifestations were evaluated primarily in favor of infective pathology . there are also consolidations in the lower lobe of the right lung especially in the peribronchial area . these appearances are also present in the previous examination of the patient . there is minimal peribronchial thickening in both lungs . as far as can be observed in this examination no mass was detected in both lungs . there is bilateral minimal pleural effusion more prominent on the right . there is minimal regression in the amount of pleural effusion . airways trachea and both main bronchi are normal . there is no obstructive pathology in the trachea and both main bronchi . mediastinum no relevant findings . heart and great vessels minimal pericardial effusion is observed . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma multiple nodules measuring mm are observed in both lungs the largest of which is in the anterior segment of the upper lobe of the right lung . no mass or infiltrative lesion was detected in both lungs . further is recommended . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . calcific atheroma plaques are observed in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . sliding hiatal hernia and several paraesophageal lymph nodes with a diameter of 4 mm are observed at the esophagogastric junction . heart and great vessels the diameter of the ascending aorta was 37 mm and increased . heart contour and size are normal . osseous structures in the sections bridging osteophytes at the corners of the thoracic vertebral corpus and a vacuum phenomenon are observed in the intervertebral discs . no lytic-destructive lesion was detected . abdomen calcific atheroma plaques are observed in the aorta and coronary arteries . in the upper abdominal organs within the sections there is no mass with discernible borders as far as it can be observed within the borders of non-enhanced ct . sliding hiatal hernia and several paraesophageal lymph nodes with a diameter of 4 mm are observed at the esophagogastric junction . no upper abdominal free fluid-collection was detected in the sections . the gallbladder was not observed operated . lung parenchyma a few millimetric nonspecific parenchymal nodules were observed in both lungs . focal ground-glass density increase was observed in the right lung lower lobe mediobasal segment and it was thought to be related to spur compression . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . no mass was detected in both lung parenchyma . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . there are metallic suture materials belonging to sternotomy on the anterior thorax wall . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window peripherally located patchy ground glass densities are observed in both lung parenchyma . close follow-up of clinical laboratory correlation of findings in terms of covid-19 viral pneumonia is recommended . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a 5 mm diameter nodule was observed on the minor fissure on the right intrapulmonary lymph node . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures degenerative changes were observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when both lungs are evaluated in the parenchyma window bilateral peribronchial thickenings are observed . pleuroparenchymal sequelae density increases were observed in both lungs apical . emphysematous changes were observed in both lungs . bilateral pleural thickening-effusion was not detected . nonspecific parenchymal nodules with a diameter of 65 mm in the middle lobe of the right lung and 3 mm in diameter located subpleural in the superior segment of the lower lobe of the left lung were observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures mild degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen in the upper abdominal sections that entered the examination area millimeter-sized calcules were observed in the gallbladder lumen . other upper abdominal organs included in the examination are normal . millimetric calculi were observed in both kidneys . no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . lung parenchyma minimal emphysematous changes and tubular bronchiectasis are observed in both lungs . there are several nodules in both lungs with a short diameter of less than 3 mm . no mass or infiltrative lesion was detected in both lungs . there are several lymph nodes in the mediastinum and bilateral hilar regions the largest of which is 7 mm in diameter in the right paratracheal area . no pleural-pericardial thickening or effusion was observed . there are subsegmental atelectasis areas accompanied by pleural retraction in both lungs in the lower lobe posterior segment left lung upper lobe lingular segment and right lung middle lobe medial segment . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are several lymph nodes in the mediastinum and bilateral hilar regions the largest of which is 7 mm in diameter in the right paratracheal area . calcific atheroma plaques are observed in the anterior descending coronary artery and aorta . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels the left atrium is dilated . cardiothoracic ratio is within normal limits . calcific atheroma plaques are observed in the anterior descending coronary artery and aorta . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen a 45 mm diameter hyperdense stone is observed in the gallbladder lumen . sliding type minimal hiatal hernia is observed at the esophagogastric junction . as far as can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . kidney contours show lobulation . calcific atheroma plaques are observed in the anterior descending coronary artery and aorta . lung parenchyma a mm mass with irregular borders and a millimetric cavity is observed sitting on the major fissure in the right lower lobe anterobasal . apart from these calcific nodules some of which reach 5 mm in diameter are observed in the right lower lobe in both lungs . peribronchial minimal reticulonodular densities are seen superiorly and anteriorly in the lower lobe on the right . a 19 mm calcification is observed in the apex of the left lung upper lobe . when examined in the lung parenchyma window there is diffuse emphysematous appearance in both lung parenchyma . minimal bronchiectasis and accompanying pleural calcifications are observed in the upper lobe on the right . airways trachea both main bronchi are open . mediastinum calcific plaques are observed at the level of the aortic root . diffuse calcific plaques are observed in the thoracic and abdominal aorta . in the mediastinum and hilar region predomitly calcific lymph nodes with short axes reaching 10 mm were observed . there are extensive calcific plaques in the abdominal aorta and its branches . thoracic aorta diameter is normal . there are densities at the proximal level in the esophagus . heart and great vessels pericardial effusion-thickening was not observed . diffuse calcific plaques are observed in the coronary arteries . the ascending aorta is 45 mm and dilated . heart contour size is normal . osseous structures thoracic kyphosis has increased and widespread and osteoporotic densities are observed in the vertebrae . a and displaced fracture is observed at the neck level in the proximal humerus on the right in the bone structures within the examination area . abdomen calcific plaques are observed at the level of the aortic root . bilateral adrenal glands were normal and no space-occupying lesion was detected . diffuse calcific plaques are observed in the thoracic and abdominal aorta . there are extensive calcific plaques in the abdominal aorta and its branches . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma minimal emphysematous changes are observed in both lungs and a millimetric air cyst is observed in the posterior segment of the right lung upper lobe . a few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 5 mm . linear atelectasis areas are observed in the apical regions of both lungs . no pleural-pericardial thickening or effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . there is bilateral minimal tubular bronchiectasis . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . a few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 5 mm . no enlarged lymph node was detected in pathological size and appearance . a nodule with a diameter of no pathological increase in wall thickness was detected in the esophagus . heart and great vessels the heart contour and size are normal . osseous structures degenerative vacuum phenomenon is observed at the level of the manubrium sterni . no lytic-destructive lesions were observed in the bone structures within the sections . thoracic kyphosis is increased . at the corners of the corpus of the thoracic vertebrae bridging osteophytes are observed and there is an irregular appearance in the end plateaus . abdomen a hyperdense stone with a diameter of 2 mm is observed in the lower pole of the right kidney . as far as it can be observed within the limits of unenhanced ct there is no mass with distinguishable borders in the upper abdominal organs . lung parenchyma in the upper lobe posterior of the right lung several nodules the largest of which was 4 mm in size were observed superposed to the fissure which was newly developed in the current examination . no active infiltration or mass lesion was detected in both lung parenchyma . when examined in the lung parenchyma window there are diffuse emphysematous changes in both lungs . in the previous pet-ct examination a fissure-based mass extending from the central to the periphery was observed at the level of the right lung lower lobe bronchi . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum thoracic aorta diameter is normal . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . mediastinal main vascular structures heart contour size are normal . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are preserved . no lytic or destructive lesions were detected in the bone structures within the image . abdomen bilateral adrenal glands are normal . there is a 10 mm hyperdense stone in the gallbladder lumen . it was evaluated primarily in favor of simple cortical cysts . thoracic aorta diameter is normal . intraabdominal free fluid loculated collection is not detected . as far as it can be observed within the limits of non-contrast ct in the upper abdominal sections within the image in both kidneys hypodense lesions of fluid density with exophytic extension in cortical location are observed and their size and appearance are stable in a comparative evaluation with previous pet-ct and mr examinations . follow-up is recommended . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . a few nonspecific pulmonary nodules less than 5 mm in diameter were observed in both lungs . when examined in the lung parenchyma window sequelae nodular density increases were observed in both lung apexes . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen nodular thickening was observed in the medial crus of the left adrenal gland . liver gallbladder spleen right adrenal gland both kidneys are normal as far as can be seen on non-contrast images . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window pleuroparenchymal fibroatelectasis and sequela changes were observed in both lungs most prominently in the upper lobe of the right lung . the sequelae in the upper lobe of the right lung are accompanied by traction bronchiectasis . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures diffuse osteodegenerative changes were observed in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs including sections liver parenchyma density is diffusely decreased consistent with hepatosteatosis . lung parenchyma no mass or nodule was detected in both lung parenchyma . mild emphysematous appearance was observed in both lungs . when examined in the lung parenchyma window peripheral infiltration area was observed in the posterobasal segment of the left lung lower lobe and focal infiltration area was observed in the subpleural area pneumonia in the resolution period focal change . no pleural effusion was detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum calibration of mediastinal major vascular structures is natural . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . no lymph node was detected in pathological size and appearance . mediastinal lymph nodes some of which are calcified are millimetric in size . no dilatation was detected in the thoracic aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . degenerative changes were observed in the bone structure . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma mild emphysematous changes in both lungs and a few millimeter-sized air cysts are noteworthy . in the left lung inferior lingular segment nonspecific ground-glass-like density increases are observed . a few millimeter-sized nonspecific pulmonary nodules were observed in both lungs . when examined in the lung parenchyma window there are areas of consolidation with air bronchograms in the lower lobes of each lung accompanied by minimal pleural effusion reaching 11 mm at its thickest point on the left and 5 mm on the right . airways no occlusive pathology was detected in the trachea and both bronchial lumens . trachea both main bronchi are open . mediastinum no lymph node was detected in mediastinal pathological size and appearance . the diameter of the main pulmonary artery was 38 mm the diameter of the right pulmonary artery was 27 mm and the diameter of the left pulmonary artery was 27 mm showing dilatation . the diameter of the ascending aorta was 45 mm the diameter of the aortic arch was mm and the diameter of the descending aorta was 33 mm showing fusiform dilatation . calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size increased cardiomegaly . the diameter of the ascending aorta was 45 mm the diameter of the aortic arch was mm and the diameter of the descending aorta was 33 mm showing fusiform dilatation . calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . osseous structures the described appearances were evaluated as consistent with the bony involvement of multiple myeloma . abdomen diffuse thickening is observed in both adrenal glands at the limits of non-contrast examination in the upper abdominal sections entering the examination area . it was evaluated in favor of hyperplasia from adenoma . the diameter of the ascending aorta was 45 mm the diameter of the aortic arch was mm and the diameter of the descending aorta was 33 mm showing fusiform dilatation . calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery . lung parenchyma a linear increase in density and minimal ground glass appearance are also observed in the lateral part of the posterior segment of the right lung upper lobe . consolidation in the superior segment posterobasal segment and anteromediobasal segment in the lower lobe of the left lung and ground-glass appearances are observed in its neighborhoods . although the described aspect cannot be characterized as it is small this may also be a consolidation . there are millimetric nodules in both lungs . no mass was detected in both lungs . the described manifestations were primarily evaluated in favor of pneumonic infiltration . there is also minimal pleural effusion on the left . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . a central venous catheter is seen on the left and the catheter ends in the vena . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . pericardial thickening was not detected . osseous structures no fracture lytic-destructive lesion was observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma there are pleuroparenchymal sequelae changes . when examined in the lung parenchyma window there are calcific nodules 1-2 mm in diameter in both lungs . there are minimal sequelae changes in the apex of both lungs . there was no finding in favor of active infiltration . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . right lateral are observed in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the budding tree view is also observed in the right lung lower lobe superior segment . the findings are consistent with tb infection with spread which is stated in the clinical preliminary diagnosis . significant thickening of the walls of bronchiectasis most prominent in the right upper lobe nodular infiltrates in peribronchial ground glass density and the appearance of a budded tree were observed . apart from this no mass lesion was detected in the parenchyma of both lungs . when examined in the lung parenchyma window cylindrical bronchiectasis were observed in the upper and middle lobes of the right lung . apart from this passive atelectatic changes are observed in the posterobasal and laterobasal segments of the lower lobe of the right lung . airways trachea both main bronchi are middle and no obstructive pathology was observed in the lumen . mediastinum at the right upper paratracheal subcarinal and right hilar level several lymph nodes the largest of which were mm were observed that did not reach pathological dimensions . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . in the examination performed without contrast the mediastinal cannot be evaluated optimally . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen an incision scar was observed on the anterior abdominal wall in the and diffuse edema-inflammatory density increases were observed in the peritoneal fatty planes . liver gallbladder spleen pancreas both kidneys and both adrenal glands are normal as far as can be seen on non-contrast images . lung parenchyma there are nonspecific nodules measuring 5 mm in size in the upper lobe anterior segment on the right and 55 mm in size in the left lower lobe lateral segment . ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltration or mass lesion was detected . bilateral hilus was not evaluated optimally due to the lack of contrast in the examination . airways trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum in all lymph node stations in the mediastinum multiple lymph nodes with fusiform configuration are observed the largest of which is in the right lower paratracheal area with a short diameter of 14 mm . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma subsegmental atelectasis areas were observed in the left lung lower lobe mediobasal segment and both lung lower lobe superior segments . when both lung parenchyma windows were evaluated bilateral peribronchial thickenings were observed . no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural effusion-thickening was not detected . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum on the right the image of the catheter extending to the superior vena cava is observed . no lymph node was detected in mediastinal pathological size and appearance . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . heart and great vessels pericardial effusion-thickening was not observed . heart contour and size are natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections included in the sections the liver parenchyma density decreased diffusely in line with the adiposity . several accessory spleens the largest of which are 2 cm in diameter were observed adjacent to the spleen hilus . lung parenchyma when examined in the lung parenchyma window left lung aeration is almost completely reduced . in the right lung there are nodules in millimeter sizes which were observed in the previous ct examination of the patient as well as no change in number and size . no mass lesion was detected in the right lung parenchyma . in the right lung areas of increased density of ground glass density with indistinct borders were observed in diffuse peribronchial areas . findings suggest bronchopneumonic infiltration . no pleural effusion was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . there are lymph nodes in the mediastinum prevascular aorticopulmonary window pretracheal area and subcarinal level the largest at the prevascular level short diameter less than 1 cm with fusiform configuration and without pathological size and appearance . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels there is minimal pericardial effusion . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions are observed in the bone structures within the image and there are degenerative changes . abdomen calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma there are areas of focal ground glass density in the right lung upper lobe posterior and lower lobe superior segments and focal nodular consolidation observed in the ground glass density area around the lower lobe segment level findings that may be compatible with infection in the first plan . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid pneumonia . pleural effusion-thickening was not detected . when examined in the lung parenchyma window multiple nodules were observed in both lungs the largest of which was 68 mm in diameter located subpleural in the posterobasal segment of the lower lobe of the left lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures millimetric sclerotic foci were observed in the lateral part of the left humerus left 7th rib . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no active infiltration or mass lesion was detected in both lung parenchyma . there are areas of increase in density consistent with sequelae linear atelectasis . pericardial pleural effusion was not detected . airways no relevant findings . mediastinum in the current examination which gives the impression that they are related to each other in the anterior mediastinum collections measuring 34 mm in diameter were observed . heart and great vessels the patient has massive cardiomegaly . metallic prosthesis is observed at the level of the mitral valve . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma the outlook was evaluated in favor of pneumonic infiltration . a few nonspecific pulmonary nodules with diameters less than 5 mm were observed in both lungs . linear atelectatic changes are noted in the left lung upper lobe apicoposterior segment and lower lobe basal segment and in the right lung middle lobe . the right lung has a widely consolidated appearance in the middle lobe lateral segment and lower lobe basal segment and the left lung in the lower lobe basal segment . when examined in the lung parenchyma window effusion reaching 21 mm in the right pleural space and 27 mm in the left pleural space was observed . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . on the right the port chamber on the anterior surface of the pectoral muscle on the anterior chest wall and the catheter extending to the superior distal vena cava are observed . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels effusion reaching 1 cm was observed in the pericardial space . mediastinal main vascular structures heart contour size are normal . osseous structures diffuse lytic metastases were observed in bone structures within the sections . abdomen the pancreas both adrenal glands and both kidneys are normal . no free fluid was observed in the abdomen within the sections . it is stable . liver and spleen sizes increased as can be seen on non-contrast sections . a cystic lesion with a diameter of cm located subcapsular was observed in the posterior lower pole of the spleen . lung parenchyma there are areas of linear atelectasis consolidation in the lingular segment of the left lung and the superior segment of the lower lobe of the left lung . there are several non-specific ground-glass pulmonary nodules in both lungs which are more prominent on the right . no appearance in favor of active infiltration or consolidation was detected . there is minimal mosaic attenuation pattern in the upper lobes of both lungs . when examined in the lung parenchyma window pleural effusion reaching 3 cm on the right and 2 cm on the left and accompanying compression atelectasis are observed in both hemithorax . airways both main bronchi are open . a few lymph nodes with a short axis not exceeding 5 mm are observed in the pretracheal area . the trachea is in the midline . mediastinum thoracic aorta diameter is normal . there are extensive calcific atheromatous plaques in the aorta and coronary arteries . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no effusion was observed in the pericardial area . the appearance of a pacemaker is observed on the left anterior wall of the chest and the image of the catheter extending to the heart from this area is observed . it is understood that the patient was operated for aortic valve . heart sizes were significantly increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen hiatal hernia is observed . there is minimal contamination in the mesenteric fatty planes in the abdomen . thoracic aorta diameter is normal . there are extensive calcific atheromatous plaques in the aorta and coronary arteries . in the upper abdominal images included in the sections minimal free fluid is observed in the perihepatic and perisplenic areas . lung parenchyma there is a right upper bilateral lower paratracheal millimetric lymph node . in the evaluation of both lung parenchyma no mass nodule-infiltration was detected in both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways no relevant findings . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures in the dorsal localization left-facing scoliosis is observed . no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma there are patches of consolidation in the anterior-posterior segment of the upper lobe of the right lung . areas of consolidation with diffuse air bronchograms that completely the lower lobe of the left lung are observed . in addition widespread areas of consolidation are observed in the right lung prominently in the lower lobe superior . subsegment atelectasis areas are observed in the left lung lingular segment and subsegmental atelectasis in the right lung middle lobe . small airway disease small vessel disease . when examined in the lung parenchyma window mosaic attenuation areas are observed in both lungs . there is a free pleural effusion measuring 27 mm in thickness between the pleural leaves on the right . on the left there is a free pleural effusion measuring 11 mm in its thickest part . airways no relevant findings . mediastinum on the right the image of the catheter extending to the superior vena cava is seen . mediastinal pathological size and appearance lymph node were not detected . the diameter of the descending aorta was 27 mm . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen the anterior-posterior diameter of the ascending aorta is 42 mm and shows fusiform dilatation . heart contour size is normal . pericardial thickening-effusion was not observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a cortical cyst of 4 cm in diameter is observed in the left kidney . the diameter of the descending aorta was 27 mm . in the sections of the upper that entered the examination area the gallbladder was not observed secondary to the operation . lung parenchyma when examined in the lung parenchyma window diffuse emphysematous changes were observed in the right lung . conglomerate lymphadenopathies were observed in the right hilar region . there is a maligt mass lesion in which the borders of the atelectasis and the mass cannot be clearly distinguished causing total atelectesis in the lung parenchyma in the distal part of the subcarinal area extending to the subcarinal area surrounding the left main bronchus lumen . peribronchial thickenings were observed on the right . in the upper lobe middle lobe and lower lobe superior segment of the right lung parenchymal nodules with irregular borders which were observed in the previous examination did not show significant size changes were 11 mm in diameter and were evaluated in favor of metastasis . there is a free pleural effusion measuring 41 mm in thickness between the pleural leaves on the right and atelectic changes in the adjacent lung parenchyma . airways the trachea and the lumen of the right main bronchus are open . no occlusive pathology was detected in the trachea and right main bronchus lumen . mediastinum the described mass extends to the anterior mediastinal space . multiple localized conglomerate lymphadenopathies are observed in the prevascular upper-lower paratracheal area in the precarinal localization and in the subcarinal area . no lymph node was detected in mediastinal and left hilar pathological size and appearance . heart and great vessels no relevant findings . osseous structures transpedicular fixation materials are observed in the posterior elements of the l1 vertebra . abdomen in the described soft tissue mass the left adrenal gland cannot be clearly distinguished . effusion is also observed on the left measuring 49 mm at its thickest point . lung parenchyma blind . clinical lab . when examined in the lung parenchyma window there are ground glass densities with a halo sign around the nodular in the superior segment of the left lung lower lobe . it can be seen in early stage covid-19 pneumonia . ventilation of both lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . recommended . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . changes in favor of steatosis are observed in the liver parenchyma . thoracic aorta diameter is normal . lung parenchyma density increase areas consistent with linear atelectasis were observed in both lung lower lobes . no active infiltration or mass lesion was detected in both lungs . it was evaluated in favor of post-operative change . when examined in the lung parenchyma window there are minimal emphysematous changes in both lungs and bulla blep formations in the posterior lower lobe of the left lung bilateral tubular bronchiectasis and peribronchial diffuse minimal thickness increases . no pleural effusion was detected . airways trachea left main bronchus is open . mediastinum calcified atheroma plaques were observed on the wall of the abdominal aorta and both renal vascular structures . calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . there is no lymph node in the mediastinum in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast . in the patient with a history of bypass loculated fluid was observed in the anterior mediastinum . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast . calibration of the vascular structures heart contour and size are normal as far as can be observed . minimal pericardial effusion was observed . osseous structures no lytic-destructive lesion was observed in the bone structures within the image . abdomen calcified atheroma plaques were observed on the wall of the abdominal aorta and both renal vascular structures . calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures . in the upper abdominal sections within the image in the gallbladder lumen there are appearances of hyperdense stones in millimetric sizes . no intraabdominal free fluid or loculated collection is observed . lung parenchyma there is a mosaic attenuation pattern in both lungs small vessel disease small airway disease . sequelae changes in the inferior lingular segment or density compatible with band atelectasis are observed . a ground-glass nodule with a diameter of approximately 6 mm is observed in the laterobasal segment of the lower lobe of the right lung . pneumonia bilateral pleural effusion or pneumothorax are not observed . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum it is wider than normal . thymic tissue with trigonal configuration is observed at the anterior mediastinum level . no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . the aortic arch calibration is 33 mm . calibration of other mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen it is wider than normal . at the same level there is a hypodense lesion with an exophytic appearance of 8x6 mm and a density of approximately 20 hu on the lateral side . surrounding soft tissue plans are natural . it may be compatible with cortical cyst . the aortic arch calibration is 33 mm . in the left kidney there is another hypodense nodular lesion that may be compatible with angiomyolipoma the largest of which is in the middle part posterior and 5 mm in size again in the image area which gives negative hu density values . in the sections passing through the upper abdomen there is a hypodense lesion in the right kidney mid-section posterior with a diameter of 45 mm and a negative hu density value which is considered compatible with angiomyolipoma . lung parenchyma when examined in the lung parenchyma window there was no finding consistent with pleural effusion pneumothorax or pneumonia in both lungs . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures vertebral corpus heights are preserved . again there is a heterogeneous hypodense lesion of approximately 9 mm in the posterolateral aspect in the middle cortical cyst . bone structures in the study area are natural . abdomen a density of 3 mm at the level partially entering the image in the middle part of the right kidney and 2 mm in size in the superior pole is observed . nodular formation which is considered compatible with the millimetric accessory spleen is observed in the anterior neighborhood of the spleen . both adrenals are normal in the evaluation of the upper abdominal organs included in the sections . in the middle part of the left kidney there is a density compatible with 3 mm calculus . lung parenchyma no nodular lesions were detected in both lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window peripheral subpleural nodular ground glass densities are present in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal organs included in the sections a mm calcific lesion is observed at the level of the pancreatic neck close to the celiac root . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is minimal peribronchial thickening in both lungs . a few millimetric nonspecific nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . the described lesion is benign in appearance . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . although it cannot be characterized clearly since no contrast agent was given it was first thought to be a cyst when evaluated together with its density . mediastinal structures cannot be evaluated optimally because contrast material is not given . atheroma plaques were observed in the aorta . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is a hypodense lesion measuring approximately mm adjacent to the ascending aorta in the anterior mediastinum . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are narrowed . intervertebral disc distances are narrowed . abdomen atheroma plaques were observed in the aorta . although it cannot be characterized clearly since no contrast agent was given it was first thought to be a cyst when evaluated together with its density . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma the described appearance is compatible with covid-19 pneumonia which is indicated in the clinical preliminary diagnosis . interlobar septal thickening and millimetric nodules accompanied by ground glass appearance and ground glass appearance were observed in both lungs . there are also consolidations in the lower lobe of the left lung . there is bilateral minimal pleural effusion . airways no relevant findings . mediastinum no relevant findings . heart and great vessels pericardial effusion was not detected . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma peribronchial consolidation and ground-glass densities were observed at posterobasal levels in the lower lobe on the left with the lower lobe anteriorly and more prominently on the right in both lung parenchyma . when examined in the lung parenchyma window there is pleural effusion and compression atelectasis reaching 75 mm in diameter on the right . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta and coronary arteries . there are lymph nodes in the mediastinum with short axes reaching 75 mm . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels an effusion with a pericardial diameter of 18 mm was observed . mediastinal main vascular structures heart contour size are normal . osseous structures multiple lymph nodes with short axes reaching 10 mm are observed in the bilateral supraclavicular region and axillae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic aorta diameter is normal . in the upper abdominal sections there is free fluid in the abdomen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . mild pleuroparenchymal sequelae changes are observed at the posterobasal level of the lower lobe of the right lung . pleural effusion-thickening was not detected . airways lumens are clear . when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . in the anterior mediastinum there is thymic tissue in which hypodense areas compatible with fatty involution are observed which does not create a trigonal configuration mass effect . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen in the upper abdominal organs included in the sections the gallbladder appears contracted . in the vicinity of the spleen hilum a 7 mm nodular density compatible with the accessory spleen is observed . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . there is a nodule with the longest diameter measuring approximately 5 mm in the subpleural area in the lateral segment in the middle lobe of the right lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were detected . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are atheromatous plaques in the aorta and left coronary artery . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . there are atheromatous plaques in the aorta and left coronary artery . osseous structures the height loss is observed as approximately 50 at its point . no lytic-destructive lesions were detected in the bone structures within the sections . vertebral anteroposterior diameters are normal . loss of height loss is observed in the vertebral corpuscles at the mid-thoracic level . abdomen there are atheromatous plaques in the aorta and left coronary artery . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma emphysematous changes and locally linear atelectasis are observed in both lungs . since the patient is not breathing properly during the examination the lung parenchyma cannot be optimally evaluated in terms of focal lesion . no mass or infiltrative lesion was detected in both lungs . there are millimetric nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum atheroma plaques are observed in the aorta and coronary arteries . aorta diameter is normal . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery diameter was 32 mm and wider than normal . there is no pathological wall thickness increase in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels it is understood that the patient underwent coronary by-pass surgery . as far as can be observed the heart is larger than normal . pacemaker electrodes terminate at the right ventricular apex . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen intraabdominal diffuse free fluid is observed . aorta diameter is normal . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma the lower lobe continues towards the superior segment and focal consolidation is observed medially . both hiluses cannot be evaluated in the non-contrast examination . soft tissue density compatible with the secretion with a dependent position is observed in the lumen starting from the bifurcation level on the left the lumen cannot be seen in the lower lobe and the appearance of consolidation-atelectasis which is occasionally found in the air bronchograms is observed within the lower lobe segments . again on the right there is a ground glass-like density increase around the consolidation area in the middle lobe . mild sequelae changes are observed at the apical level on the right . in the evaluation of both lungs in the parenchyma window tracheal calibration is natural . in the right lung consolidative density increases at the posterobasal level and adjacent branches with buds are observed . on the left there is a pleural effusion extending from the basal to the apex and approximately 33 mm thick at its thickest point . there is a thin smear-like pleural effusion at the basal level on the right . airways in the evaluation of both lungs in the parenchyma window tracheal calibration is natural . mediastinum it is wider than normal . it is above normal . calcific atheroma densities are observed in the aortic arch its main branches coronary arteries and mitral valve . the descending aorta calibration is slightly above normal . multiple lymph nodes are observed in the subcarinal area in the window at the prevascular level in the upper-lower paratracheal area in the mediastinum the largest of which is measured in the area and measures approximately mm . pulmonary calibration is 29 mm . the aortic arch calibration was 39 mm . heart and great vessels cto increased in favor of the heart . calcific atheroma densities are observed in the aortic arch its main branches coronary arteries and mitral valve . the ascending aorta is calibrated 46 mm and wider than normal . osseous structures degenerative changes are observed in the bone structure . hemangiomatous focus is observed in d7 vertebra . abdomen the aortic arch calibration was 39 mm . the descending aorta calibration is slightly above normal . it is above normal . calcific atheroma densities are observed in the aortic arch its main branches coronary arteries and mitral valve . lung parenchyma sequelae fibroatelectatic changes are observed in the apex of both lungs . when examined in the lung parenchyma window calcifications in the form of bands parallel to the pleura are observed in the right lung lower lobe superior segment and lower lobe posterobasal segment empyema sequela . peripherally located subpleural parenchymal nodule 45 mm in diameter is observed in the right lung middle lobe lateral segment . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no lymph node reaching mediastinal pathological dimension was detected . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no obvious pathology was detected . osseous structures there was no lymph node that reached pathological size in the bilateral supraclavicular region and in the axillary region . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with clinical and laboratory . when examined in the lung parenchyma window patchy ground-glass consolidations accompanied by more widespread multilobar multisegmental peripherally located subpleural streaks forming paving and subsegmental atelectatic changes were observed in both lungs and it is highly suspicious for covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum there is atherosclerotic wall calcification proximal to the descending aorta . lymph nodes measuring 77 mm in the short axis of the right lower paratracheal mediastinum which did not reach pathological dimensions were observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like effusion was observed in the pericardial space . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections a nonspecific hypodense lesion was observed in the liver segment 3 adjacent to the falciform ligament . right adrenal glands were normal and no space-occupying lesion was detected . there is atherosclerotic wall calcification proximal to the descending aorta . nodular thickening was observed in the medial crus of the left adrenal gland . lung parenchyma the effusion is observed in the vicinity of the posterior segment of the right lung upper lobe in its thickest part and measures 45 mm in its thickest part . in addition there are ground-glass appearances in the apicoposterior segment of the upper lobe of the left lung . consolidation and ground-glass appearances are observed in the lower lobe of both lungs and the middle lobe of the right lung more prominently in the lower lobe of the right lung . no mass was detected in both lungs . the described manifestations were primarily evaluated in favor of pneumonic infiltrates . there are emphysematous changes in both lungs . the pleural effusion continues to the apex of the lung when the patient is in the supine position . no pleural thickening was detected . there is bilateral pleural effusion more prominent on the right . airways no relevant findings . mediastinum atheroma plaques are observed in the aorta and coronary arteries . the diameters of the aortic arch and descending aorta are normal . the main pulmonary artery diameter was 35 mm and wider than normal . no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels the ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal . pacemaker electrodes terminate in the right atrium and ventricle . pericardial effusion was not detected . as far as can be observed the heart is larger than normal . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . the diameters of the aortic arch and descending aorta are normal . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma many pathologies can cause similar appearance . there are millimetric nonspecific nodules in both lungs . the views described are nonspecific . no mass was detected in both lungs . millimetric nodules in the peripheral area at the junction of the superior segment in the lower lobe of the right lung and ground glass areas are observed around them . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma blind . ventilation of both lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . clinical lab . recommended . pleural effusion-thickening was not detected . when examined in the lung parenchyma window subpleural patchy ground glass density is observed in the anterior lower lobe in the right lung parenchyma . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a 10 x 3 mm nodule was observed in the major fissure on the right . in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . intrapulmonary lymph node in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma the findings may belong to covid pneumonia during the recovery period . when examined in the lung parenchyma window there are areas of increase in density consistent with linear atelectasis accompanied by minimal ground glass density changes in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum mediastinal vascular structures could not be optimally evaluated due to the absence of iv contrast in the cardiac examination and the calibration of the vascular structures heart contour and size are normal as far as can be observed . in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures could not be optimally evaluated due to the absence of iv contrast in the cardiac examination and the calibration of the vascular structures heart contour and size are normal as far as can be observed . osseous structures no lytic or destructive lesions were detected in the bone structures within the image and vertebral corpus heights were preserved . abdomen as far as it can be seen within the borders of non-contrast ct in the upper abdomen sections within the image solid mass free collection is not observed . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . no significant infiltration pneumothorax or was detected in both lungs . sequelae changes are observed in the inferior lingular segment . mild sequelae changes are observed bilaterally at the apical level . a 5x3 mm nodule is observed in the left lung lower lobe laterobasal segment . there is a 3 mm diameter nodule in the inferior lingular segment . a nodule with a diameter of 4 mm is observed in the posterobasal segment of the lower lobe of the right lung . a 3 mm diameter nodule is observed in the posterior subpleural area in the posterior segment of the right lung upper lobe . airways however there are slight bronchiectasis calibration increases in bronchial calibrations . when examined in the lung parenchyma window trachea calibration is normal . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures mild degenerative changes are observed in the bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma peribronchial thickenings and accompanying ground glass densities were observed in the right lung middle lobe and both lung lower lobe basal segments . consolidation-atelectasis areas were observed in both lung lower lobes basal and right lung middle lobe . no mass lesion with distinguishable borders was observed in the lung parenchyma . focal nodular consolidation area is observed in the posterior segment of the right lung upper lobe . linear subsegmental atelectatic changes were observed in both lungs . the described finding is compatible with pneumonic infiltration . mosaic attenuation in the lung was found to be secondary to small airway stenosis . mosaic attenuation pattern was observed in both lungs . when examined in the lung parenchyma window in both hemithorax pleural effusion measuring 37 mm in the thickest part on the right and 38 mm in the thickest part on the left was observed . interlobular septal thickenings in both lungs were evaluated in favor of cardiac stasis when evaluated together with bronchial cuffing and pleural effusion . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the transverse diameter of the pulmonary trunk is 41 mm the diameter of the right pulmonary artery is 31 mm and the diameter of the left pulmonary artery is 26 mm larger than normal . as far as can be seen thoracic aorta calibration is natural . in the non-contrast examination the mediastinal could not be evaluated optimally . spur formations bridging with each other were observed in the right anterolateral corner of the thoracic aorta . there is extensive atherosclerosis in the thoracic aorta-supraaortic branches and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures vertebral corpus heights are preserved . abdomen it is recommended to be evaluated for parenchymal disease . as far as can be seen within the sections it has a appearance in the liver contours . other upper abdominal organs included in the examination area are normal . the caudate lobe and left lobe are prominent . as far as can be seen thoracic aorta calibration is natural . spur formations bridging with each other were observed in the right anterolateral corner of the thoracic aorta . there is extensive atherosclerosis in the thoracic aorta-supraaortic branches and coronary arteries . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen in the middle part of the right kidney there are two stones measuring 3 mm in diameter . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma mosaic attenuation is observed . a calcific parenchymal nodule is observed with the right lung middle lobe lateral segment . in the evaluation of both lung parenchyma appearances of paraseptal and centrilobular emphysema were observed in both lungs . bilateral peribronchovascular axial interstitial and interlobular septal thickening was observed . emphysema appearances are particularly prominent at the apex of the upper lobes . density increases suggesting atelectasis are observed in the dependent parts of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways there are occasional cylindrical bronchiectasis . trachea and main bronchi are open . mediastinum in addition prevascular aorticopulmonary paratracheal and subcarinal millimetric lymph nodes were observed in the mediastinum . in the mediastinum several calcific lymph nodes the largest of which is 20 x 14 mm are observed in the right inferior paratracheal area . sliding paraesophageal hiatus hernia was observed . heart and great vessels stents were observed in the coronary arteries . the heart is in natural appearance . calcific atheroma plaques are observed in main vascular structures and coronary arteries . osseous structures degenerative osteophytes were observed in the corners of the corpus of vertebrae . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . there is an appearance of a 12 x 5 mm hyperdense stone in the gallbladder lumen . lung parenchyma there are millimetric nodules in both lungs . consolidation was observed in the superior segment and posterobasal segment in the lower lobe of the left lung . no mass was detected in both lungs . the described manifestations were primarily evaluated in favor of pneumonic infiltration . in addition budding tree appearances and centriacinar nodules were observed in the apicoposterior segment of the upper lobe of the left lung . there are emphysematous changes and occasional atelectasis in both lungs . there is bilateral minimal pleural effusion . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels it is understood that the patient underwent coronary bypass surgery . as far as can be observed the heart is minimally larger than normal . there are atheromatous plaques in the coronary arteries . pericardial effusion was not detected . osseous structures there are no fractures or lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma there are many semisolid and some solid densities millimetric 6 mm nonspecific nodular lesions in both lungs . no pneumonic infiltration or consolidation area was observed in the lung parenchyma . these nodules are nonspecific and could not be characterized . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen there is mild hepatosteatosis in liver parenchyma density in upper abdominal sections . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . nonspecific parenchymal nodules with a diameter of 49 mm were observed in both lungs the largest of which was in the lateral segment of the right lung middle lobe . the appearance is compatible with interstitial fibrosis . passive atelectatic changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung . there are peribronchial thickening in the segmental bronchi of the lower lobes of both lungs and occasional secretions in the lumen . when examined in the lung parenchyma window there are interlobular septal thickenings in the peripheral subpleural areas of both lungs micro-retractions in the pleura accompanying ground glass densities and a honeycomb appearance in places . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in the coronary arteries . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures millimetric degenerative schmorl nodule impressions were observed in the endplates of the thoracic vertebrae . abdomen as far as can be observed in the sections the gallbladder was not observed operated . no intraabdominal free-loculated fluid was detected . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . the spleen liver and pancreas are normal . lung parenchyma initially it was evaluated in favor of pneumonic infiltration . when examined in the lung parenchyma window in the lower lobe of the right lung a consolidated area with irregular patchy contours and wide air bronchogram signs is observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . millimetric lymph nodes are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a diffuse density decrease in the bone structures in the examination area . abdomen thoracic aorta diameter is normal . other upper abdominal organs included in the sections are normal . there are slightly irregular appearances in the liver contours . lung parenchyma did not occur in deep inspiration . no mass or nodular space-occupying lesion was detected in the lung parenchyma . in lung parenchyma evaluation no pneumonic infiltration or consolidation area was observed in both lung parenchyma . a mild mosaic attenuation pattern is observed in the basal segments of the lower lobes of both lungs . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels the diaphragm is elevated . pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the hepatic right lobe segments and 5 localization a slightly hypodense area is observed that is from the normal parenchyma . it is recommended to examine the upper abdomen with mri . in the upper abdominal sections the craniocaudal dimension of the right lobe of the liver was measured mm and increased . it could not be characterized by this examination . lung parenchyma viral pneumonias are considered in the etiology of the findings . it is recommended to be evaluated together with clinical and laboratory findings in terms of covid-19 pneumonia . no pericardial pleural effusion or thickness increase was observed . when examined in the lung parenchyma window in both lungs multilobar peripheral subpleural ground glass and density increase areas compatible with consolidation were observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . the mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of iv contrast . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of the vascular structures and heart contour size are normal as far as can be observed . the mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures in the study area . abdomen in the upper abdomen sections within the image there is a mm high-density lesion in the left adrenal gland that cannot be characterized in this examination . it is recommended to evaluate with mri examination . lung parenchyma a stable nodule of 7 mm in size is observed adjacent to the major fissure in the anterobasal lower lobe of the right lung . when examined in the lung parenchyma window left lung lower lobectomy is available . in the upper lobe lingular segment suture materials and tissues are observed inferior to the operation area . there is a stable nodule in the posterior left upper lobe . in addition subpleural minimal ground glass densities were observed at this level in the lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in the right lung middle lobe lateral segment adjacent to the oblique fissure the slightly irregularly circumscribed ground glass nodule dimensions described in the previous examination and measuring 6 mm are observed to be stable . there is mild mosaic perfusion in both lungs . linear atelectasis is observed in the medial segment of the middle lobe of the right lung and the upper lobe of the left lung . no sign of infiltration was observed between the two studies . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . evaluation of mediastinal structures is suboptimal since the examination is unenhanced . no significant increase in wall thickness was detected in the thoracic esophagus within the sections . a sliding type hernia is observed at the lower end of the esophagus . heart and great vessels pericardial effusion was not detected . heart contour size is normal . osseous structures when the bone was examined in the window no lytic-destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax . a significant increase is observed in thoracic kyphosis and syndesmophytes that tend to merge with each other are observed in the right lateral corners of the vertebral corpuscles . abdomen upper abdominal organs entering the examination area are normal . lung parenchyma there are several millimetric non-specific nodular emphysematous changes in both lungs . when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image within the limits of non-contrast ct a decrease in the density of liver parenchyma consistent with hepatosteatosis was observed . lung parenchyma the described appearance is nonspecific . no mass was detected in both lungs . there are sometimes linear atelectasis in both lungs . a ground glass area is observed in the peripheral subpleural area in the medial of the upper lobe of the right lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when the lung parenchyma is examined in the window biliary minimal peribronchial thickening is observed . no mass nodule-infiltration was detected in both lung parenchyma . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected in contrast examination limits . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no significant pathology was detected in the upper abdominal sections that entered the examination area . lung parenchyma no nodular lesions were detected in both lung parenchyma . the appearance is compatible with the appearance that is frequently encountered in covid-19 pneumonia . when examined in the lung parenchyma window widespread ground glass opacities and areas of consolidation are observed in both lungs involving all anterior segments . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aorta and coronary arteries . although the mediastinal structures cannot be clearly distinguished due to the lack of contrast in the examination no pathologically enlarged lymph nodes were detected in the pretracheal subcarinal paravascular hilar or axillary areas . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures appearance was noted in the bone structures included in the study area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no relevant findings . airways no relevant findings . mediastinum in the mediastinum lymph nodes the largest measuring mm in the current examination 15x8 mm in the previous examination have decreased in size . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma clinical laboratory correlation and follow-up is recommended . the findings were initially evaluated in favor of lobar pneumonia . when examined in the lung parenchyma window there are ground glass densities and centracinar nodular ground glass densities with patchy air bronchogram more prominent on the left at basal levels of both lung lower lobes . airways a nasogastric tube is available . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures hypertrophic osteophytic taperings and decreases in density are observed in the vertebral corpus endplates in the bone structures included in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are slightly more pronounced bronchial wall thickness increases on the left in the lower lobe basal segment of both lungs . when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . airways no relevant findings . mediastinum calibrations of mediastinal major vascular structures are natural . sliding type mild hiatal hernia is present . heart and great vessels heart size increased . pericardial effusion was not detected . its compartments are in natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma a minimal area of normal lung parenchyma in both lungs . contour irregularities were observed in both pleura being prominent in the upper lobes . airways there is a view of the tracheostomy cannula . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma findings are consistent with viral pneumonia covid-19 pneumonia . several lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the aortopulmonary window . in both lungs there are diffuse peripherally weighted areas of confluence especially in the posterior segments of the lower lobe and sometimes accompanied by ground glass areas . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . several lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the aortopulmonary window . no pathological increase in wall thickness was detected in the esophagus . sliding type hiatal hernia was observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . there is a vacuum phenomenon consistent with degeneration in the left sternoclavicular joint . osteophytes are occasionally observed in the corners of the thoracic vertebra corpus . abdomen as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . sliding type hiatal hernia was observed at the esophagogastric junction . lung parenchyma a few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 5 mm . no mass or infiltrative lesion was detected in both lungs . no pleural-pericardial effusion or thickening was detected . there are areas of linear atelectasis accompanied by pleural retraction in the posterior segments of the lower lobes of both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . a few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 5 mm . no pathological increase in wall thickness was detected in the esophagus . sliding type minimal hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures indentations of schmorls nodules are observed in the inferior end plateau of the t11 vertebra . abdomen as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . sliding type minimal hiatal hernia is observed at the esophagogastric junction . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window segmentary-subsegmentary tubular bronchiectasis was observed in both lungs . bilateral pleural effusion was not observed . a subpleural nonspecific millimetric nodule was observed in the area adjacent to the mediastinum in the posterior segment of the right lung upper lobe . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no lymph node was observed in the mediastinum and in both axillae in pathological size and appearance . an appearance compatible with thymic remt was observed in the anterior mediastinum . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . heart and great vessels minimal effusion up to 46 mm was observed in the pericardial space . pericardial thickening was not observed . atheroma plaques are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights within the sections are natural . abdomen a 15 cm diameter adenoma was observed in the medial crus of the left adrenal gland from which values were . although optimal evaluation could not be made in non-contrast sections no mass with distinguishable borders was observed in the liver gallbladder spleen and pancreas as far as can be observed . the right adrenal gland is normal . lung parenchyma in the current examination no newly emerged infiltration area was detected in both lung parenchyma . in the left lung lower lobe laterobasal segment there are bud tree appearances observed in the previous examination and regression in these ground glass density increases . in both lung parenchyma nonspecific parenchymal nodules some of which are calcified with a diameter of 25 mm were observed . when examined in the lung parenchyma window in the current examination there is regression in the consolidation areas observed in the previous examination in the medial segment of the right lung middle lobe . at this level there are fibroatelectatic changes in the current examination . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . liver parenchyma density was diffusely decreased hepatosteatosis in the upper abdominal sections within the study area . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . there is an air cyst in the anterior segment of the upper lobe of the right lung . in the evaluation of both lungs in the parenchyma window in both lungs peripheral and occasionally round appearance ground glass-like density increases which tend to partially merge at the base and thickening of the interlobular septa on the ground are observed in these areas . there are also mild consolidation appearances in the posterobasal right lung and lobe superior segments of the left lung . no pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . there are mild calcific atheroma plaques in the ascending aorta aortic arch and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . there are mild calcific atheroma plaques in the ascending aorta aortic arch and coronary arteries . osseous structures the case has findings compatible with dish . degenerative changes are observed in the bone structure . abdomen there are mild calcific atheroma plaques in the ascending aorta aortic arch and coronary arteries . in the sections passing through the upper abdomen a slight decrease in density consistent with hepatosteatosis is observed in the liver . surrounding soft tissue planes are normal . there are diverticula appearances in the descending colon . lung parenchyma when examined in the lung parenchyma window respiratory artifacts are seen in both lungs . there are ground-glass-like density increases adjacent to the major fissure in the posterior upper lobe of the left lung . there are subpleural weighted sequela fibrotic changes in the middle lobe of the right lung and in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . millimetric calcific plaques are observed in lad . mediastinal main vascular structures heart contour size are normal . osseous structures surgical materials are available in the sternum . there are osteophyte forms in the vertebrae . abdomen thoracic aorta diameter is normal . both renal which partially enter the section are thinned . in the upper abdominal organs including sections diffuse density loss is observed in the liver . lung parenchyma a halo sign is occasionally observed around the consolidation areas . it shows more confluence . in the previous examination extensive consolidation areas in all segments of both lungs appear progressive in the current examination . the pleural effusion is progressive reaching a diameter of 3 cm between the leaves of the right pleura . airways no relevant findings . mediastinum a central venous catheter is available . a central venous catheter is observed . diffuse lymphadenopathies are observed in both axillae mediastinum and both supraclavicular fossa . heart and great vessels heart size increased . there is an effusion reaching 1 cm in diameter between the pericardial leaves . left ventricular dilatation is observed to in the current examination . pericardial effusion has a progressive appearance according to the previous examination . the left ventricle is markedly dilated . osseous structures bone structures are of natural appearance . abdomen gross pathology was not noticed in the upper abdomen sections . in favor of agents . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . a nonspecific nodule with a diameter of 2 mm is observed in the upper lobe apicoposterior segment caudal to the left lung . airways when examined in the lung parenchyma window the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . there is thymic tissue in the anterior which does not show a trigonal configuration mass effect and in which hypodense areas compatible with fat involution are observed . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no appearance compatible with significant pneumonia was detected in both lungs . when examined in the lung parenchyma window sequelae changes are observed in the inferior lingular segment on the left . no pleural effusion or pneumothorax was observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . a slight decrease in density consistent with hepatosteatosis was observed in the liver in the upper abdominal organs included in the sections . lung parenchyma pneumonic infiltration is considered in the etiology of the findings . ground-glass-like density increases and crazy paving appearances were observed in the diffuse peribronchovascular area in both lungs . no newly developed lesion was detected . in addition there are areas of focal consolidation in the posterobasal segment of both lung lower lobes more prominently on the right . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma the findings were evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window diffuse patchy ground glass densities are observed in crazy paving pattern mostly located peripherally in both lungs . airways trachea and both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . there are lymph nodes measuring up to 5 mm in more than one short axis in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . calcific foci are observed in the left kidney cortical structures . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are subsegmental atelectasis in the middle lobe of the right lung and the upper lobe lingula of the left lung . when examined in the lung parenchyma window there are two calcified nodules in the right lung lower lobe superior and left lung upper lobe apicoposterior segment . airways mucus materials are present in the tracheal . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are wall calcifications in the aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there are metallic sutures in the sternum and anterior mediastinum possibly secondary to previous surgery . there is a hiatal hernia . thoracic esophagus calibration was normal . heart and great vessels cardiothoracic index increased in favor of the heart cardiomegaly . no pericardial effusion-thickening was observed . osseous structures there are metallic sutures in the sternum and anterior mediastinum possibly secondary to previous surgery . the bone structure in the examination area has a slightly porotic appearance and there are degenerative changes in places . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there are wall calcifications in the aorta and coronary arteries . no significant tumoral wall thickening was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs . the contours of the nodule in the superior segment of the left lung lower lobe are irregular . it is recommended to evaluate and follow-up together with previous examinations if any . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . in both lungs subpleural-parenchymal nodules measuring mm in size in the lower lobe mediobasal segment on the right and mm in size on the pleura base were observed in the left upper lobe superior segment . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures irregularity in the thoracic vertebral endplates and osteophytes in the anterior corners were observed . abdomen as far as can be seen within the sections 2 mm diameter calculus was observed in the upper pole of the left kidney . other upper abdominal organs are normal . lung parenchyma when examined in the lung parenchyma window there are nodular ground glass densities in both lung lower lobe posterobasal segments more prominent on the right . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or appearance compatible with pneumonic infiltration was detected in both lungs . minimal emphysematous changes were observed in both lungs . there is minimal bronchiectasis in the central parts of both lungs . there are sometimes linear atelectasis in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were observed . atheroma plaques are observed in the aorta and coronary arteries . mediastinal structures could not be evaluated optimally because no contrast agent was given . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected within the borders of non-enhanced ct . atheroma plaques are observed in the aorta and coronary arteries . there is minimal thickening of the left adrenal gland corpus . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are sequelae parenchymal changes and paraseptal emphysematous changes in the apex . in both lungs there are several nodules in millimeter sizes some of which are pure calcified nonspecific and stable in number and size in the comparative evaluation made with the previous ct . airways trachea both main bronchi are open . mediastinum in the mediastinum in bilateral hilar regions there are lymph nodes with a fusiform configuration with a short diameter less than 1 cm and no pathological size and appearance which were not detected in the previous ct examination . it could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without iv contrast . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . it could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without iv contrast . mediastinal main vascular structures heart contour size are normal . osseous structures no lymph nodes in pathological size and appearance were observed in both axillary regions and supraclavicular fossa . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion is detected and there are a few millimetric nonspecific nodules . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is mild emphysema appearance in both lung parenchyma . there was no finding compatible with pneumonia . no pleural effusion or pneumothorax was observed . in the evaluation of both lungs in the parenchyma window in the right lung a nodular lesion with a size of approximately mm and a density of 33 hu with smooth borders sitting on the pleura at the paravertebral level is observed in the lower lobe superior segment of the right lung . airways no relevant findings . mediastinum in the anterior mediastinum thymic tissue with trigonal configuration which does not show any mass effect is observed . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . surrounding soft tissue planes are normal . lung parenchyma no mass nodule-infiltration was detected in both lungs . in the evaluation of both lung parenchyma motion artifacts are observed in both lung parenchyma . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . calcific plaques are observed in the aortic arch . heart and great vessels the cardiothoracic index was slightly increased in favor of the heart . osseous structures bones appear osteopenic . dorsal kyphosis is increased . no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen a nodular structure with a diameter of 7 mm is observed which may be compatible with a adenoma with a faint border in the left adrenal body part . calcific plaques are observed in the aortic arch . lung parenchyma when examined in the lung parenchyma window more than one patchy ground glass densities are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the gallbladder is operated . liver parenchyma density in the upper abdominal organs included in the sections changes in favor of steatosis . lung parenchyma when examined in the lung parenchyma window in the patient with all follow-up is recommended in terms of differential diagnosis of space-occupying lesion after exclusion of infectious processes . it is recommended to follow-up in terms of differential diagnosis of a space-occupying finding at the described level after infiltration exclusion . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there was no finding in favor of active infiltration or mass lesion in both lungs . the largest measured 5 mm in the right lung lower lobe superior segment . there are millimetric nonspecific nodules in both lungs . in the examination made in the lung parenchyma window sequela parenchymal changes are observed in the apex left lung upper lobe inferior lingular segment lower lobe and right lung middle lobe lateral segment . there are minimal emphysematous changes in both lungs . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . mediastinal vascular structures and heart examination iv . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . it could not be evaluated optimally due to lack of contrast . calcified atheroma plaques are observed on the wall of the coronary vascular structures . mediastinal vascular structures and heart examination iv . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . there are degenerative changes . abdomen no lymph node was observed in intraabdominal pathological size and appearance . there are millimeter-sized stones in both kidneys . in the upper abdominal sections within the image diffuse density decrease secondary to hepatosteatosis is observed in liver parenchyma density within the borders of unenhanced ct . no intraabdominal free fluid or loculated collection was detected . lung parenchyma although unilateral in the presence of a pandemic it was evaluated as significant for covid-19 pneumonia . in the evaluation of both lung parenchyma patchy consolidations are observed in the basal segments of the lower lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen no additional significant pathology was detected in the non-contrast ct examination . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion is detected there are sequelae changes and a few nodules in millimetric sizes . there are paraseptal changes in the upper lobe . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels calcification was observed in the walls of the coronary vascular structures . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the evaluation of lung parenchyma bulla formations filling the upper lobe of the right lung the largest measuring approximately extending to the medial segment of the middle lobe and to the superior segment of the lower lobe with multiple destructive lung tissue were observed . peripheral parenchymal nodules of stable number and size were observed in both lungs the largest of which was approximately 6 mm in diameter in the right lung middle lobe lateral segment . both lungs are emphysematous . in addition centriacinar-paraseptal emphysema areas and differences in aeration between lobes were observed in the upper lobes of both lungs . pleural effusion was not observed in both hemithorax . airways trachea and main bronchus were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen as far as can be seen on non-contrast sections the upper abdominal organs are normal . lung parenchyma when examined in the lung parenchyma window fibrotic recessions and millimetric nonspecific calcific nodules are observed at the apical level of the upper lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs are partially included in the study . in the superior anterior of the spleen in fluid attenuation there is an oval-shaped finding with a smooth contour measuring up to 36 mm in size . it was evaluated primarily in favor of the cyst . thoracic aorta diameter is normal . on the right side slight contamination is observed in the fatty tissues around the irregularities in the colon loops partially entering the hepatic flexure . mass lesion partially entering the images for a better differential diagnosis in case of doubt further examination of the upper and abdomen contrast or mri is recommended . lung parenchyma emphysematous changes are present in both lungs . a mass with a cavity is observed in the superior segment and posterobasal segment in the lower lobe of the right lung . no mass in the left lung or infiltrative lesion in both lungs was detected . there are millimetric nonspecific nodules in both lungs . structural distortion and loss of volume and frosted glass areas are observed in the neighborhood of the described mass . no pleural or pericardial effusion was detected . airways no relevant findings . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are no pathologically enlarged lymph nodes . multiple lymph nodes with short diameters less than 1 cm are observed in the mediastinum and hilar regions . the largest of the described lymph nodes is observed in the subcarinal region and its short diameter is 17 mm . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections except for the right 8th and 9th ribs . although the exact size could not be given due to the infiltrative character of the mass its longest diameter was measured approximately mm at its widest part series 2 section . the described mass had the longest diameter of approximately mm in the previous examination . it is observed that the mass the 8th and 9th ribs posteriorly and reaches the subcutaneous fat tissue by passing through the intercostal spaces . abdomen no upper abdominal free fluid-collection was observed in the sections . there is minimal thickening of the left adrenal gland corpus and medial leg . there is a hypodense lesion in the upper pole of the right kidney that does not differ in size and appearance when evaluated together with the previous examination of the patient . lung parenchyma the described findings are not specific . ground glass appearances are observed in both lungs especially in peripheral areas . emphysematous changes in both lungs and occasional atelectasis in both lungs are observed . ground-glass appearances are occasionally accompanied by microcystic changes . no mass was detected in both lungs . when evaluated together with his clinical knowledge it was thought that it might be compatible with viral pneumonia and sequelae change . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the largest of the described lymph nodes is observed in the subcarinal area measuring 10 mm in short diameter . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are lymph nodes in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma in the evaluation of both lung parenchyma according to the previous examination ground glass densities with a newly developed nonspecific appearance are observed in the apicoposterior segment of the left lung upper lobe and in the lower lobes of both lungs . mosaic attenuation is present in the lower lobes of both lungs . nonspecific nodules smaller than 5 mm are observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper-lower paratracheal aortopulmonary millimetric lymph nodes are observed . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen right renal hydronephrosis partially entering the examination area is observed and there is a catheter in the renal pelvis ca case . in the sections passing through the upper part of the abdomen the size of the left kidney appears smaller than the right . catheter is seen on the left . lung parenchyma there are sequelae changes and a thin-walled air cyst with a diameter of 15 millimeters in the posterobasal segment of the lower lobe of the left lung . no active infiltration or mass lesion was observed in both lung parenchyma . no pericardial and pleural effusion or thickening was detected . airways no relevant findings . mediastinum there are no pathologically sized lymph nodes . in the mediastinum lymph nodes with a short diameter of less than 1 cm and a fatty hilus with a fusiform configuration are observed . the ascending aorta is 41 millimeters and the descending aorta is 31 millimeters wider than normal . there are calcified atheromatous plaques on the wall of vascular structures . heart and great vessels an increase in the cardiothoracic ratio in favor of the heart is observed . osseous structures pathology is not detected as far as can be observed within the borders of non-contrast ct in the upper abdomen sections within the image and degenerative changes are observed in the bone structures within the image . abdomen the ascending aorta is 41 millimeters and the descending aorta is 31 millimeters wider than normal . there are calcified atheromatous plaques on the wall of vascular structures . lung parenchyma linear atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung and in the lower lobes of both lungs . when examined in the lung parenchyma window a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . apart from this no mass lesion with distinguishable borders was detected in both lungs . focal nodular opacity increases are observed in the peripheral subpleural area in the right lung lower lobe laterobasal segment and the appearance may be compatible with pneumonic infiltration . a smear-like effusion was observed in the left pleural space of 42 cm in its thickest part in the right pleural space . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . right upper-lower aortapulmonary bilateral hilar level lymph nodes the short axes of the largest of which could not reach pathological dimensions below 1 cm were observed . calibration of pulmonary arteries is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size increased . calcified atheroma plaques were observed in the lad . effusion reaching 17 mm thickness was observed in the pericardial space . pericardial thickening was not detected . as far as can be seen in the ascending aorta its diameter is 38 mm and it is observed wider than normal . osseous structures millimetric schmorl nodule impressions were observed in the end plateaus of the thoracic vertebrae . bone structures in the study area are natural . abdomen increased calibration of the hepatic vein and inferior vena cava secondary to right heart failure . the spleen adrenal gland and both kidneys within the sections are normal . as far as can be observed in the sections the gallbladder was not observed operated . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening - effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apexes . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . calcific atheroma plaques were observed in the aortic arch . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes were observed in the bone structures in the examination area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . calcific atheroma plaques were observed in the aortic arch . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma parenchymal fibrosis and traction bronchiectasis and occasionally honeycomb lung appearance are observed . a large air cyst is observed in the neighborhood of the lower lobe of the right lung there is air-fluid leveling in it . there are areas of diffuse panacinar emphysema in both lungs . no radiological finding in favor of pneumonia is observed . parenchymal fibrosis findings are evident . the air cyst was not detected in the previous examination . airways no relevant findings . mediastinum there are nonspecific lymph nodes with a short diameter of 16 mm in the mediastinum located in the perivascular paratracheal and subcarinal areas the largest in the lower paratracheal area . the diameter of the right main pulmonary artery was 32 the left main pulmonary artery diameter was 30 and the diameter of the pulmonary trunk was 35 mm and increased . aortic valve calcifications are present . sliding type hiatal hernia is present . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen nodules with a diameter of 9 mm in the left adrenal gland corpus are stable in upper abdominal sections . aortic valve calcifications are present . lung parenchyma when examined in the lung parenchyma window in both lungs the bronchial walls are thickened at the central level . no pneumonic infiltration or space-occupying mass lesion was observed in both lungs . there are minimal bronchiectasis and fibrotic changes in the lower lobes . airways when examined in the lung parenchyma window in both lungs the bronchial walls are thickened at the central level . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen widespread vascular structures are seen starting from the periportal perisplenic area and extending from the perigastric area to the paraesophageal area may belong to . thoracic aorta diameter is normal . the spleen size is mm and has increased . in upper abdominal sections liver contours are corrugated . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . as far as can be observed secondary to motion artifacts passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segments . airways trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances and consolidations were observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen a 52 x 37 cm low attenuation mass was observed in the 5th segment of the right lobe of the liver . liver parenchyma density is heterogeneous with non-enhanced ct . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . it is recommended to be evaluated in elective conditions after infection . stones were observed in the gallbladder . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum there are no pathologically sized and configured lymph nodes in the mediastinum and hilar level . in the anterior mediastinum thymic tissue with trigonal configuration which does not cause mass effect is observed . calibration of major vascular structures in the mediastinum is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within normal limits . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissues are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . nodular density which may be compatible with the millimetric accessory spleen is observed in the posterior inferior neighborhood of the spleen . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass or infiltration was detected in both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures there are degenerative changes in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass or suspicious nodular lesion infiltrative involvement parenchymal finding in favor of viral pneumonia was observed in the lung parenchyma . a millimetric nonspecific semisolid nodular lesion was observed in the posterobasal segment of the lower lobe of the right lung . when examined in the lung parenchyma window centracinar emphysema areas are observed in the upper lobes of both lungs . there is increased aeration in both lungs . apart from this lesion there are subpleural nonspecific low-density nodular lesions under 6 mm in diameter in both lungs . airways no relevant findings . mediastinum in the supraclavicular fossa no lymph node in pathological size and appearance was observed in the axilla and mediastinum . esophageal calibration is natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . calcified atheroma plaques are observed in the coronary arteries . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections two cortical cysts measuring 2 cm in diameter were observed in the right kidney . in the lower pole calyx of the right kidney there is an image of calculi which the form of a calyx with the longest diameter measuring 15 mm . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window paracardiac sequela fibrotic changes are observed in both lung parenchyma . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are millimetric osteophytes anterior to the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated accessory spleens are observed adjacent to the spleen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window segmentary-subsegmental tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures irregularity in the thoracic vertebral end plates and millimetric schmorl node impressions were observed in the bone structures within the examination area . abdomen in the upper abdominal organs included in the sections a focal area of fat was observed in the liver segment 4 adjacent to the falciform ligament . lung parenchyma consolidation area is observed in the left lung lower lobe anterobasal segment . the appearance described by the previous review extends towards the middle lobe and is increased . there was no evidence of infiltration in the right lung . in this appearance pleuroparenchymal sequelae were thought to be due to fibrotic changes . a few stable nonspecific pulmonary nodules some of which are calcific are observed in both lungs according to previous examinations . the described appearances were primarily evaluated in favor of post rt sequelae changes . no mass was detected in both lungs . the outlook may be compatible with the infectious process . in addition in the current examination there is a newly revealed free pleural effusion with a thickness of 22 mm on the right and 21 mm on the left . bronchiectatic changes in the upper lobe of the right lung density increases in the peripheral subpleural area structural distortion and volume loss are observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . no lymph node was detected in pathological size and appearance . heart and great vessels mild pericardial effusion was observed new in current review . heart contour and dimensions are natural . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a simple cortical cyst is observed in the left kidney . gallbladder was not observed cholecystectomized . intra-abdominal free-loculated fluid was not detected in the upper abdominal structures within the sections . lung parenchyma in addition there are pulmonary nodules in both lungs that may be compatible with metastasis observed in previous examinations . the previous examination in the current examination there is an area of lobar consolidation in the lower lobe of the right lung and an appearance that may be compatible with pneumonia with air bronchograms in this area . in addition there are reticulonodular densities in both lungs . when examined in the lung parenchyma window in the current examination the previous examination diffuse ground-glass densities that into lobar consolidation in the anterior part of the left upper lobe of the lung are observed . it was evaluated in favor of pneumonia . in the right lung there is an appearance compatible with the primary mass obliterating the bronchi . there is a pleural effusion reaching approximately 3 cm in the right lung . airways between the vertebra anterior and trachea posterior the appearance interpreted in favor of the patients conglomerated laps continues . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures between the vertebra anterior and trachea posterior the appearance interpreted in favor of the patients conglomerated laps continues . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were evaluated primarily in favor of pneumonic infiltration . there is a similar appearance in the lateral part of the right lung middle lobe . no mass was detected in both lungs . there is consolidation in the left lung upper lobe lingular segment inferior subsegment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma widespread ground-glass-like density increases in its periphery and consolidation area in its distal are noteworthy . emphysematous changes are present in both lungs . subsegmental atelectasis areas were observed in the lower lobe of the left lung . when examined in the lung parenchyma window a thick-walled central necrotic cavitary lesion of approximately mm in size extending to the posterior segment was observed in the apical segment of the right lung upper lobe . between the bilateral pleural leaves there is a stable free pleural effusion with a thickness of 13 mm on the right and 6 mm on the left according to the previous examination . airways the density of the tracheostomy cannula was observed in the tracheal lumen . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum right upper bilateral lower right hilar lymph nodes were observed in the mediastinum and the short axis and 1 cm of the largest lymph nodes were observed in the subcarinal area . mediastinal structures were evaluated as suboptimal because the examination was unenhanced . as far as can be observed calibration of mediastinal major vascular structures is natural . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits . sliding type hiatal hernia was observed . heart and great vessels an effusion measuring 1 cm at its widest point was observed in the pericardial area . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the upper abdominal sections in the study area superposition of colon loops between liver and diaphragm is observed chilaiditi syndrome . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . lung parenchyma when examined in the lung parenchyma window no nodular or infiltrative lesion is detected in both lung parenchyma and several nonspecific nodules measuring 45 mm in size are observed in both lungs the largest of which is in the superior segment of the right lung lower lobe . there are centracinar emphysematous changes in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma passive atelectatic changes were observed in the posterobasal segment of the left lung lower lobe adjacent to the effusion . mild emphysematous changes were observed in the upper lobes of both lungs . it was evaluated in favor of pneumonia . centriacinar nodular infiltrates of ground glass density were observed in the superior segment of the lower lobe of the right lung . it is recommended to be evaluated together with the clinic and laboratory . a 62 mm nonspecific subpleural nodule was observed on the major fissure in the superior segment of the right lung lower lobe . effusion reaching a thickness of 165 mm was observed in the left pleural space . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum in the examination performed without contrast the vascular structures in the mediastinum and the heart could not be evaluated optimally . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels in the examination performed without contrast the vascular structures in the mediastinum and the heart could not be evaluated optimally . when examined in the lung parenchyma window pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the case with a history of pancreatitis the pancreas appears to be expanded . in the peripancreatic fatty planes there is and smearing effusion . it is recommended to evaluate and follow-up together with previous examinations if any . a 3 mm diameter calculus was observed in the middle part of the left kidney . lung parenchyma it is recommended to be evaluated together with clinical and laboratory findings in terms of covid pneumonia . when examined in the lung parenchyma window there are ground-glass-like density increases in the middle-lower zones of both lungs and there are prominent interstitial scars on this floor . a subpleural 3 mm diameter nodule is observed at the laterobasal level of the lower lobe of the left lung . airways no relevant findings . mediastinum thoracic aorta diameter is normal . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . the central mesentery is slightly soiled . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook can be traced in covid-19 pneumonia . however it is not specific . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window consolidation areas with air bronchogram were observed in the left lung lingular segment . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum there is a mm lymph node in the prevascular area . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . there is soft tissue density evaluated in favor of remt thymus tissue in the first plane which does not cause a significant mass effect in the anterior mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma stenosis is observed in the lumen calibration at the bifurcation level of the right lung upper lobe segment bronchi . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . however no space-occupying lesion was detected in this localization within the limits of ct without contrast . no suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma . airways there are also mild bronchial wall thickness increases in segmental bronchi . the trachea and both main bronchial air columns are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections a 45 cm diameter cortical cyst was observed in the right kidney . lung parenchyma apart from this no active infiltration or mass lesion was detected in both lung parenchyma . when examined in the lung parenchyma window there are paraseptal and centracinar emphysematous changes in both lungs paraseptal in both lung apexes . in the right lung upper lobe posterior segment and lower lobe superior segment there are areas of increase in density consistent with consolidation in which air bronchograms are observed accompanied by structural distortion and volume loss . there was no change in the findings in the comparative evaluation made with the previous ct examination . although the appearances are interpreted in favor of sequelae fibroatelectatic changes the underlying pneumonic infiltration cannot be excluded . bilateral minimal pleural effusion is observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum there are calcified atheromatous plaques in the wall of the coronary vascular structures and in the wall of the aortic arch . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of vascular structures and heart contour size are natural . there are calcified atheromatous plaques in the wall of the coronary vascular structures and in the wall of the aortic arch . pericardial effusion was not detected . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . there is an 11 mm diameter hyperdense sclerotic lesion in the t4 vertebral body and it was evaluated primarily in favor of the islet of bone . abdomen there are calcified atheromatous plaques in the wall of the coronary vascular structures and in the wall of the aortic arch . in the upper pole and middle part of the spleen there are vaguely circumscribed hypodense appearances that are evaluated primarily in favor of . in the upper abdomen sections within the image an increase in spleen size was noted as far as can be observed within the borders of non-contrast ct . there is a hyperdense stone in millimeter size in the gallbladder lumen . no lymph node was detected in intraabdominal pathological size and appearance . lung parenchyma atelectatic changes were observed in the posterobasal segment of the left lung lower lobe . no newly emerged infiltration area was detected in the current examination . when examined in the lung parenchyma window in the current examination there are in the consolidation areas observed in the previous examination in the middle lobe of the right lung and the lower lobes of the right lung . in addition there are fibroatelectasis changes in the left lung lower lobe segment and inferior lingular segment . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . soft tissue density which may belong to the remt thymus tissue was observed in the anterior mediastinum in a triangular fashion . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration is normal . upper abdominal sections entering the examination area are natural . accessory spleen was observed in the spleen hilum . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window millimetric nonspecific nodules were observed in both lungs . pleural effusion-thickening was not detected . pleural effusion-thickening was not observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum millimetric lymph nodes were observed in the mediastinum and hilar regions . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels minimal pericardial effusion was observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the right adrenal gland is normal . minimal thickening was observed in the medial and lateral of the left adrenal gland . as far as it can be seen on non-contrast sections no mass with distinguishable borders was observed in the upper abdominal organs . lung parenchyma no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma in terms of covid-19 pneumonia evaluation together with clinical and laboratory findings is recommended . density increase areas consistent with subsegmental atelectasis are observed in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment . no mass lesions were detected in both lungs . there are emphysematous changes in both lung apical segments . when examined in the lung parenchyma window in both lungs multilobar peripheral subpleural ground glass and density increase areas compatible with consolidation are observed and viral pneumonias are considered in the etiology of the lesions . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma the finding favors atypical pneumonia . no mass-occupying lesion is observed in the lung parenchyma . covid pneumonia is at the of differential diagnosis . when examined in the lung parenchyma window in the left lung lower lobe superior segment and upper lobe posterior segment adjacent to the fissure there is a ground glass parenchyma area and mild septal prominence in the subpleural area . there is a pleural-based 3 mm diameter nonspecific nodule in the right lung middle lobe lateral segment . airways trachea both main bronchi are open . mediastinum aberrant right subclavian artery variation is present . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not observed . heart dimensions and compartments appear natural . calibration of vascular structures is natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen a partially sectioned cortical cyst is observed in the left kidney . lung parenchyma ventilation of both lungs is natural . in the lower lobe of the right lung an area of increase in density consistent with linear atelectasis is observed . no active infiltration was detected in both lung parenchyma . there is a millimetric nodule observed in previous ct and pet-ct examinations in the anterior segment of the right lung upper lobe . airways no relevant findings . mediastinum mediastinal vascular structures and heart examination iv . in both axillary regions no lymph node was detected in the mediastinum in pathological size and appearance . it could not be evaluated optimally due to lack of contrast . calibration of mediastinal vascular structures heart contour and size are natural . heart and great vessels mediastinal vascular structures and heart examination iv . pericardial effusion or thickening is not observed . calibration of mediastinal vascular structures heart contour and size are natural . osseous structures no newly developed bone metastases were detected . heterogeneous sclerotic lesions compatible with metastasis are observed in the bone structures within the image . abdomen no relevant findings . lung parenchyma thickening is also observed around the peribronchial structures in the right lung lower lobe superior segment . no significant difference was observed in the number and size of the nodules . no mass or infiltrative lesion was detected in both lungs . in addition volume loss and structural distortion are observed in the lower lobe of the right lung especially in the superior segment . when the previous examination of the patient was examined it was understood that there were changes in this localization due to radiotherapy and regressed over time . minimal peribronchial thickening is observed around the upper middle and lower lobe bronchi in the central right lung . occasionally linear atelectasis is observed in both lungs . in both lungs there are nonspecific nodules measuring approximately 4 mm in diameter the largest of which is in the upper lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was observed in the bone structures within the sections . abdomen no intra-abdominal free fluid was observed . there is a simple cyst in the upper pole of the left kidney . as far as can be seen in the sections the liver gall bladder and both kidneys are normal . lung parenchyma when examined in the lung parenchyma window focal centracinar nodular infiltration in the lower lobe of the right lung and ground glass density in the periphery were observed and it was evaluated in favor of atypical pneumonia in the first place . correlation with clinical and laboratory is recommended . apart from this both lung parenchyma aeration is normal and lung parenchyma is normal . pleural effusion-thickening was not detected . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes were observed in the bone structures in the study area . abdomen the upper abdominal organs are normal as far as can be observed in the non-contrast examination . lung parenchyma sequelae are parenchymal changes . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . a mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . there are calcified atheroma plaques in the wall of the thoracic aorta . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . an increase in heart size was observed . as far as can be seen calibration of vascular structures is natural . osseous structures there are widespread degenerative changes in bone structures within the image . abdomen not clearly characterized cyst within the limits of unenhanced ct . there are calcified atheroma plaques in the wall of the thoracic aorta . as far as it can be seen within the limits of non-contrast ct in the upper abdominal sections within the image a lesion of hypodense fluid density measuring approximately mm showing exophytic extension with anterior cortical location was observed in the middle zone of the right kidney . lung parenchyma diffuse atelectatic changes were observed in the right lung middle lobe medial left lung upper lobe inferior lingular and both lung lower lobe basal segments . the described findings are consistent with covid-19 pneumonia in the period . in both lungs crazy paving pattern in which the more common peripheral subpleural areas are preserved in the upper lobes and extensive ground-glass consolidations accompanied by interlobular septal thickening with signs of vascular enlargement were observed . when examined in the lung parenchyma window a smear-like pleural effusion was observed in the left hemithorax . in addition there are subpleural striations in the basal segments of the lower lobes of both lungs . sequelae thickening was observed in the posterior costal pleura in the right hemithorax . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal vascular structures heart contour size are normal . in the non-contrast examination the mediastinum was not evaluated optimally . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was observed in the form of thin smears . other mediastinal vascular structures heart contour size are normal . as far as can be seen the ascending aorta is wider than normal with an anterior-posterior diameter of 44 mm . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections a 6 mm diameter nonspecific hypodense lesion area was observed in the liver segment 6 cyst . lung parenchyma when examined in the lung parenchyma window multilobar diffuse ground glass and areas of increase in density consistent with consolidation are observed in both lungs and viral pneumonias covid-19 pneumonia are considered in the etiology of the findings . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum there are lymph nodes with a fusiform configuration the largest of which is 9 mm in diameter at the subcarinal level . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no lymph node is observed in intraabdominal pathological size and appearance . in the upper abdominal sections within the image within the limits of non-contrast ct there is diffuse density decrease secondary to hepatosteatosis in liver parenchyma density . no intraabdominal free fluid or loculated collection is observed . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . linear atelectatic sequelae changes were observed in the basal segments of the lower lobes of both lungs . when examined in the lung parenchyma window as far as secondary can be observed in motion artifacts nonspecific ground-glass appearances were observed in both lungs . there are increases in pleuroparenchymal sequelae density in both lung apexes . bilateral pleural effusion was not observed . sequelae thickening was observed in the costal pleura bilaterally posteriorly . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the descending aorta is ectatic with a diameter of 29 mm . there is a sliding type hiatal hernia at the lower end of the esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart contour size is normal . pericardial effusion-thickening was not observed . the diameter of the ascending aorta was 44 mm wider than normal . osseous structures at the thoracic level left-facing scoliosis and degenerative changes were observed . vertebral corpus heights are normal . an increase in trabeculation consistent with osteopenia was observed in the vertebrae . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . as far as can be observed in the non-contrast examination multiple hypodense lesion areas of mm were observed in segment 2 of the liver in both lobes cyst . the descending aorta is ectatic with a diameter of 29 mm . no intraabdominal free-loculated fluid was detected . gallbladder spleen both adrenal glands pancreas and both kidneys are normal . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are areas of linear atelectasis in both lungs . no enlarged lymph nodes were detected in the mediastinum or bilateral hilar regions in pathological size and appearance . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes were detected in the mediastinum or bilateral hilar regions in pathological size and appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen as far as can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma when examined in the lung parenchyma window there are widespread ground-glass densities in both lung parenchyma tending to merge predomitly in the upper lobes . focal thickening is observed in the pleura . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are millimetric lymph nodes with a short axis not exceeding 1 cm . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are calcific atheroma plaques in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the gallbladder cannot be seen cholecystectomy . in the upper abdominal sections including the sections there is an increase in liver size and calcification extending from segment 6-7 to the hepatic or opacities that may be compatible with the suture line are observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . a hernia with a neck width of 10 mm is observed in the epigastric region where the minimal intestinal loop enters . lung parenchyma when examined in the lung parenchyma window there are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung . the bilateral lung parenchyma is emphysematous in the upper lobes . there are several nodules smaller than 5 mm in both lungs . there is a 59 mm diameter nodule in the apicoposterior segment of the upper lobe of the right lung . there is one calcified nodule in the upper lobe of the left lung . there are subsegmental atelectasis in the middle lobe of the right lung and the upper lobe lingula of the left lung . pleural effusion-thickening was not detected . there are areas of ground glass density located subpleural in the posterior and lower lobe posterobasal segments of the bilateral lung upper lobe . airways there is a nodular hypodense lesion of 55 mm in diameter from the wall to the lumen in the left lateral part of the trachea . trachea both main bronchi are open . mediastinum there are multiple lymph nodes in the upper lower paratracheal aortopulmonary subcarinal paraesophageal the largest mm in size . thoracic aorta diameter is normal . there are wall calcifications in the aorta and coronary arteries . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cardiothoracic index increased in favor of the heart cardiomegaly . osseous structures there are milimetric sclerotic foci in the lateral part of the 7th rib on the right and the posterolateral part of the 10th rib on the left . vertebral corpus heights are preserved . the bone structure in the examination area has a slightly porotic appearance and there are degenerative changes in places . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there are wall calcifications in the aorta and coronary arteries . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . the evaluation of solid organs and mediastinum is suboptimal because the examination is non-contrast . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . liver density was diffusely decreased consistent with hepatosteatosis . lung parenchyma as far as can be selected ground glass densities budding tree view peribronchial thickenings are observed in the lower lobe of the right lung . less frequently a similar appearance is observed in the basal segments of the lower lobe of the left lung . pleuroparenchymal sequelae density is observed in the anterior segment of the right lung upper lobe . pleural effusions with a diameter of 25 cm on the right and 3 cm on the left are observed in both hemithorax . airways trachea and main bronchi are open . mediastinum calcific plaques are observed in the coronary arteries in the aortic arch ascending and descending aorta . heart and great vessels calcific plaques are observed in the coronary arteries in the aortic arch ascending and descending aorta . osseous structures there is no lytic-destructive lesion in bone structures . abdomen calcific plaques are observed in the coronary arteries in the aortic arch ascending and descending aorta . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . there are several nonspecific nodules in the lung the largest of which is 45 mm in size with a pleural base in the posterior segment of the left lower lobe . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen is considered in the differential diagnosis . there is a hyperdense appearance in the bilateral kidney calyceal structures and it is recommended to question there is a history of contrast-enhanced extraction . in the sections passing through the upper abdomen there are hypodense lesions of mm at the liver segment 7 localization and mm at the segment 3 level which cannot be characterized on the ct margins without contrast . lung parenchyma apart from these the aeration of both lungs is normal and no appearance compatible with a mass or pneumonic infiltration was detected in both lungs . there are linear atelectasis in the right lung middle lobe medial segment left lung upper lobe lingular segment and left lung lower lobe . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there are millimetric atheroma plaques in the left anterior descending coronary artery . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma evaluation is recommended . clinic and lab . in both lungs nodular consolidations are observed in areas of increased density in air bronchograms consistent with diffuse consolidation in all segments and pneumonic infiltration is considered in the etiology . bilateral pleural effusion is observed and it was measured as 15 mm on the right at its deepest point . airways the tracheal cannula extends to the right lower lobe bronchus . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window there are minimal sequela fibrotic changes in both lungs especially in the upper lobes more prominent in the apex . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma atelectatic changes were observed in the middle lobe of the right lung . a stable calcified parenchymal nodule with a diameter of 5 mm was observed in the posterior part of the right lung upper lobe . focal thickness increase was observed in the right major fissure . a millimetric calcified nonspecific parenchymal nodule was observed in the upper lobe of the left lung . when examined in the lung parenchyma window atelectatic changes were observed in the lower lobes of both lungs . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen minimal calcified atherosclerotic changes are observed in the wall of the thoracic aorta . no lymph nodes were detected in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . according to the previous examination stable millimetric lymph nodes were observed in the mediastinal upper-lower paratracheal subcarinal area . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the right atrium is dilated . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen a hyperdense lesion with a diameter of 12 mm was observed in the middle zone hemorrhagic cyst . a hypodense cystic lesion with a diameter of 70 mm was observed in the right kidney in the upper abdominal sections included in the examination area . as far as can be seen minimal calcified atherosclerotic changes are observed in the wall of the thoracic aorta . cyst an accessory spleen with a diameter of 3 cm was observed adjacent to the lower pole of the spleen . in the upper pole of the left kidney a hypodense lesion with a diameter of 19 mm partially entering the cross-sectional area was observed . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma peripherally located focal nodular icy consolidations are observed in the posterobasal and upper lobe apicoposterior segments of the left lung lower lobe and the appearance is suspicious for ultra-early covid-19 pneumonia . several nonspecific parenchymal nodules with a diameter of 48 mm are observed in both lungs the largest of which is in the superior segment of the left lung lower lobe . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window mosaic attenuation pattern in both lungs small airway disease small vessel disease . it is recommended to be evaluated together with clinical and laboratory . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peribronchial alveolar densities in the form of ground glass are observed at all levels in both lung parenchyma . there are minimal bronchiectasis in the central lower lobes . millimetric nodules up to 5 mm in diameter are seen in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is a stone density of 3 mm in the upper pole of the right kidney . at this level there is minimal irregularity in the skin . in the sections passing through the left lobe of the liver a mm lesion in the adipose tissue in the area with minimal calcification on the wall and slightly than the subcutaneous adipose tissue density is observed . in the upper abdominal organs included in the sections the gallbladder is operated . two cortical hypodense lesions the largest of which is 14 mm are observed in the left kidney . it is considered compatible with old operation scar and chronic hematoma . lung parenchyma it would be appropriate to evaluate it together with the clinic . no suspicious nodular or mass-occupying lesion was observed in the lung parenchyma . early period new embolism and pulmonary are included in the differential diagnosis in the case with a previous history of pulmonary embolism . in the pandemic conditions the lung parenchyma involvement and imaging features of covid pneumonia are quite similar . except for the middle lobe of the right lung no involvement was detected in other parenchyma areas . when the lung parenchyma window is examined there are subpleural nodular consolidation areas in the right lung middle lobe lateral segment and ground glass opacities around it . airways trachea both main bronchi lobar and segmental bronchi air passages are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . pulmonary artery lumens could not be evaluated due to the lack of contrast of the image . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma particularly in the basal segments of the left lung lower lobe consolidations in the alveolar pattern draw attention . in the evaluation of both lung parenchyma interlobular septal thickening with ground glass density is observed in the anterior segment of the left lung upper lobe which is more prominent and the largest area in the left lung . the appearance is primarily compatible with the infective process . there are focal ground-glass appearances and accompanying bronchiectasis in the lower lobes of both lungs which are more prominent in the anterior segment of the upper lobe of the right lung . it is recommended to evaluate the crazy paving appearance on the pleural face especially in the left lung upper lobe anterior segment in terms of infection including and to control it after treatment . there are pleural thickenings with effusion in the form of thin smears in both lungs . airways trachea and main bronchi are open . mediastinum calcific atherosclerotic plaques are observed in the aortic arch and coronary arteries . right upper-bilateral lower paratracheal large aortopulmonary lymph nodes with narrow diameter less than 1 cm selected with hilar fat content are observed . no pathological lap was detected in the mediastinum . heart and great vessels pericardial smear-like effusion is observed . calcific atherosclerotic plaques are observed in the aortic arch and coronary arteries . osseous structures multiple hypodense lytic lesions secondary to multiple myeloma are observed in the vertebrae included in the study area . in addition the appearance of in l1 and l2 vertebrae and a height loss of more than 75 especially in l1 vertebrae are observed . there is a 50 loss of height in the l2 vertebra . t12 . there is end plateau height loss in the vertebra . there is an old fracture in the 7th rib on the right . abdomen in sections passing through the upper abdomen a cm hypodense nodular lesion is observed in the lateral crus of the left adrenal gland adenoma . a hypodense nodular lesion of 2 cm in diameter and a calculi of 7 mm in diameter which may be compatible with a renal cortical cyst are observed in the right kidney which is in the examination area . calcific atherosclerotic plaques are observed in the aortic arch and coronary arteries . lung parenchyma multilobar multisegmental central-peripheral localized crazy paving pattern and nodular patchy ground glass consolidations showing signs of vascular enlargement were observed in both lungs . no mass lesion with distinguishable borders was detected in both lungs . the findings described are consistent with covid-19 pneumonia . fibroatelectasis sequelae were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segments . minimal thickening of the posterior costal pleura sequela was observed in both hemithoraces . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum several lymph nodes were observed in the mediastinum the largest of which was 14x10 mm in size in the pretracheal area which did not reach pathological dimensions . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a millimetric calculi image was observed in the upper pole of the left kidney . as far as the section can be traced in the left lobe of the liver an area of focal fat was observed adjacent to the falciform ligament . lung parenchyma no suspicious nodular or mass-occupying lesion was detected . when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . no pleural effusion was observed . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window density increases of reticulonodular fibrotic sequelae were observed in both lung apex . mass lesion with distinguishable borders - active infiltration was not detected in both lungs . it is recommended to evaluate and follow-up together with previous examinations if any . linear fibroatelectasis recessions were observed in the left lung upper lobe lingular and lower lobe basal segments . in both lungs pulmonary nodules with a diameter of 55 mm in the right middle lobe lateral segment and 64 mm in diameter in the left upper lobe lingular segment were observed . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum the diameters of the pulmonary conus and the right pulmonary artery were above normal at 35 mm and 25 mm respectively . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the ascending aorta is wider than normal with an anterior-posterior diameter of 41 mm . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen in the sections 3 mm diameter calculus was observed in the upper pole of the left kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition pleuroparenchymal sequelae densities in both lung lower lobes and mm thick-walled bulla formation are observed in the right lung lower lobe laterobasal segment peripheral lung parenchyma . a low-density nodule with a diameter of 6 mm is observed in the superior segment of the left lung lower lobe ima 84 . the bronchi are slightly prominent in the lower lobes of both lungs . two nodules of 3mm and 5mm in diameter are observed adjacent to the fissure in the superior segment of the lower lobe of the right lung . in the evaluation of both lung parenchyma atelectasis is observed in the middle lobe of the right lung . pleural effusion-thickening in the form of smearing is observed in both hemithorax . airways trachea and main bronchi are open . mediastinum the ap diameter of the descending aorta is 31 cm and is above normal . millimetric-sized calcific plaques are observed in the aortic arch coronary arteries in the descending aorta and abdominal aorta . no pathological lap was detected in the mediastinum . right upper-bilateral lower paratracheal aortopulmonary millimetric lymph nodes are observed . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . millimetric-sized calcific plaques are observed in the aortic arch coronary arteries in the descending aorta and abdominal aorta . no obvious pathology was detected in the abdominal sections . the ap diameter of the descending aorta is 31 cm and is above normal . lung parenchyma when examined in the lung parenchyma window sequelae changes are observed at the apical level . there is a 4 mm diameter nodule in the laterobasal segment of the left lung . a nodule with a diameter of 3 mm is observed in the posterobasal segment of the lower lobe of the right lung . there was no finding in favor of pneumonia . pleural effusion or pneumothorax is not observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen in the upper abdominal organs included in the sections hypodense nodular formation with a diameter of about 10 mm is observed in the posterior segment of the liver right lobe . lung parenchyma the outlook was evaluated in favor of typical-probable covid-19 pneumonia . pleural effusion-thickening was not detected . when examined in the lung parenchyma window ground-glass-consolidation areas which are scattered in both lung lobes and more prominent in the subpleural areas are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . there are calcific atheromatous plaques in the aortic coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs including sections liver density decreased in line with hepatosteatosis . there are calcific atheromatous plaques in the aortic coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma active infiltration or mass lesion is detected and there are a few millimeter-sized nonspecific nodules and sequelae changes in the left inferior lingular segment . mosaic attenuation pattern is observed in the lower lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen small airway disease no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma there are several nonspecific nodules in both lungs the larger of which reaches 5 mm in diameter on the left . there are band-shaped atelectasis in the middle lobe on the right the lingula on the left and both lower lobes . when examined in the lung parenchyma window mosaic density differences are observed in both lungs . there are fibrotic densities in the lung parenchyma adjacent to the osteophyte . airways trachea both main bronchi are open . mediastinum millimetric calcific plaque is observed in the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures in the thoracic vertebrae osteophytes extending anteriorly and tending to coalesce are observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . millimetric calcific plaque is observed in the aortic arch . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings described include typical-probable findings of covid-19 pneumonia . clinical laboratory correlation is recommended . when examined in the lung parenchyma window septal thickening was observed in the upper lobes and lower lobes of both lungs with a clear tendency to coalesce . ground glass density increases were observed . other viral pneumonias can be considered in the differential diagnosis . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcified atherosclerotic changes were observed in the wall of the thoracic aorta . the diameter of the main pulmonary artery was 28 mm and it was at the border . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen the diameter of the ascending aorta is 39 mm and shows slight dilatation . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . calcified atherosclerotic changes were observed in the wall of the thoracic aorta . upper abdominal sections entering the examination area are natural . a calculi of 3 mm in diameter was observed in the lower pole of the left kidney . lung parenchyma there are fibroatelectasis changes in the inferior lingular segment of the left lung . diffuse atelectatic changes were observed in the upper and lower lobes of the right lung . when examined in the lung parenchyma window there is a pleural effusion measuring 13 mm at its widest point in the right lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calibration of mediastinal major vascular structures is natural . as far as can be seen there are post-op suture materials in the anterior mediastinum and pericardium . multiple lymph nodes with a short axis of 1 cm were observed in the mediastinal upper-lower paratracheal precarinal prevascular and subcarinal areas . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels evaluation together with contrast-enhanced examination is recommended . there are stent changes in the coronary arteries . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . there are metallic suture materials of sternotomy on the anterior thorax wall . abdomen a cystic lesion with a diameter of about 35 cm was observed on the posterior wall of the upper pole of the right kidney containing hyperdense areas with a diameter of 17 mm that may be compatible with . no gall bladder was observed in the upper abdominal sections included in the examination area cholecystectomized . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window linear atelectatic changes were observed in right lung middle lobe medial and left lung inferior lingular segments . airways trachea both main bronchi are open . mediastinum in the non-contrast examination the mediastinum could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen nodular thickening is observed in both adrenal glands . liver gallbladder spleen pancreas both kidneys are normal in the upper abdominal organs included in the sections . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window there was no finding compatible with pneumonia in both lungs . no pleural effusion was detected . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma on the right linear density increases are observed in the middle lobe consistent with mild sequelae changes . there are fibroatelectatic density increases in the lingular segment of the left lung . when examined in the lung parenchyma window both hemithorax are symmetrical . a subpleural 2 mm diameter nodule is observed in the posterobasal region of the lower lobe of the left lung . there was no significant pneumonia pleural effusion or pneumothorax in the case . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum thoracic aorta diameter is normal . no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . mediastinal main vascular structures are normal . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several millimetric nonspecific nodules in both lungs . there was no appearance that could be evaluated in favor of a mass or pneumonic infiltration in both lungs . there are minimal emphysematous changes in both lungs . there are linear atelectasis in both lungs . no pleural or pericardial effusion was observed . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen there is no upper abdominal free fluid-collection within the sections . lung parenchyma in almost all zones ground glass-like density increases and parenchymal bands thickening of interlobular septa are observed in the convergence tendency which shows peripheral distribution in almost all zones . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures mild degenerative changes are observed in the bone structures in the examination area . abdomen surrounding soft tissue plans are natural . in the sections passing through the upper abdomen there is a decrease in density consistent with hepatosteatosis in the liver . nodular density compatible with accessory spleen is observed adjacent to the spleen . there is a effusion appearance in the interlobar septa on the right . lung parenchyma in both lungs there are widespread consolidations and interlobular septal thickenings accompanying the consolidations more prominently in the lower lobes . the distributions and appearances of the described appearances are non-specific . in the pandemic process the appearances may belong to covid-19 pneumonia . no mass was detected in both lungs . there is bilateral minimal pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels pericardial effusion was not detected . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . heart and great vessels heart dimensions and compartments appear natural . osseous structures in the supraclavicular fossa no lymph node was observed in the axilla in pathological size and appearance . abdomen no feature was detected in the upper abdomen sections included in the image . no features were detected in the upper abdomen sections . lung parenchyma patchy ground glass density increases were observed in both lungs . it is not typical for covid-19 pneumonia . appearance is nonspecific . there are atelectatic changes in both lungs . when examined in the lung parenchyma window pleural effusion and atelectatic changes extending in the fissure reaching 65 cm in the thickest part of the left lung were observed . there is mild pleural effusion in the right lung and atelectatic changes in the lower lobe . millimetric sized calcifications were observed in the right dorsal costal pleura . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum lymph nodes with a short axis less than 1 cm in mediastinal upper-lower paratracheal prevascular and subcarinal localizations were observed . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . stent materials were observed in the wall of the coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung . there are several nodules smaller than 5 mm in both lungs . in the lower lobes of the bilateral lung and the middle lobe of the right lung air trapping areas are observed in places . when examined in the lung parenchyma window a variation of the azygos lobe is observed on the right . there is one calcified nodule in the middle lobe of the right lung . there are areas of ground glass density in the lower lobes of the lung bilaterally located subpleural . in the apicoposterior segment of the upper lobe of the right lung adjacent to the anterior part of the second rib there are subpleural localized budding tree views contusion . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . there are several lymph nodes upper lower paratracheal aortopulmonary the largest mm in size . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways there is a tracheostomy tube that ends approximately 5 cm proximal to the carina . the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum in the mediastinum lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed . as far as can be seen calibration of mediastinal major vascular structures is natural . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . calcific atheroma plaques are present in lad . osseous structures degenerative changes were observed in the bone structures in the study area . abdomen two accessory spleens with diameters of 15 mm and 11 mm were observed inferior to the splenic hilum . upper abdominal organs included in the sections are normal . bilateral adrenal glands are normal and no space-occupying lesion was detected . liver and spleen sizes have increased . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pneumonia pleural effusion and pneumothorax were not observed . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver in the sections passing through the upper abdomen . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is minimal bronchiectasis in the central parts of the right lung . there is a similar appearance in the left lung upper lobe lingular segment inferior subsegment . there is an appearance evaluated in favor of pleuroparenchymal sequelae changes in the left lung apex . there are emphysematous changes in both lungs . bronchiectasis peribronchial thickening minimal structural distortion and volume loss are observed in the lower lobe of the left lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the diameters of the aortic arch and descending aorta are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . there are no enlarged lymph nodes in pathological dimensions . mediastinal structures cannot be evaluated optimally because contrast material is not given . the diameter of the main pulmonary artery was and it was minimally wider than normal . there are lymph nodes in the mediastinum and hilar regions some of which are calcified . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . the anterior-posterior diameter of the ascending aorta is and wider than normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are bridging osteophytes at the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . the diameters of the aortic arch and descending aorta are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there are patches of ground glass density increases in both lungs . uniform interlobular septal thickenings were observed in both lungs secondary to cardiac pathology . some calcified nonspecific parenchymal nodules were observed in both lungs . when both lungs are evaluated in the parenchyma window free pleural effusion extending to the fissure on the right with a thickness of 8 mm on the right and 85 mm on the left between the bilateral pleural leaves and diffuse atelectatic changes in the adjacent lung parenchyma in the lower lobes were observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum the diameter of the main pulmonary artery was 32 mm the diameter of the right pulmonary artery was 25 mm and the diameter of the left pulmonary artery was mm showing dilatation . multiple lymph nodes measuring mm in diameter on the short axis of the largest were observed in the upper-lower paratracheal prevascular area . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels the ascending aorta measures 40 mm in diameter and shows slight dilatation . calcifications were observed in the aortic valve . heart size has increased cardiomegaly . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in the bone structure . abdomen right adrenal gland calibration was normal and no space-occupying lesion was detected . diffuse thickening was observed in the left adrenal gland . no intra-abdominal free-loculated fluid was detected in the upper abdominal sections within the examination area . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . lung parenchyma however in the right lung there is a consolidation area in the lower lobe superior and posterobasal segment in the lower lobe superiorly and in the lower lobe posterobasal segment in which it is observed in air bronchograms accompanied by an indistinctly limited ground glass density around it . mild emphysematous changes are observed in both lungs . in the examination made in the lung parenchyma window there is a significant decrease in the large consolidation area observed in the right lung in the previous ct examination . there is no active infiltration or mass lesion in the left lung and linear sequelae fibroatelectatic changes are present in the lower lobe posterobasal and inferior lingular segments . follow-up is recommended . the described appearance was primarily evaluated as secondary to infective pathology . subcentimetric pleural effusion is present in the posterobasal segment of the lower lobe of the right lung . airways at this level ectasia is observed in the bronchial structures . trachea both main bronchi are open and there is no occlusive pathology . however the presence of the underlying mass cannot be excluded . mediastinum in mediastinal lymph node stations pathologically sized and lymph nodes with fusiform configuration the largest of which is 6mm in diameter in the right lower paratracheal area are observed . the mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are normal . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels no pericardial effusion or thickening was detected . the mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures within the image . abdomen no discernible mass was detected in the upper abdominal organs within the image as far as it can be observed within the borders of non-contrast ct . lung parenchyma in addition fissure-based nodules are observed in the superior segment of the right lung lower lobe which were not clearly distinguished in the previous examination . in the evaluation of both lung parenchyma ground glass densities in the right lung upper lobe posterior segment adjacent to the fissure in the right lung middle lobe and more in the right lung lower lobe basal segments and in the left lung lower lobe superior segment and lingula and lower lobe basal segments in the left lung and interlobular densities in these ground glass densities crazy paving appearance caused by septal thickenings and peribronchial wall thickening in bilateral lower lobes of the lung are observed . right upper-bilateral lower paratracheal one or two millimetric lymph nodes are observed . other nodules appear stable . a fissure-based nodule of approximately mm in the anterior segment of the right lung upper lobe middle lobe left lung lingular segment upper and lower lobe basal segment and right lung upper lobe anterior segment cannot be detected in the previous examination . it primarily suggests the infective process . are located in bilateral pleural effusions and in the right hemithorax the pleural effusion has completely disappeared and on the right it is regressed . pleural effusion with a diameter of 22 cm is observed in the left hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels is also observed between the graft vein and the stomach corpus . the vein wall is thick and edematous and a tract extending towards the diaphragm and pericardium is observed . is observed . osseous structures area is observed in the left half of . no lytic-destructive lesion was observed in bone structures . dorsal kyphosis is increased . in addition loss of upper end plateau height is observed in the t12 . vertebra . abdomen in the sections passing through the upper part of the abdomen metallic densities secondary to liver transplantation are observed on the liver section surface . no significant pathology was detected in the bilateral adrenal glands . hepatic graft vein is observed adjacent to the gastric corpus . clinical evaluation is recommended . it was evaluated as significant in terms of gastric . is also observed between the graft vein and the stomach corpus . lung parenchyma no consolidation area that would suggest pneumonia was observed in the parenchyma . in her previous imaging and current examination a mild honeycomb appearance is observed in the upper lobes of both lungs . emphysema and parenchymal fibrosis intralobular septal thickening and traction bronchiectasis which become more prominent towards the basals are observed in the upper lobes of both lungs . particularly in the lower lobes obvious parenchymal ground glass densities were regressed . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . mild regression is noted in the findings of fibrosis in the lung parenchyma after . lung parenchyma assessment is suboptimal due to respiratory artifact . airways no relevant findings . mediastinum pulmonary trunk diameter increased by 37 mm . heart and great vessels heart size increased . pericardial effusion was not detected . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen the gallbladder is operated . no features were detected in the upper abdomen sections . lung parenchyma there are several millimetric nonspecific nodules in both lungs . emphysematous changes are observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum aorta diameter is normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . the main pulmonary artery diameter was 32 mm and wider than normal . there are atheromatous plaques in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen it is understood that the patient underwent liver right lobe transplantation . there are atheromatous plaques in the aorta and coronary arteries . aorta diameter is normal . liver contours and parenchyma density are normal . lung parenchyma there is a focal ground-glass-like density increase in the medial segment of the lower lobe of the right lung . there are several nodules in both lungs the largest of which is 4 mm in size in the upper lobe anterior segment in the right lung . there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . no significant pleural effusion or pneumothorax was detected in both lungs . airways when examined in the lung parenchyma window trachea and both main bronchi are normal . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures there is degeneration in the bone structures in the study area . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequelae changes are observed in the inferior lingular segment . when examined in the lung parenchyma window a calcific nodule with a diameter of 2 mm is observed in the anterior-posterior segment transition of the upper lobe of the right lung . no pneumonia was detected . no pneumothorax or pleural effusion was observed . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures minimal degenerative changes are observed in the bone structure entering the examination area . abdomen liver there is a nonspecific hypodense lesion with a diameter of approximately 3 mm in the lateral segment of the left lobe . lung parenchyma peribronchovascular thickening is present in both lungs . there is a calcified lymph node in the left hilar region . there is a 5 mm diameter nodule in the lateral segment of the right lung middle lobe . there are areas of subsegmental atelectasis in both lungs . when examined in the lung parenchyma window calcified nodule was observed in the lower lobe of the left lung . mosaic attenuation was observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . pulmonary arteries are dilated . there are many lymph nodes with a short axis smaller than 10 mm in the pretracheal area aortopulmonary window hilar regions and subcarinal area . there is a sliding type hiatal hernia . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart sizes increased . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma peripheral ground glass areas are observed in the left lung lower lobe superior segment and in the posterobasal segment of the lower lobe . the described manifestations were evaluated in favor of viral pneumonia . a similar appearance can also be observed in the right lung middle lobe lateral segment . findings observed especially in the lower lobe of the left lung are frequently encountered findings in covid pneumonia . there are also density increases in the posterobasal segment of the lower lobe of the right lung which are evaluated in favor of parenchymal bands . no mass was detected in both lungs . in addition a nodular ground glass area is observed in the anterior segment of the upper lobe of the right lung . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . atheroma plaques are observed in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . thoracic vertebral corpus heights alignments and densities are normal . the neural foramina are open . abdomen there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window bronchiectatic changes were observed in both lungs which became prominent in the center . in addition parenchymal nodules of 7 mm and 65 mm in diameter were observed in the posterobasal and laterobasal segments of the left lung lower lobe respectively . there are pleuroparenchymal sequelae density increases and paracicatricial bronchiectatic changes that cause volume loss in the right upper lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . two millimetric calcified nonspecific parenchymal nodules were observed in the lower lobe of the right lung . bilateral pleural thickening-effusion was not detected . a 7 mm diameter parenchymal nodule located subpleural was observed in the right lung lower lobe laterobasal segment . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . two calculi measuring 4 mm in diameter were observed in the upper pole of the right kidney . liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area consistent with adiposity . lung parenchyma there is a slight increase in parenchymal density in the upper lobe of the right lung and lower lobes of both lungs and pleuroparenchymal linear atelectasis in the lower lobes . radiological findings are in favor of atypical pneumonic viral infection parenchymal involvement . clinical follow-up is recommended . no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa in the axilla and mediastinum in the cross-section in pathological size and appearance . calibration of mediastinal major vascular structures is normal . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen in the upper abdominal sections there are nodular lesions compatible with adenoma with a diameter of 25 mm in the right adrenal gland and 16 mm in the left adrenal gland . lung parenchyma both lungs have a mosaic attenuation pattern small airway disease small vessel disease . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological dimensions were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen there is no upper abdominal free fluid-collection in the sections . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there are sequelae changes in the right lung middle lobe medial segment left lung inferior lingular segment and lower lobe and nonspecific millimetric nodules in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma pleuroparenchymal fibroatelectasis sequelae were observed in the middle lobe of the right lung the inferior lingular and posterobasal segments of the left lung upper lobe . mosaic attenuation was found to be secondary to small airway stenosis . when examined in the lung parenchyma window there is segmental-subsegmental minimal peribronchial thickening and luminal narrowing in both lungs . one or two millimetric nonspecific parenchymal nodules were observed in the lung parenchyma . mosaic attenuation was observed in both lungs . airways trachea both main bronchi are open . mediastinum pulmonary trunk and right pulmonary artery diameters increased . the mediastinum could not be evaluated optimally in the non-contrast examination . the transverse diameter of the pulmonary trunk was 31 mm and the diameters of the right and left pulmonary arteries were measured as 27 and 20 mm respectively . as far as can be seen thoracic aorta calibration is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . diffuse calcific atheroma plaques were observed in the thoracoabdominal aorta and coronary arteries . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . surgical material secondary to was observed in the aortic and mitral valve . osseous structures there is osteoporosis in the thoracic vertebrae . surgical suture materials secondary to previous surgery on the sternum were observed . vertebral corpus heights are preserved . abdomen the gallbladder was not observed operated . diffuse calcific atheroma plaques were observed in the thoracoabdominal aorta and coronary arteries . at the level of the right adrenal gland crus a high-density nodular mass lesion measuring 15x13 mm was observed in its widest part fat-poor adenoma . as far as can be seen thoracic aorta calibration is natural . lung parenchyma ventilation of both lungs is normal and there is no mass or infiltrative lesion in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma in the evaluation of both lung parenchyma minimal subsegmental atelectasis is observed in the middle lobe of the right lung and the lingular segment of the left lung . a nonspecific nodule with a diameter of 2 mm is observed in the apicoposterior segment of the left lung upper lobe . a nodule with a diameter of 4 mm is observed in the laterobasal segment of the lower lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma a nodule with a diameter of 4 mm is observed in the superior segment of the lower lobe . there is an appearance consistent with a mosaic attenuation pattern in the lung small vessel disease small airway disease . there was no finding compatible with pneumonia in both lungs . more caudally there is another nodule with a diameter of 2 mm . a nodule with a diameter of 4 mm is observed at the apical level of the left lung . a nodule with a diameter of 2 mm is observed in the lateral subpleural area of the upper lobe apicoposterior segment . no pneumonia pleural effusion or pneumothorax was detected . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . calibration of other mediastinal major vascular structures is normal . the aortic arch calibration is 30 mm . if necessary sonographic control is recommended . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen surrounding soft tissue plans are natural . in the sections passing through the upper abdomen findings consistent with a diverticulum are observed in the neighborhood of the colon at the level of both . the aortic arch calibration is 30 mm . if necessary sonographic control is recommended . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . there is a stable nodule with a diameter of 3 mm at the posterobasal level . when examined in the lung parenchyma window both hemithorax are symmetrical . a nodule of approximately 10x6 . there is a stable nodule with a diameter of 2 mm in the subpleural area at the laterobasal level . no bilateral pleural effusion or pneumothorax was detected . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum mediastinal main vascular structures are normal . thoracic aorta diameter is normal . no pathologically sized and configured lymph nodes were detected at mediastinal and both hilar levels . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures it has a slightly porotic appearance in the bone structure and degenerative changes are observed . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . densities compatible with calculus are observed in the gallbladder . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma several nonspecific nodules measuring 4x2 mm are observed in both lung parenchyma the largest of which is observed in the right lung lower lobe laterobasal segment . when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lungs small airway disease . no active infiltration or mass lesion was detected in both lung parenchyma . peripheral subpleural interlobular septal thickness increases and sequela fibrotic bands are present in the middle lobe of the right lung . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum because the mediastinal main vascular structures and cardiac examination were unenhanced the optimum could not be evaluated . calcified atheroma plaques are observed in the wall of the abdominal aorta descending aorta and aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant pathological wall thickening was detected . heart and great vessels because the mediastinal main vascular structures and cardiac examination were unenhanced the optimum could not be evaluated . calibration of the vascular structures heart contour and size were normal . pericardial effusion-thickening was not observed . osseous structures no lytic-destructive lesion is observed in the bone structures within the image and there are osteodegenerative changes . abdomen calcified atheroma plaques are observed in the wall of the abdominal aorta descending aorta and aortic arch . no pathology was detected in the abdominal sections within the image . lung parenchyma in addition there are widespread centriacinar nodular density increases in the upper lobes of both lungs . findings are compatible with bronchopneumonia . more prominent emphysematous changes are present in the upper lobes of both lungs . in the upper lobes of both lungs there are peripheral ground-glass areas in which air bronchograms are observed and consolidations accompanied by interlobular septal thickness increases in places . there are pleural effusion with a thickness of 25 cm in both hemithorax and compression atelectasis in which air bronchograms are observed in the lower lobes of both lungs adjacent to the effusion and consolidations accompanied by airbronchograms and peripheral ground glass areas more prominently on the left . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels pericardial effusion was not detected . heart contour and size are normal . osseous structures a 5 mm diameter hypodense lesion on the left side of the manubrium sterni is stable . abdomen spleen ap diameter was 130 mm liver ap diameter was mm and increased . within the limits of non-contrast bt there is no discernible mass in the upper abdominal organs . lung parenchyma radiological findings were evaluated as compatible with lung parenchymal involvement of covid infection . in both lung parenchyma there are areas of consolidation and ground-glass infiltration which tend to merge more prominently in the upper lobes . airways no relevant findings . mediastinum there are reactive mediastinal lymph nodes located in the right upper bilateral lower paratracheal and subcarinal lymph nodes . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . the esophagus is observed in normal calibration . heart and great vessels no pericardial effusion was detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no mass space-occupying lesion was detected in the lung parenchyma . patchy areas of consolidation are observed in both lungs . in places there are pleuroparenchymal linear density increases and areas of atelectatic parenchyma . radiological findings were evaluated as compatible with covid infection with lung parenchyma involvement . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . in the upper abdominal sections sliding type hiatal hernia is present . heart and great vessels heart size increased . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no relevant findings . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . focal consolidation area is observed in the left lung lower lobe laterobasal segment . other viral pneumonias can be considered in the separate . clinical and laboratory correlation is recommended . there are frequently reported imaging features of covid-19 pneumonia . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window focal ground-glass density increases and interlobular septal thickening were observed in the peripheral subpleural area and peribronchovascular localization in the upper and lower lobes of both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen in the upper abdominal sections in the examination area a 5 mm diameter calculus was observed in the middle zone of the left kidney . lung parenchyma radiological findings covid pneumonia . an inverted halo sign is also present in the posterobasal segment of the lower lobe of the right lung . bilateral asymmetrical peripherally located nodular ground glass density areas are observed in both upper lobes and lower lobes of both lungs . airways no relevant findings . mediastinum calibrations of mediastinal major vascular structures are natural . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window there are several millimetric nonspecific nodules in both lungs . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window both lungs have a mosaic attenuation pattern small airway disease small vessel disease . in both lungs increases in density were observed in alveolar ground glass density accompanied by increases in interlobular septal thickness . minimal pericardial and pleural effusion is observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are calcified atheroma plaques in the wall of the thoracic aorta . no lymph node is observed in the mediastinum and supraclavicular fossa in pathological size and appearance . mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and it is understood that aortic valve replacement was performed in the patient as far as can be observed . no pathological increase in thoracic esophagus wall thickness is observed and there is a sliding type hiatal hernia at the lower end . heart and great vessels findings were primarily evaluated as secondary to cardiac pathology . the pacemaker catheter extends into the right ventricle . mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and it is understood that aortic valve replacement was performed in the patient as far as can be observed . osseous structures no lytic-destructive lesion is observed in the bone structures within the image and there are degenerative changes . abdomen there are several hypodense fluid density nodular lesions cysts in the right kidney the largest measuring 3 cm in diameter . there are calcified atheroma plaques in the wall of the thoracic aorta . in the upper abdominal sections within the image 1 cm diameter calculus was observed in the lower pole of the left kidney . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a few millimetric nonspecific parenchymal nodules were observed in both lungs . subsegmental atelectasis areas are noteworthy in the middle lobe of the right lung and the lower lobe of the left lingular segment . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . airways bilateral peribronchial thickenings were observed . no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures old fracture sequela changes are observed in the left 10th rib . abdomen minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta . no lytic-destructive lesion was detected . in the upper abdominal sections included in the study area the liver parenchyma density decreased diffusely in line with the adiposity . lung parenchyma sequela fibrotic changes are observed in the left lung lingula . when examined in the lung parenchyma window a 5 mm nodule was observed adjacent to the major fissure in the apex of the lower lobe of the right lung . there is a 3 mm nodule in the right lower lobe laterobasal segment . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma minimal peribronchial thickening is observed in the basal segment of the lower lobe of the left lung . a few calcified nodules are observed in the right lung parenchyma . in the evaluation of both lung parenchyma mosaic attenuation pattern is observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the diameter of the main pulmonary artery is 45 cm the diameter of the right pulmonary artery is 3 cm the diameter of the left pulmonary artery is 29 cm and they are wider than normal . calcific plaques are observed in the abdominal aorta on the walls of the coronary artery in the ascending and descending aorta in the aortic arch . the ap diameter of the ascending aorta is 48 cm and the descending aorta is 31 mm and it is wider than normal . right upper paratracheal subcarinal narrow diameter 11 mm in diameter a few lymph as well as lower paratracheal aortapulmonary lymph nodes some of which are calcified most of them have prominent hilar fat content . heart and great vessels postop metallic densities in the aortic valve and a pacemaker extending into the right ventricle are observed . the cardiothoracic index increased in favor of the heart . calcific plaques are observed in the abdominal aorta on the walls of the coronary artery in the ascending and descending aorta in the aortic arch . osseous structures no obvious pathology was detected in bone structures . abdomen calcific plaques are observed in the abdominal aorta on the walls of the coronary artery in the ascending and descending aorta in the aortic arch . calculus is observed in the gallbladder . the ap diameter of the ascending aorta is 48 cm and the descending aorta is 31 mm and it is wider than normal . the contours of both kidneys in the examination area are smaller than normal and lobulated . the caudate lobe is slightly hypertrophied . lung parenchyma recession including pleuroparenchymal calcification in the anterior segment of the left lung upper lobe is present in previous examinations . consolidation is newly developed in the current review . apart from this minimal is observed in the bronchi in the middle lobe of the right lung . apart from this in the right lung lower lobe mediobasal segment a newly developed consolidation with a size of approximately cm and a ground glass density around it are observed in a similar nature which is not seen in previous examinations . in the evaluation of both lung parenchyma consolidation and ground glass density are observed in an area of approximately cm which air bronchograms are observed in the middle lobe of the right lung . small areas of consolidation are observed in the posterobasal segment of the lower lobe of the left lung and in the laterobasal segment of the which were not present in previous examinations . in previous examinations budding tree findings are present in these localizations . pleural effusions observed in previous examinations regressed . pleural effusion-thickening was not detected in both hemithorax . airways millimetric calcifications are observed in the walls of the trachea and main bronchus . mediastinum millimetric calcific plaques are observed on the walls of the coronary artery and aortic arch . no pathological was detected in the mediastinum . right upper-bilateral lower paratracheal lymph nodes some of which are calcified are observed . heart and great vessels millimetric calcific plaques are observed on the walls of the coronary artery and aortic arch . there is pericardial effusion in the form of thin smears . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen newly over previous review . there are no features in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . millimetric calcific plaques are observed on the walls of the coronary artery and aortic arch . sonographic verification is recommended if necessary . lung parenchyma when examined in the lung parenchyma window there are sequelae pleuroparenchymal densities at the right lung lower lobe laterobasal level . there are mild sequelae changes at the anteromediobasal level . sequelae changes are also observed in the upper lobe posterior segment . pneumonia pleural effusion pneumothorax were not detected . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . calibration of the aortic arch is at the maximal physiological limit . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures there are degenerative changes in the bone structure in the examination area . abdomen density compatible with 2 mm diameter calculi is observed in the middle part of the right kidney . there are possible operative densities in the gallbladder bed . calibration of the aortic arch is at the maximal physiological limit . in the upper abdominal organs included in the sections there is a decrease in density consistent with mild adiposity in the liver . lung parenchyma image resolution of the parenchyma is low due to motion artifact . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . an area of atelectasis is observed in the anterior segment of the right lung upper lobe . no suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections a kidney is observed . there is a 12 mm diameter calculi image in the upper pole calyx of the right kidney . lung parenchyma when examined in the lung parenchyma window there are posterior weighted subpleural minimal ground glass densities in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . there are degeneration and anterior osteophytes in the vertebrae . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are hypertrophic osteophytic taperings in the end plates of the vertebral body and mild atelectatic changes in the lung parenchyma adjacent to these taperings . when examined in the lung parenchyma window mild mosaic attenuation patterns and thickening of interlobular septa are observed in both lungs small vessel disease small airway disease . at the anterior level of the lower lobe of the right lung in series 2 image 2 nonspecific subpleural nodules measuring 4 mm are observed in the subpleural left lung again at the lower lobe anteromedial level in the series 2 image . apart from these nodules described there are also a few millimetric nonspecific subpleural nodules . airways in case of doubt its correlation with usg is recommended . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are calcific atheromatous plaques in the aortic arch and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . a small hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels mediastinal main vascular structures heart contour size are normal . osseous structures diffuse density reduction of the bone structures in the study area and osteophytic tapering which tends to the vertebral corpus endplates are observed . there are hypertrophic osteophytic taperings in the end plates of the vertebral body and mild atelectatic changes in the lung parenchyma adjacent to these taperings . abdomen there are calcific atheromatous plaques in the aortic arch and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are mosaic density differences in both lungs . millimetric calcific sequela nodules are observed in both lungs . airways thickening of the bronchial walls is observed in the center . trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size slightly increased . the ascending aorta is ectatic 40 mm . osseous structures bone structures in the study area are natural . osteophytes are observed in the vertebrae . abdomen in the upper abdominal organs including sections hypodense lesions with a size of mm are observed in segment 5 of the right lobe of the liver . bilateral adrenal glands were normal and no space-occupying lesion was detected . a hypodense lesion with parapelvic location is observed in the right kidney . lung parenchyma there is a 5 mm diameter nodule in the left lingular segment . sequelae changes and bulla-blep formations are observed at the apical level . there is another nodular appearance with a lobulated contour approximately 10 mm in diameter at the apex level within the budded branch landscapes described on the right . it is recommended to be evaluated in terms of infective processes . at the apical level of both lungs there is a branch with bud image which is more common in the right upper lobe and partially selected in the lower lobe superior segments of both lungs . a nodule with a diameter of 4 mm is observed at the posterobasal level of the left lobe . there are several nodules the largest of which is 5 mm in diameter at the laterobasal level . a mm nodule is observed in the posterobasal segment of the lower lobe of the right lung . a 4 mm diameter nodule is observed in the middle lobe of the right lung . bilateral pleural effusion or pneumothorax was not detected . apart from these nodules are observed in both lungs with subpleural and parenchymal distribution in smaller sizes . airways trachea both main bronchi are open when examined in the lung parenchyma window there are findings consistent with diffuse emphysema in both lungs . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and hilar levels . calibration of other mediastinal major vascular structures is normal . the aortic arch calibration is 30 mm slightly above normal . thoracic aorta diameter is normal . cto is normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . osseous structures mild degenerative changes are observed in the bone structure in the examination area . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . the aortic arch calibration is 30 mm slightly above normal . nodular formation compatible with the accessory spleen is observed in the anterior of the spleen . cto is normal . upper abdominal organs included in the sections are normal . there is a hiatal hernia . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma areas consistent with air trapping areas were observed in the left lung lower lobe segments . there are bronchiectasis secondary to parenchymal changes . diffuse paraseptal-centriacinar emphysematous changes in both lungs irregular fibrotic pleuroparenchymal bands accompanied by pleural thickening in bilateral apical segments and millimetric calcified nodules were observed . fibrotic recessions were observed in the pleura adjacent to the left lung lingular segment and right lung middle lobe and to the basal segment of both lung lower lobes . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum the diameters of the thoracic aorta are 42 mm in the ascending aorta 32 mm in the descending aorta and 33 mm in the aortic arch . there are extensive calcific plaques in the thoracic aorta and coronary arteries . pathological size and natural lymph node were not observed in the mediastinum and both axillary . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures vertebral corpus heights are preserved . no lytic-destructive lesion was observed . there are degenerative changes in the bone structures in the study area . abdomen the diameters of the thoracic aorta are 42 mm in the ascending aorta 32 mm in the descending aorta and 33 mm in the aortic arch . liver left adrenal gland pancreas and spleen are normal as far as can be seen on non-contrast sections . there are extensive calcific plaques in the thoracic aorta and coronary arteries . accessory spleen with a diameter of approximately 7 mm was observed adjacent to the inferior splenic hilus . there is a 7 mm diameter nodular lesion with millimetric calcification in the lateral crus of the right adrenal gland and is compatible with an adenoma . lung parenchyma when examined in the lung parenchyma window sequelae fibrotic band in the anterior upper lobe of the right lung and subsegmental atelectatic areas in the superior lingular segment of the left lung are observed . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal sections there is diffuse density loss consistent with hepatosteatosis in the liver . in the sections passing through the upper abdomen an appearance compatible with the accessory spleen is observed adjacent to the spleen . lung parenchyma when examined in the lung parenchyma window depandant density increases are observed in the posterior parts of both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways an intubation catheter is observed in the trachea . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma ventilation of both lungs is normal and there is no mass or infiltrative lesion in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . there are millimetric osteophytes in the vertebral corpus corners . left-facing rotoscoliosis was observed in the thoracic vertebrae . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . there is a decrease in liver parenchyma density consistent with adiposity . lung parenchyma there are several millimetric nonspecific nodules in both lungs . there are emphysematous changes in both lungs more prominent in the upper lobes . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma minimal emphysematous changes and parenchymal air cysts are observed in both lungs . there is an azygos fissure on the right . no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no mass or infiltrative lesion was observed in both lungs . several nodules with a diameter of 4 mm are observed in both lungs the largest of which is in the anterior segment of the right lung upper lobe . there are areas of linear atelectasis in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen within the limits of non-contrast bt there is no discernible mass in the upper abdominal organs . lung parenchyma mild and sequela density increases are observed in the pleura which causes structural distortion in the middle lobe and lower lobe of the right lung . there are pleural parenchymal sequelae density increases in both lungs apical . in the case with a previous history of covid-19 pneumonia peripheral subpleural millimetric focal ground glass density increase is observed in the upper lobe of the right lung and the posterior of the left lung upper lobe . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was not contracted . no lymph node was detected in pathological size and appearance . as far as can be seen calcified millimetric lymph nodes are observed in the mediastinal upper-lower right hilar region . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . in the upper abdominal sections in the study area liver parenchyma density was diffusely decreased in line with the adiposity . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical laboratory correlation monitoring is recommended . when examined in the lung parenchyma window there are patchy ground glass densities with a halo sign around the nodular in the middle lobe of the right lung more prominently on the right in the left lung upper lobe inferior lingula and both lungs in the lower lobes . it was initially evaluated in favor of covid-19 viral pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen millimetric stones are observed in the gallbladder . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window atelectatic changes causing mild structural distortion were observed in the left lung inferior lingular and right lung lower lobe posterobasal segment . millimetric nonspecific parenchymal nodules were observed in the upper lobes of both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum the anterior-posterior diameter of the ascending aorta is 39 mm and the anterior-posterior diameter of the descending aorta is 28 mm which is wide . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be observed mediastinal main vascular structures heart contour is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour is normal . osseous structures a benign lesion area with 11 mm diameter thin-walled well-defined fat density was observed under the skin in the midline on the anterior chest wall in the distal neighborhood of the corpus sterni . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the anterior-posterior diameter of the ascending aorta is 39 mm and the anterior-posterior diameter of the descending aorta is 28 mm which is wide . as far as can be seen in the sections the upper abdominal organs are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . incision scar in the midline of the abdomen at the epigastric level and areas of intraperitoneal fat necrosis were observed just the anterior abdominal wall at this level . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a millimetric nodule in the right lung . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is a millimetric parenchymal air cyst in the anterior segment of the right lung upper lobe . mosaic attenuation pattern is observed in both lungs secondary to insufficient inspiration . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and bilateral hilar regions . dependent density increases are observed in the lower lobe posterior segments . there are linear atelectasis areas in the left lung lower lobe medial segment upper lobe lingular segment inferior subsegment right lung middle lobe medial segment and lower lobe lateral segment . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . minimal peribronchial thickness increase is observed . mediastinum the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and bilateral hilar regions . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . thoracic kyphosis is increased . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be observed no mass with distinguishable borders was detected in the upper abdominal organs . calcific atheroma plaques are observed in the aorta . as far as it can be evaluated within the non-contrast ct limits there is microlobulation in the liver contours chronic liver parenchymal disease . is present . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . right-facing scoliosis is present in the upper thoracic vertebrae . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma right lung lower lobe posterobasal and 75 mm nodular ground glass density are present . when examined in the lung parenchyma window sequelae fibrotic changes are observed in the upper lobe apex of both lungs and millimetric nodules are observed on the left . diffuse subpleural ground glass densities are observed in the right lung upper lobe posterior and left lung especially in the lingular segment . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . in the mediastinum millimetric lymph nodes with short diameters not exceeding 1 cm are observed . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcifications are observed at the level of the tricuspid valve . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is a loss of density to the diffuse liver in the liver entering the cross-sectional area hepatosteatosis . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not observed . lad calcific atheroma plaques are present . heart dimensions and compartments appear natural . osseous structures hemangioma is present in t10 vertebra . no lytic-destructive lesion was detected in the bone structures included in the study area . vertebral corpus heights are preserved . abdomen there is mild hepatosteatosis in the liver parenchyma density entering the section area . bilateral adrenal glands were normal and no space-occupying lesion was detected . no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window a nodule with a diameter of approximately 2 mm is observed in the anterior segment of the right lung upper lobe . 1-2 nodules the largest of which is 3 mm in diameter are observed in the superior segment of the lower lobe . there are 1-2 nodules with a diameter of 2 mm at the apical level in the left lung . sequelae changes are observed in the middle lobe . consolidative parenchyma areas are present in both lungs basal . again a 2 mm sized nodule is observed and was also detected in pet-ct . no pathological size and configuration of lymph nodes were detected at both hilar levels . there are several nodules the largest of which is 2 mm in size superposed to the minor fissure . a subpleural nodule with a diameter of 4 mm is observed in the laterobasal segment of the lower lobe of the left lung . airways no relevant findings . mediastinum calibration of the aortic arch and other mediastinal major vascular structures is natural . in the mediastinum lymphadenomegaly is observed in almost all areas the largest at the right lower paratracheal level and approximately mm in size . pulmonary trunk calibration is at the maximal physiological limit . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures at the level of the d6 vertebra metastasis is observed involving the facet joints and spinous process on the left and in the surrounding soft tissue planes . there are lesions compatible with diffuse metastasis at the vertebral corpus levels more prominent at the level . in the case with anamnesis it was initially evaluated as compatible with metastasis . soft tissue appearance compatible with invasion is also observed in soft tissue planes in the paravertebral area at the level of vertebra . at the level of the left humerus which is in the examination area a mass lesion that partially enters the image irregularity in the cortex and destructive changes are observed . in addition there is a fracture in the sternum at the level of the image . pathological fracture is observed in the vertebra which causes a height loss of approximately 75 . abdomen the right adrenal is full . the right kidney is observed as atrophic and there is hypodensity in the middle part that may be compatible with a pararenal cyst . calibration of the aortic arch and other mediastinal major vascular structures is natural . operative densities were detected . it was not detected in the previous review . in the upper abdominal sections included in the image the gallbladder was not observed in the lodge . it was not observed in the left kidney lodge . lung parenchyma it is appropriate to evaluate the patient together with the clinic in terms of covid-19 pneumonia . peribronchial thickness increases and faintly limited ground glass areas are observed in the air bronchi of the lower lobe of the left lung . when examined in the lung parenchyma window in the upper lobes of both lungs emphysema areas are observed . airways trachea both main bronchi are open . mediastinum there are extensive calcific atheroma plaques in the aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . metallic artifacts that may be compatible with the stent are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there are extensive calcific atheroma plaques in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequelae changes are observed at the apical level in the right lung . it is also available in the old review . density increases consistent with mosaic attenuation and accompanying mild nonspecific ground-glass-like densities are observed in both lungs and are also present in the previous examination . no pathological size and configuration of lymph nodes were detected at both hilar to a previous ct of the patient no significant difference was found in the lymph nodes . especially peripheral thickening is observed in interlobular septa . it is recommended to be evaluated together with clinical laboratory findings in terms of interstitial lung disease . when examined in the lung parenchyma window both hemithorax are symmetrical . there are slight irregularities on the pleural face . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . thickening of the peribronchial sheath and mild tubular bronchiectasis in the middle lobe are observed . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . it is wider than normal . cto is within the normal range . calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . there are lymph nodes in the mediastinum the largest of which are mm in the subcarinal area while the others have a short smaller than 1 cm . the aortic arch calibration is 37 mm . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . calibration of other vascular structures is natural . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen it is wider than normal . surrounding soft tissue is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . cto is within the normal range . calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . hypodense lesions in both kidneys may be compatible with cortical cysts . the aortic arch calibration is 37 mm . upper abdominal organs included in the sections are normal . lung parenchyma there are millimetric calcific foci sequelae changes in the left lung upper lobe apicoposterior . when examined in the lung parenchyma window in both lungs more prominent on the left mostly peripherally located crazy paving pattern ground glass densities are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . small hiatal hernia is observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma in the anterior segment of the upper lobe of the right lung the consolidation area which may be compatible with the infective process is observed forming the air bronchogram surrounding the upper lobe bronchi . in addition irregular contoured nodules with a diameter of 8 mm are observed in the upper lobe anterior segment of the left lung adjacent to the fissure in the lower lobe superior segment and in the lower lobe laterobasal segment . nodular focal ground glass densities are observed in the neighborhood of the consolidation area . subsegmental atelectasis is observed in the right lung lower lobe laterobasal segment . right upper paratracheal lymphadenomegaly with a diameter of 10 mm and right upper-bilateral lower paratracheal aortopulmonary millimetric lymph nodes are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . atherosclerotic calcific plaques are observed in the aortic arch coronary artery walls descending and abdominal aorta . heart and great vessels the cardiothoracic index increased in favor of the heart . osseous structures deformed appearance secondary to the old is observed in the right 3rd and 4th ribs post-op . post-op surgery was performed on vertebrae . there is partial fusion in the posterior of the vertebrae . in the dorsal localization internal applied to vertebrae are observed . in addition rotoscoliosis is observed in the dorsal localization . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . atherosclerotic calcific plaques are observed in the aortic arch coronary artery walls descending and abdominal aorta . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . a few nonspecific millimetric nodules less than 3 mm in diameter were observed in the lung parenchyma . no pleural effusion was detected . airways trachea and lumens of both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibration of mediastinal major vascular structures is normal . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart sizes are of normal width . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections 4-5 calculi with a diameter of 8 mm were observed in the left kidney upper and lower zones the largest in the upper zone . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal organs included in the sections there is a decrease in density in favor of diffuse steatosis of the liver . millimetric calcifications are observed in the right adrenal gland . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . there is minimal thickening on the right lateral of the major fissure . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window in both lungs patchy ground glass densities are observed in the lower lobe basal segments located centrally and peripherally . a few millimetric nonspecific nodules are observed in both lungs . clinical laboratory correlation of the findings in terms of viral pneumonia close follow-up and further examination are recommended . airways trachea both main bronchi are open . mediastinum there are calcific millimetric atheroma plaques in the aortic arch . mediastinal major vascular structures are normal in size . there are lymph nodes measuring up to 9 mm in more than one short axis in the mediastinum . thoracic aorta diameter is normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the cardiothoracic index increased in favor of the heart . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen oval-shaped findings in fluid attenuation measured up to 65 mm partially entering the images in the left kidney were evaluated in the direction of cortical cysts . thoracic aorta diameter is normal . the upper abdominal organs are partially included in the study and a mm hyperdense finding in the right pelvicalyceal structures was evaluated in the direction of calculus . there are calcific millimetric atheroma plaques in the aortic arch . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nodules in both lungs . in addition atelectasis are observed in the upper lobe lingular segment and the anterior mediobasal segment in the lower lobe . diffuse emphysematous changes are observed in both lungs with the lower lobes being more prominent . there is linear atelectasis in the anterior segment of the left upper lobe of the lung . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . lymph nodes with short diameters less than 1 cm are observed in the mediastinum and hilar regions . there are calcific atheromatous plaques in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures in addition minimal height loss is observed in the t12 central section . there are osteophytes in the vertebral corpus corners . the neural foramina are open . vertebral corpus heights within the sections are normal . vertebral bodies are sclerotic . minimal height loss is observed in the l2 vertebral body . height loss is less than 50 . abdomen however when evaluated together with their densities they were thought to belong to cysts . hypodense lesions are observed in the left kidney . if there is an indication it is recommended to be evaluated with usg . the described lesions cannot be characterized as no contrast agent is given . no upper abdominal free fluid-collection was detected in the sections . no pathologically enlarged lymph node was observed . apart from these in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . there are calcific atheromatous plaques in the aorta and coronary arteries . lung parenchyma in the evaluation of both lung parenchyma paraseptal-centriacinar emphysemato areas which are more common in the upper lobes of both lungs are observed . a similar appearance is seen in the right lung middle lobe and in the lower lobe basal segments which can be minimally differentiated from motion artifacts . no mass was detected in both lungs . in addition a common budding tree view is observed in the lower lobe most prominently in the lingular segment of the left lung . pleural effusion-thickening was not detected in both hemithorax . airways millimetric calcific nodules are observed in the trachea and main bronchus walls . trachea and main bronchi are open . mediastinum right upper-bilateral lower paratracheal aortopulmonary and prevascular milimetric lymph nodes are observed . no pathological lap was detected in the mediastinum . calcific plaques are observed in the aortic arch and its branches and in the coronary arteries . heart and great vessels calcific plaques are observed in the aortic arch and its branches and in the coronary arteries . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no significant pathology was detected in the non-contrast examination of the abdominal sections . calcific plaques are observed in the aortic arch and its branches and in the coronary arteries . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . focal fissure nonspecific thickness increase was observed in the left major fissure . when the lung parenchyma window is examined intraluminal secretion is observed in the proximal part of the left lung upper lobe bronchus . no suspicious nodular or mass-occupying lesion was observed in the lung parenchyma . pleural effusion was not observed . airways a slight increase in bronchial wall thickness was observed in segment bronchi . trachea both main bronchi lobar and segmental bronchi air passages are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window effusion was observed in both hemithorax measuring 57 mm in the deepest part on the right and mm in the deepest part on the left . a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . no mass lesion-active infiltration with distinguishable borders was detected in both lung parenchyma . slightly more extensive compressive atelectasis was observed on the left in both lung lower lobe basal segments . peribronchial cuffing was observed in both lungs . interlobular-intralobar septal thickenings were observed in the upper lobes of both lungs and the defined findings were initially evaluated in favor of cardiac stasis . the left pleural effusion also extends to the fissure . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum suture materials secondary to previous surgery were observed in the sternum and anterior mediastinum . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen thoracic aorta calibration is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calibration of pulmonary arteries is increased . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques and a stent placed in the lad were observed in the lad . heart size increased . osseous structures suture materials secondary to previous surgery were observed in the sternum and anterior mediastinum . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . as far as can be seen thoracic aorta calibration is natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma there was no pathological size and configuration of lymph nodes at both hilar levels . there is a 2 mm diameter calcific lymph node caudal to the upper lobe posterior segment and a 4 mm diameter calcific nodule at the right major fissure level . there was no finding in favor of pneumonia in both lungs . a 3 mm diameter calcific nodule is observed in the posterobasal segment . when examined in the lung parenchyma window a nodule with a diameter of 3 mm is observed in the lateral subpleural area in the posterior segment of the right lung upper lobe . pleural effusion or pneumothorax is not observed . there is a 2 mm diameter nodule in the upper lobe anterior segment lateral subpleural area in the left lung . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . thymic tissue with hypodense areas compatible with partial fat involution which does not show mass effect is observed in the anterior mediastinum . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures mild degenerative changes are observed in the bone structures in the examination area . abdomen when the upper abdominal organs included in the sections were evaluated there is a decrease in density consistent with hepatosteatosis in the liver . bilateral adrenal glands were normal and no space-occupying lesion was detected . lung parenchyma clinical laboratory correlation and close follow-up of the findings in terms of covid-19 viral pneumonia is recommended . when examined in the lung parenchyma window there are patchy subpleural ground-glass densities located peripherally more prominently at the apical levels of the upper lobes of both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances and consolidations were observed in the bilateral upper and middle zones . pleural effusion-thickening was not detected in both hemithorax . airways respiratory artifacts are observed . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . viral pneumonia in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma a superposed 2 mm diameter nodule is observed on the major fissure on the right . there is a decrease in density consistent with emphysema in both lungs . a stable 2 mm diameter nodule is observed in the upper lobe anterior segment of the right lung . a little more caudally there is another nodule with a diameter of 2 mm . no pathological size and configuration of lymph nodes were detected at both hilar levels . again another stable nodule with a diameter of 3 mm is observed . a subpleural nodule with a diameter of approximately 3 mm is observed in the dorsal area in the posterior segment of the right lung upper lobe . there was no finding compatible with bilateral pleural effusion pneumothorax or pneumonia . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum it is wider than normal . no pathological size and configuration lymph nodes were detected in other stations in the mediastinum . cto is within the normal range . pulmonary trunk and both pulmonary artery calibrations are normal . the aortic arch calibration was measured as 40 mm . in the upper paratracheal area millimetric lymph nodes are observed at the prevascular level . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calibration of the ascending aorta is normal . calcific atheroma plaque is observed in the coronary arteries . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen the spleen pancreas and left kidney appear naturally . it is wider than normal . right adrenal lateral crus and left adrenal genus are prominent . the gallbladder has a contracted appearance and has multiple calculus in it . cto is within the normal range . when the upper abdominal organs included in the sections were evaluated a decrease in density consistent with steatosis is observed in the liver . in the case there is a nodular lesion in the central mesentery between the pancreatic and segments and with a size of approximately mm and a density of 13 hu with smooth borders that cannot be distinguished from the segments . the aortic arch calibration was measured as 40 mm . a large exophytic cortical cyst is observed in the right kidney . it cannot be evaluated clearly in non-contrast examination . lung parenchyma there are several nonspecific nodules in both lungs . there is minimal bronchiectasis in the central parts of both lungs . there are linear atelectasis in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . emphysematous changes are observed in both lungs . there is no pleural or pericardial effusion . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . atheroma plaques are observed in the aorta and coronary arteries . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . it is understood that the patient underwent liver right lobe transplantation . atheroma plaques are observed in the aorta and coronary arteries . in the upper abdomen an appearance compatible with material was observed in the mesenteric area . liver contours and parenchyma density are normal . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . in both lungs there are a few large nodules in the middle lobe of the right lung 9 mm in series 2 image others are millimetric nodules . when examined in the lung parenchyma window diffuse centrilobular emphysematous changes are observed in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . there are small lymph nodes with a short axis measuring up to 4 mm in the mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcific atheroma plaques are observed in the coronary arteries . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures thoracic kyphosis slightly increased . no lytic-destructive lesion was detected in bone structures . abdomen there is an appearance compatible with steatosis in the liver parenchyma . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma active infiltration or mass lesion was detected in both lung parenchyma . in both lungs there are nonspecific pleural-based nodules with a size of 4 mm in the upper lobe lingular segment on the left parenchymal located and in the left lung the largest in the upper lobe lateral segment 5 mm in size . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma asymmetrical increase in aeration is observed in the left lung . linear atelectasis areas are observed in the middle lobe of the right lung . when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . no pleural effusion was detected . airways trachea both main bronchi lobar and segmental bronchi air passages are open . no bronchial obstruction was detected . mild tubular bronchiectasis is present . mediastinum no lymph node was observed in the axilla supraclavicular fossa and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are normal . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma pleuroparenchymal recession is observed in the middle lobe of the right lung . no mass-infiltration was detected in both lungs . in the evaluation of both lung parenchyma a low-density nonspecific nodule with a diameter of 3 mm based on fissure in the superior segment of the lower lobe of the right lung and a diameter of 2-3 mm in the middle lobe of the right lung is observed . pleural effusion-thickening was not detected in both hemithorax . airways right upper bilateral lower paratracheal millimetric lymph node is observed . trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . a 74 mm diameter calcified parenchymal nodule was observed in the paracardiac area in the left lung lower lobe segment . in both lungs faint ground glass density increases were observed in the lower lobes in the peripheral subpleural area and in the lower lobe mediobasal segment . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be seen minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the described findings were also present in the previous examination of the patient and regression was observed in their dimensions . the areas adjacent to the effusion of the basal segments of the right lung lower lobe are consolidated . in both lungs parenchymal nodules measuring 52 mm in diameter 7 . upper abdominal organs are normal as far as can be seen in the sections . in both lungs nodular consolidative lesions with irregular borders with ground glass areas were observed more commonly in the lower lobes located centrally and peripherally . infiltration could not be ruled out . it is recommended to be evaluated together with the clinic and laboratory . pleural effusion reaching 33 mm in diameter was observed in the thickest part of the right hemithorax . airways it is recommended to be evaluated together with us . trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum a catheter image extending from the right internal jugular vein to the superior vena cava-right atrium junction was observed . as far as can be seen the anterior-posterior diameter of the ascending aorta was 43 mm and the anterior-posterior diameter of the descending aorta was 30 mm showing fusiform dilatation . the mediastinum could not be evaluated optimally in the non-contrast examination . in the previous examination it was measured 9 mm at its thickest point and increased slightly . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calcific atheroma plaques were observed in the coronary arteries . heart contour size is normal . effusion reaching 12 mm in thickness was observed in the pericardial space . osseous structures vertebral corpus heights are preserved . mild degenerative changes were observed in the bone structures in the study area . abdomen the left adrenal gland is normal . stable adenoma was observed in the right adrenal gland corpus . as far as can be seen the anterior-posterior diameter of the ascending aorta was 43 mm and the anterior-posterior diameter of the descending aorta was 30 mm showing fusiform dilatation . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lungs in the parenchyma window density reduction consistent with emphysema was observed in both lungs . there are sequelae changes at the apical level . on the right a 3 mm diameter calcific nodule superposed on the minor fissure is observed . also available in old review . a calcific millimetric nodule is observed at the left level and is also present in the previous examination . bronchiectasis appearance is observed in the lingular segment on the left . millimetric sized air cysts are observed . in the anterior segment of the upper lobe there is a branch appearance with faint buds bronchiolitis . tubular bronchiectasis is observed in the middle lobe and is also present in the previous examination . there are thickenings in the subpleural interlobular septa especially in the upper zone . airways calibration of trachea and main bronchi is normal their lumens are clear . mediastinum calcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch . ascending aorta calibration is natural . calibration of major vascular structures in the mediastinum is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the aortic arch calibration is 32 mm wider than normal . mild hiatal hernia is observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch . cto is at the maximal physiological limit . the ascending aorta calibration is 40 mm it is within the maximal physiological limits . osseous structures dorsal kyphosis configuration increased . degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch . ascending aorta calibration is natural . there is hypodense appearance compatible with cortical cyst in the right kidney . upper abdominal organs included in the sections are normal . the aortic arch calibration is 32 mm wider than normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window paraseptal emphysema areas are observed in both lungs . no nodular or infiltrative lesion was detected in both lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are height losses secondary to fractures in the vertebrae . especially in the t10 vertebra the height loss 50 . diffuse lytic-sclerotic appearance is observed in bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window no mass lesion was detected in both lungs . the appearance may belong to early viral pneumonias . there are sequela parenchymal changes in the left lung upper lobe inferior lingular segment right lung middle lobe medial segment and both lung lower lobe posterobasal segments . it is recommended to evaluate and follow up with clinical and laboratory findings . an increase in nodular density was observed in the ground glass density measuring approximately mm in the peripheral subpleural area in the posterior upper lobe of the right lung . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were detected in both supraclavicular fossae axillary region and mediastinum . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be seen calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen there is surgical suture material secondary to the operation in the gallbladder lodge as far as can be seen within the borders of non-contrast ct in the upper abdominal sections within the image . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are sequela parenchymal changes in bilateral apex . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window more than one millimetric nonspecific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . minimal emphysematous changes are observed in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen the longest diameter of the stone was approximately 15 mm at its widest point . there are stones in the gallbladder the largest measuring about 10 mm in diameter . no free fluid-collection was detected in the upper abdomen . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no upper abdominal free fluid-collection was detected in the sections . a stone in the shape of major calyces was observed in the upper pole of the right kidney . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen apart from that the are natural . in the upper abdominal organs included in the sections there is diffuse density loss in the liver . lung parenchyma no nonspecific nodules larger than 3 mm in diameter were observed in both lungs . ventilation of both lung parenchyma is normal . pleural effusion-thickening was not detected . when examined in the lung parenchyma window there are pleural irregularities and sequela fibrotic densities in the upper lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways bronchial wall thickness increases are observed in segmental bronchi . mediastinum no lymph node in pathological size and appearance was observed in the supraclavicular fossa mediastinum and axilla . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen contour lobulation and focal parenchymal thinning are observed in the left kidney in upper abdominal sections . there is a cortical cyst with a diameter of 12 mm in the lateral part of the middle zone . lung parenchyma there are minimal emphysematous changes in both lungs . there are linear atelectasis in the right upper lobe and middle lobe medial segment of the right lung and in the lingular segment of the left lung upper lobe . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was observed in both lungs . a few millimeter-sized nonspecific nodules were observed in both lungs . ventilation of both lungs is natural . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph nodes in pathological size and appearance were observed in both axillary regions and mediastinum . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen no intraabdominal free liqu- ulated collection was detected . no pathology was observed in the intra-abdominal parenchymal organs within the image . in the upper abdominal organs included in the sections there are suture materials secondary to the operation in the stomach wall . lung parenchyma in addition consolidation areas containing air bronchograms and ground glass opacities are observed in the lower lobes of both lungs . pneumonic infiltration should also be considered . there are also occasional ground glass opacities around this area . ground-glass opacities are also observed in the lower lobes of both lungs and in the inferior lingular segment of the upper lobe of the left lung . when examined in the lung parenchyma window in the apical segment of the upper lobe of the right lung a mass lesion of 25 cm in diameter with irregular borders which is understood to be the primary of the patient is observed . mosaic attenuation pattern in the upper lobe of the right lung and increase in interlobular and interseptal thickness with the consolidation area containing the air bronchogram in the posterior part of the right lung upper lobe are observed . this appearance may be secondary to radiotherapy . first of all it was evaluated in favor of pneumonic infiltration . there are also interlobular and interlobar septal thickness increases in the lower lobes of both lungs . there is a small amount of pleural effusion in both lungs and areas of atelectasis in the accompanying lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . soft tissue density which cannot be clearly differentiated is observed in the subcarinal area due to the lack of contrast in the examination . mediastinal main vascular structures heart contour size are normal . this appearance may be secondary to lymphadenopathy . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . minimal effusion is observed in the pericardial area . mediastinal main vascular structures heart contour size are normal . osseous structures millimetric hypodense appearance is observed in the t4 vertebral corpus . when the patient was evaluated together with his previous examinations it was thought that he had metastasis . abdomen the right adrenal gland corpus has increased in size . thoracic aorta diameter is normal . appearances that may be compatible with gallstones are observed in the gallbladder lodge . in the upper abdominal organs including sections a mass lesion with a diameter of approximately 85 cm is observed in the left adrenal gland . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels a port catheter extending from the right chest wall to the right atrium is observed . pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma metallic suture materials due to previous surgery in the left lung upper lobe apicoposterior segment and bulla formation are observed in its vicinity . in addition there are multiple metastatic nodules measuring in the lower lobe mediobasal segment on the right and the largest in the lower lobe superior segment on the left and measuring in both lungs . multiple millimetric centriacinar nodular density increases are observed in the upper and middle zone of the right lung consistent with lymphangitic carcinomatosis . pleural effusion reaching 2 cm on the left is observed in both hemithorax . airways no relevant findings . mediastinum the diameter of the pulmonary trunk measures 32mm and is wider than normal . millimetric calcific atheroma plaques are observed in the aortic arch . mediastinal structures cannot be evaluated optimally because contrast material is not given . as far as can be observed the diameter of the ascending aorta was the diameter of the aortic arch was and the diameter of the descending aorta was 30mm and it was wider than normal . pre-paratracheal aortopulmonary and subcarinal and bilateral hilar multiple lymphadenopathies the largest of which is in the subcarinal area and measuring in size some with millimetric calcifications are observed . heart and great vessels minimal pericardial effusion is observed . as far as can be observed the diameter of the ascending aorta was the diameter of the aortic arch was and the diameter of the descending aorta was 30mm and it was wider than normal . osseous structures in the left part of the sternum there is a hypodense appearance compatible with metastasis approximately in size causing destruction in the posterior cortex . hypodense areas are observed in the t8 and l1 vertebral bodies metastasis . compression fracture which causes 30 loss of height is observed in the t5 vertebra . abdomen as far as can be observed nodular thickness increase is observed in the left adrenal gland corpus with an average density of . abdominal structures cannot be evaluated optimally because contrast material is not given . millimetric calcific atheroma plaques are observed in the aortic arch . as far as can be observed the diameter of the ascending aorta was the diameter of the aortic arch was and the diameter of the descending aorta was 30mm and it was wider than normal . when the patients pet-ct dated 4a stone with a diameter of 3 mm is observed in the upper pole calyces of the left kidney . no discernible mass was detected in other upper abdominal organs within the sections . lung parenchyma atelectasis is also in its differential diagnosis . the findings were evaluated in terms of suspected early infectious process onset . clinical laboratory correlation is recommended due to the current pandemic . when examined in the lung parenchyma window subpleural milimetric nodular patchy ground glass densities are observed in the posterior peripheral location more prominently on the right in the upper lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the outlook is consistent with typical-probable covid . no nodular or infiltrative lesion was detected in the lung parenchyma . when examined in the lung parenchyma window widespread patchy ground glass areas are observed in both lungs which are more prominent in the right lung subpleural forming consolidation from place to place . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is no mass or infiltrative lesion in both lungs . minimal emphysematous changes were observed in both lungs . there are a few millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal main vascular structures are normal in width . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as can be observed within the borders of non-enhanced ct . no upper abdominal free fluid-collection was detected in the sections . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the appearance is suggestive of an infectious process in the first place . in addition patches of consolidation areas in both lungs are noteworthy . in both lung parenchyma multiple parenchymal nodules were observed the largest of which was in the lower lobe of the right lung with a long axis measuring 16 mm consistent with multiple metastases . in addition a diffuse parenchymal consolidation area extending from the upper lobe to the middle lobe and lower lobe superior segment was observed in the lung parenchyma adjacent to the apex of the right lung . when examined in the lung parenchyma window in the apical segment of the upper lobe of the right lung a mass lesion with contour whose long axis was mm in the current examination 75 mm in the previous examination was observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum significantly increased in size and number of lymph nodes described from previous review . clinical and laboratory correlation is recommended . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels the diameter of the ascending aorta was 46 mm and showed fusiform dilatation . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures in addition height loss was observed in the t1 t9 t11 and t12 vertebral bodies . s-shaped scoliosis was observed in the thoracic vertebrae . height loss due to pathological fracture was observed in the t8 vertebral body . a pathological fracture was observed in the posterolateral aspect of the right 2nd rib and it has recently emerged in the current examination . there is a fracture in the corpus sternium . at the level of t7 t8 t9 vertebrae a mass lesion was observed that the vertebra its borders cannot be distinguished from bone structures its craniocaudal dimension is 53 mm and its ap diameter is 31 mm . diffuse lytic lesions were observed in all thoracolumbar vertebrae and both in the study area . multiple measuring mm in size were observed in the bilateral lower cervical chain upper-lower paratracheal localization prevascular aorticopulmonary window subcarinal area and both hilar localizations the largest in the lower paratracheal localization which were included in the examination area . in addition a stable fracture line and callus formation was observed in the right 8th rib according to the previous examination . abdomen in the upper abdominal sections in the examination area there are mass lesions consistent with metastasis in both adrenal glands measuring 69 mm in the long axis on the right and 74 mm on the left . lung parenchyma an area of consolidation was observed in the lower lobe of the left lung basal and it was evaluated in favor of pneumonic infiltration aspiration pneumonia . patchy ground-glass areas were observed in the upper lobe of the left lung . linear atelectasis was observed in both lungs . no mass lesion with distinguishable borders was detected in the lung parenchyma . mosaic attenuation was thought to be secondary to small airway stenosis . it may be compatible with viral pneumonias . segmental-subsegmental minimal peribronchial thickening and luminal narrowing were observed in both lungs . there is a mosaic attenuation pattern in both lungs . the described finding is nonspecific . a smear-like effusion was observed between the pleural leaves in the right hemithorax . airways no occlusive pathology was observed in the lumen of the trachea and both main bronchi . tracheal cannula was observed . mediastinum calcific atheroma plaques were observed in the thoracic aorta . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . catheter in superior vena cava was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . an effusion reaching 22 mm in thickness was observed between the pericardial leaves in the left hemithorax . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are normal . fracture lines were observed bilaterally and anterior to the 7th rib . abdomen a stone with a diameter of 4 mm was observed in the upper pole of the right kidney . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a nodule with a diameter of 3 mm is observed in the superior segment of the left lung lower lobe . there is an appearance compatible with mosaic attenuation pattern in both lungs . there was no finding compatible with pneumonia in both lungs . a 5x3 mm nodule is observed in the superior segment of the lower lobe of the right lung . on the right there is a low-density nodule with a diameter of 3 mm superposed on the interlobar fissure . pleural effusion pneumothorax were not observed . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum it is wider than normal . calibration of other major mediastinal vascular structures is natural . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . millimetric calcific atheroma plaques are observed in the aortic arch . cto is normal . the aortic arch calibration is 34 mm . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen it is wider than normal . in the sections passing through the upper abdomen there is a mild hepatosteatosis appearance in the liver . millimetric calcific atheroma plaques are observed in the aortic arch . cto is normal . the aortic arch calibration is 34 mm . there is nodular appearance compatible with accessory spleen . a hypodense formation with a diameter of approximately 10 mm which creates an exophytic appearance in the contour of the left kidney anteriorly is observed cortical cyst . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . no evidence of active infiltration or consolidation was found . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the right middle lobe it is seen that consolidations increase at the level of cystic bronchiectasis and mild atelectasis . in the upper lobe of the left lung it is seen that budding tree landscapes develop and minimal nodular ground glass densities are formed . when examined in the lung parenchyma window in the patient who had budded tree views and ground glass densities on the background of bronchiectasis emphysema in the lung in the previous examination newly developed consolidations especially in the lingula and lower lobe of the left lung and an increase in budding tree views at all levels are observed in the new examination . bilateral newly developing pleural effusion of 6 mm on the right and 18 mm on the left is observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the heart size has increased . pericardial effusion-thickening was not observed . osseous structures sternotomy is available . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the findings of chronic liver parenchymal disease splenomegaly in the upper abdominal organs included in the sections are stable . when these sections are evaluated an increase is observed in the free fluid in the abdomen . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma there is a well-circumscribed thin-walled air cyst of 11 mm in diameter in the posterobasal segment of the lower lobe of the left lung . no mass lesion is observed in both lungs . clinical and laboratory evaluation is recommended for covid-19 pneumonia . when examined in the lung parenchyma window ground-glass density increases are observed in the lower lobes of both lungs most of which are located in the peripheral subpleural and viral pneumonias are considered in the etiology of the findings . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma there is minimal bronchiectasis in the central parts of both lungs . minimal emphysematous changes were observed in both lungs . no mass and infiltrative lesions were detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . in segment 8 of the liver there is a hypodense lesion measuring approximately 12 mm in diameter which cannot be characterized in this examination . apart from this there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct in the upper abdominal organs within the sections . lung parenchyma there is a 3 mm diameter nodule laterobasal in the left lung . densities compatible with pleuroparenchymal sequelae are observed in the lingular segment of the left lung . when examined in the lung parenchyma window both hemithorax are symmetrical . herniation of the fatty planes into the thorax is observed in the posteromedial aspect of both lungs at the basal level . there was no significant pneumonia pleural effusion or pneumothorax in both lungs . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum the aortic arch calibration is 30 mm slightly above normal . cto is normal . in the anterior mediastinum soft tissue consistent with the thymic remt does not show a mass effect . no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calibration of other major vascular structures is natural . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is hypodensity consistent with a 16 mm diameter cortical cyst in the middle part of the right kidney . surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the right kidney a density compatible with a few calculi with a diameter of 3 mm the largest in the middle part is observed . the aortic arch calibration is 30 mm slightly above normal . cto is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma focal nodular fissure thickness increase in the right major fissure may belong to hyperplasia . in lung parenchyma evaluation no pneumonic infiltration or consolidation area was detected in both lung parenchyma . no suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections a decrease in liver parenchyma density consistent with mild hepatosteatosis is observed . lung parenchyma linear atelectatic changes are observed in both lungs . minimal emphysematous changes were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no obstructive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . the port catheter terminates in the superior distal portion of the vena cava . as far as can be observed no lymph nodes in pathological size and appearance were detected in the mediastinum and hilar region . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels heart contour and size are normal . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen upper abdominal organs cannot be evaluated optimally because no contrast material is given . minimal hypertrophy was observed in the left lobe . as far as can be observed sites are observed in the liver . it is recommended that the patient be evaluated for liver parenchymal disease . there is slight irregularity in liver contours . apart from this no upper abdominal free fluid-collection or lymph node in pathological size and appearance was detected in the sections . lung parenchyma in the right lung there are nonspecific ground-glass-like density increases in the anterior segment of the upper lobe and along the peribronchovascular sheath in the lower lobe . focal consolidation area is observed in the posterobasal segment of the lower lobe of the left lung . pathological size and configuration of lymph nodes are not observed at both hilar levels . in the lower lobe superior segment there is a nodule of approximately 6 mm in diameter with irregular borders in the center . sequelae changes are observed in the inferior lingular segment . there is a nonspecific nodule of approximately 4 mm in diameter located peripherally in the superior segment of the lower lobe of the right lung . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum both pulmonary artery calibrations are normal . the aortic arch calibration is 30 mm and larger than normal . calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . cto is normal . there are millimetric lymph nodes in the mediastinum . heart and great vessels calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . osseous structures degenerative changes are observed in the bone structures in the study area . a fracture appearance is observed at the level of the costal vertebral joint in the posterior of the 11th rib on the left . abdomen the periphery of the intrahepatic bile ducts is observed . in the upper abdominal organs included in the sections the gallbladder is partially visible but is clearly observed . the aortic arch calibration is 30 mm and larger than normal . a sonographic examination is recommended first . in the non-contrast examination the upper abdominal sections cannot be evaluated clearly because they are partially included in the image . calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . cto is normal . the wall thickness has increased and has an edematous appearance . lung parenchyma clinical laboratory correlation is recommended for the onset of infectious processes . when examined in the lung parenchyma window mild bronchiectasis and atelectatic changes are observed at the basal level of the left lung lower lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size increased . there is pericardial effusion compatible with measuring up to 41 mm in thickness . mediastinal main vascular structures heart contour size are normal . osseous structures thoracic kyphosis has increased . hypertrophic osteophytic taperings are observed in the anterior of the end plates of the vertebral corpuscles . diffuse density reduction tapering and degenerative changes in the endplates are present in the bone structures in the examination area . in the posterior of the vertebra corpus there is a finding that was evaluated in favor of hemangioma in the first plan which was evaluated as suboptimal within the limits of the suspicious examination measured 9 mm in the craniocaudal axis . abdomen upper abdominal organs are partially observed and evaluated as suboptimal . lung parenchyma in addition a nodule with a diameter of 3 mm is observed in the parenchyma in the superior segment of the right lung lower lobe . when examined in the lung parenchyma window a pleural-based nodule with a diameter of 4 mm is observed in the laterobasal segment of the lower lobe of the left lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window widespread and patchy ground glass-consolidation areas are observed in both lungs . the outlook is in favor of viral pneumonia . there are several lymph nodes some of them calcified in the mediastinal area more prominent in the left lung hilum . these findings are also frequently observed in covid-19 pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are several lymph nodes some of them calcified in the mediastinal area more prominent in the left lung hilum . atheroma plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . atheroma plaques are observed in the aorta and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma segmentary tubular bronchiectasis are present in both lungs . a few nonspecific nodules less than 5 mm in diameter are observed in both lungs . apart from this no infiltrative mass with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window in both lungs widespread centriacinar-paraseptal emphysematous changes are observed in the right apical segment with a panlobular appearance . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia is observed in the distal esophagus . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen both adrenal glands are normal . as far as can be seen on non-contrast sections the liver is normal within the sections . no calculus was observed in both kidneys within the sections . lung parenchyma in the evaluation of both lung parenchyma patchy peripheral-subpleural consolidations were observed in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window peribronchial densities ground glass density increases bronchial wall thickenings and interlobular septal thickenings slightly increase are observed in both lung parenchyma more prominently in the right upper lobe middle lobe and bilateral lower lobes . left pleural effusion is regressed right pleural effusion is markedly increased . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no pathologically enlarged lymph nodes were detected in the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels in the new examination the ap diameter of the effusion was measured 63 mm . pericardial effusion is 6 mm and decreased . mediastinal main vascular structures heart contour size are normal . osseous structures there are widespread lesions in the bone structures in the study area and they do not show a significant difference . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the sections passing through the the existing millimetric nodular lesion under the skin is stable . hepatosteatosis findings in the liver entering the cross-sectional area and an increase in density which may be compatible with an increase in focal location at segment 4 level are stable . lung parenchyma apart from this there are several millimetric nonspecific nodules in the right lung . this nodule was not observed in the patients previous examination . there is a nodule measuring 3 mm in diameter in the apical subsegment of the left lung upper lobe apicoposterior segment series . there is no mass or appearance compatible with pneumonic infiltration in both lungs . however it cannot be characterized because it is small . there is minimal bronchiectasis and minimal peribronchial thickening in both lungs especially in the central part . it is recommended to follow . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . stents were observed in the coronary arteries . osseous structures there are no lytic-destructive lesions in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . there are atheromatous plaques in the aorta and coronary arteries . lung parenchyma consolidation areas with ground glass densities and centrilobular nodules were observed around the right lung upper lobe posterior middle lobe lower lobe superior and basal segments and left lung upper lobe inferior lingular segment . the appearance is compatible with pneumonic infiltration . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window an azygos fissure variation was observed in the upper lobe of the right lung . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum prevascular right upper-bilateral lower paratracheal subcarinal bilateral hilar lymph nodes reaching pathological dimensions of approximately 18x12 mm were observed in the right lower paratracheal region . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels effusion reaching a thickness of 145 mm was observed in the pericardial space . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . as far as can be seen in the sections a 25 mm diameter calculi image was observed in the lower pole of the right kidney in the upper abdominal organs . lung parenchyma peribronchial patchy consolidation areas are observed in the upper lobe of the left lung . it is nonspecific may belong to the infective process . when the lung parenchyma window is examined there is a centrally located mass lesion in the right lung hilum obstructing the lower lobe bronchus . in the current examination of the right lung air is not ventilated except in the apical and anterior segment of the upper lobe . the presence of concomitant postobstructive pneumonia cannot be excluded . it was not observed in his previous examination . plaque-like mass lesion based on mediastinal pleura in the paracardiac fat pad is not observed in the previous examination . there is a 3 cm diameter pleural effusion between the left pleural leaves . airways it surrounds the trachea . mediastinum the shortest diameter of the largest measured 16 mm . mediastinal prevascular paratracheal and subcarinal lymph nodes showing conglomeration are observed . the size of the component infiltrating the mediastinum has increased in the vicinity of the left atrium of the tumoral lesion . in the upper mediastinum the size of the conglomerated lymph nodes increased at . mediastinal infiltration of the lesion is observed . heart and great vessels new metastatic lymph nodes are observed in the paracardiac fat pad . it measures 54 mm in diameter . there is a smear-like pericardial effusion . heart dimensions and compartments appear natural . it is newly developed . its short diameter measured 21 mm 9 mm in the previous examination . its diameter was measured 13 mm adjacent to the left ventricle . osseous structures it is also present in the previous examination . there is a metastatic lymph node showing an increase in size in the right supraclavicular fossa . no lytic-destructive lesions were detected in bone structures . however there are occasional sclerotic bone lesions in the ribs vertebral corpuscles and sternum and it was considered suspicious in favor of bone metastasis . abdomen in upper abdominal sections the size of the patients right adrenal metastasis increased . measured . it was 25 mm in the previous examination . clinical correlation is recommended . lung parenchyma a millimetric nonspecific parenchymal nodule was observed in the right lung lower lobe laterobasal segment . minimal passive atelectatic changes were observed in the right lung lower lobe mediobasal and upper lobe apical segments . millimetric oval configuration density increases were observed on the fissure faces on the left intrapulmonary lymph node . linear subsegmental atelectatic changes are present in the basal part of the left lung lower lobe . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window free air was observed between the leaves of the right pleura . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures schmorl nodule impressions were observed in places on the thoracic vertebrae end plates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no active infiltration or mass lesion was detected in the lung parenchyma . there are a few nonspecific nodules in millimetric sizes in both lungs . there are emphysematous changes . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma in both lungs there are areas of linear atelectasis accompanied by nonspecific ground-glass areas in the lower lobe posterior segments . there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . a few lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area and no enlarged lymph nodes in the pathological appearance are detected . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . a few lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area and no enlarged lymph nodes in the pathological appearance are detected . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . a thickness increase of 11 mm is observed in the left adrenal gland corpus . lung parenchyma these findings were also present in the previous examination of the patient and no difference was found . both lungs have a mosaic attenuation pattern small airway disease small vessel disease . interlobular septal and interstitial thickenings are observed in both lungs especially in the peribronchovascular area . no mass was observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed the heart is larger than normal . osseous structures no fracture or lytic-destructive lesion was detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma no mass or infiltrative lesion was detected in both lungs . the soft tissue density which may be compatible with secretion persists in the segmental bronchi of the lower lobe of the right lung . a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no significant difference was found between their number and size . dependent density increases and areas of subsegmental atelectasis are present in the posterior segments of the lower lobes of both lungs . appearance is nonspecific . minimal pleural effusion is observed on the right . airways bilateral central minimal bronchiectasis is observed . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . a few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions and no significant difference was found between their number and size . no enlarged lymph node was detected in pathological size and appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels pericardial effusion was not detected . heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . thoracic vertebra medullary bone marrow signal is heterogeneous bridging osteophytes in the anterior corners of the vertebral corpus and calcification in the anterior longitudinal ligament are observed . abdomen diffuse calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma the peribronchovascular interstitium is markedly thickened in both lungs . uniform interlobular septal thickenings are observed in the upper and middle lobes of the right lung and the appearance is significant in terms of lymphangitis carcinomatosa . fibroatelectatic changes were observed in the medial segment of the middle lobe in the superior lingular segment of the left lung and in the basal segments of the lower lobes of both lungs . when examined in the lung parenchyma window paramediastinal localized starting from the central part of the right lung and extending to the lower lobe basal and middle lobe basal segments along the intermediate bronchus a mass lesion with an infiltrative character of cm was observed the dimensions of which could not be measured clearly but as far as could be measured since the contrast agent was not given in which the fatty planes between the right pulmonary artery and vein and the esophagus were . in both lungs subpleural nodules with a diameter of 97 mm some of which are ground glass density were observed in the anteromediobasal segment of the left lung lower lobe . 9 . the drainage catheter which was from the intercostal space to the right pleural space was observed . subpleural nodules the largest of which is mm in diameter some of which are of ground glass density were observed in the superior segment of both lungs upper lobe and left lung lower lobe . airways although the mediastinum cannot be evaluated optimally in non-contrast examination trachea lumen of both main bronchi are open . mediastinum when examined in the lung parenchyma window paramediastinal localized starting from the central part of the right lung and extending to the lower lobe basal and middle lobe basal segments along the intermediate bronchus a mass lesion with an infiltrative character of cm was observed the dimensions of which could not be measured clearly but as far as could be measured since the contrast agent was not given in which the fatty planes between the right pulmonary artery and vein and the esophagus were . thoracic aorta calibration and mediastinal main vascular structures are normal . thoracic aorta diameter is normal . density increases consistent with inflammatory changes were observed in the fatty planes in the mediastinum and area . soft tissue density extending to the right hilar area and filling the mediastinum was observed in the prevascular right upper paratracheal bilateral lower paratracheal and subcarinal areas and it was evaluated in favor of conglomerated lymphadenopathy with indistinguishable borders . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size increased . an effusion measuring 21 cm in its thickest part was observed in the pericardial space . osseous structures in the right hemithorax in the posterolateral neighborhood of the 6th rib a soft tissue density of approximately mm was observed in the subcutaneous tissue metastasis . in the right hemithorax around the 11th and 12th ribs focal plaque-like lung parenchyma when both lung parenchyma windows are evaluated a few millimetric nonspecific parenchymal nodules were observed in the right lung . mild emphysematous changes were observed in both lungs . pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe . bilateral pleural thickening-effusion was not detected . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum no lymph node was detected in mediastinal pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . calcified lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal and subcarinal areas . other mediastinal major vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . pericardial effusion - no thickening was detected . other mediastinal major vascular structures heart contour size are normal . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . upper abdominal organs included in the sections are normal . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . lung parenchyma sequela parenchymal changes are observed . in the examination made in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . there are paraseptal emphysematous changes in the upper lobes of both lungs . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . calcification is observed in the tracheal wall . mediastinum there are calcified atheromatous plaques on the walls of the mediastinal and coronary vascular structures . mediastinal main vascular structures and heart examination iv . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels it could not be evaluated optimally due to lack of contrast . mediastinal main vascular structures and heart examination iv . heart contour and size are natural . the ascending aorta shows mild aneurysmatic dilatation with an ap diameter of 41 mm . there are calcified atheromatous plaques on the walls of the mediastinal and coronary vascular structures . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen in the upper abdominal sections within the image a hypodense lesion with a diameter of 21 mm located cortical in the middle zone of the left kidney is observed as far as can be observed within the borders of non-contrast ct . calculi is observed in the lower left kidney . there is a low-density nodular thickening measuring 16x13 mm in the body part of the left adrenal gland . no intraabdominal free fluid or loculated collection was detected . it was evaluated in favor of adenoma . it cannot be clearly characterized within the limits of non-contrast ct . lung parenchyma mild emphysematous changes were observed in both lungs . a few millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window no mass or infiltration was detected in both lung parenchyma . parenchymal fibrosis and paracicatricial bronchiectatic changes were observed in the upper lobe of the right lung . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . in mediastinal upper-lower paratracheal prevascular localization the short axis of the largest one measuring 18 mm locally conglomerated calcified lymph nodes were observed . calibration of mediastinal major vascular structures is natural . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma nodules were observed in both lungs . ground glass areas were observed around some of these nodules . the described nodules may be metastases . it was learned that the patient was operated for lung cancer and right middle lobectomy was performed . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are emphysematous changes in both lungs . the largest of the nodules is observed in the lower lobe of the right lung and the longest diameter was 11 mm . it is recommended to follow . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . no fractures or lytic-destructive lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma pet ct is recommended . when examined in the lung parenchyma window in the anterior segment of the left lung upper lobe a pulmonary nodule with 17 mm diameter and spicular extensions with irregular borders and lobulated contours is observed in the anterior segment of the left lung upper lobe . in addition several millimetric nonspecific nodules located in the peripheral interstitium are observed in both lungs . there was no evidence of active infiltration consistent with infiltration in both lungs . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum lymph nodes with a short diameter of up to 5 mm are observed in the mediastinal prevascular area and paratracheal area . mediastinal major vascular structures and cardiac examination are suboptimal because they are unenhanced . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the heart is normal . no obvious pathology was detected . mediastinal major vascular structures and cardiac examination are suboptimal because they are unenhanced . osseous structures minimal degenerative changes are observed in the bone structures entering the examination area . abdomen a slight thickening is noted in the medial crus of the left adrenal gland . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there is a density measuring 19 mm in the apicoposterior of the left lung upper lobe an air bronchogram sign and a patchy ground glass density around it . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is a finding consistent with a hemangioma in the 11 vertebral body . a slight decrease in density is observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma parenchymal nodules with a diameter of 6 mm were observed in both lungs the largest of which was in the laterobasal segment of the lower lobe of the right lung . it is recommended to evaluate and follow up with previous examinations if any . in the right lung middle lobe medial segment atelectasis sequelae that caused distortion and minimal volume loss in the parenchyma were observed . apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . diffuse reticulonodular sequelae of fibrotic density increases were observed in the apex of both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures minimal degenerative changes were observed in the bone structures in the examination area . abdomen a hypodense nodular lesion area of 75 mm in diameter was observed at the level of the dome in the right lobe of the liver as far as can be seen on non-contrast sections cyst . lung parenchyma both lungs have a mosaic attenuation pattern small airway disease small vessel disease . no mass or infiltrative lesion was detected in both lungs . there are millimetric nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . no lytic-destructive lesions were detected in the bone structures within the sections . thoracic vertebral corpus heights alignments and densities are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma viral pneumonias covid-19 pneumonia are considered in the etiology of its findings . when examined in the lung parenchyma window in both lungs multilobar indistinct borders mostly peripheral subpleural consolidation and density increases in ground glass density were observed . airways trachea both main bronchi are open . mediastinum it could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without iv contrast . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . it could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without iv contrast . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes . no lytic or destructive lesions were detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no free fluid-loculated collection was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a mosaic attenuation pattern in the parenchyma areas that can be observed in both lungs small vessel disease small airway disease . both hilar levels cannot be evaluated clearly . there is also fluid at the level of the interlobar fissure on the right . when examined in the lung parenchyma window there is a dense effusion extending from basal to apex in both lungs and atelectatic lung segments are observed in the vicinity . there are 5 mm diameter nodules and focal ground-glass-like density increments at the middle lobe level on the right . focal consolidative areas and mild sequelae changes are also present in the left lung . airways tube and trachea and cannula appearance are observed . mediastinum the aortic arch calibration is 32 mm . cto is at the maximal physiological limit . however no lymph node with pathological size and configuration was detected at the mediastinal level . calibration of other mediastinal major vascular structures is normal . atherosclerotic changes are observed . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen mild effusion is observed at the perihepatic level . the aortic arch calibration is 32 mm . sections passing through the upper abdomen are . cto is at the maximal physiological limit . therefore it could not be evaluated optimally . atherosclerotic changes are observed . lung parenchyma there are pleuroparenchymal sequelae changes in the left lung upper lobe lingular segment . no mass or infiltrative lesion was detected in both lungs . minimal emphysematous changes are observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen liver parenchymal density decreased in line with advanced adiposity . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma there are also mild sequelae changes in the left lingular segment . there are mild sequelae changes in the paramediastinal area in the middle lobe on the right . when examined in the lung parenchyma window a superposed 2 mm diameter nodule is observed on the minor fissure on the right . pleural effusion-pneumothorax was not observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a decrease in density consistent with hepatosteatosis is observed in the liver entering the cross-sectional area . thoracic aorta diameter is normal . there are operative densities secondary to possible cholecystectomy in the gallbladder lodge . upper abdominal organs included in the sections are normal . lung parenchyma sequelae fibrotic bands are observed in the lungs . when examined in the lung parenchyma window minimal emphysema was observed in the upper lobes of the lung . there are millimetric nonspecific nodules in both lungs . in the lower lobe of the right lung a consolidation and ground glass area is observed extending posterobasal towards the diaphragmatic pleura . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . coronary atherosclerotic plaques are present . mediastinal main vascular structures heart contour size are normal . osseous structures sternotomy is observed . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were evaluated in favor of covid-19 viral pneumonia . clinical laboratory correlation is recommended . when examined in the lung parenchyma window peripherally located patchy ground glass densities are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma there are millimetric calcific nodules in the left lung . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are linear atelectasis in the lower lobes of both lungs . there is minimal pleural effusion on the left . there is no pleural effusion on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no mass-nodule-infiltration was detected in both lung parenchyma . when both lung parenchyma windows are evaluated pleuroparenchymal sequelae density increases were observed in both lungs apical . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen liver sizes are normal in the upper abdominal sections entering the examination area . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space occupying lesion was detected in the liver . lung parenchyma mosaic attenuation is observed in both lung parenchyma . peribronchial thickening and focal ground-glass appearance are observed in the posterior segment of the right lung upper lobe and bilateral lower lobes . bilateral pleural effusions with a thickness of 27 cm in the right hemithorax and 25 cm in the left hemithorax and passive atelectasis in the lung parenchyma are observed adjacent to the effusions . airways trachea and main bronchi are open . endotracheal tube is observed in the trachea . mediastinum millimetric calcific nodularities are observed in the walls of the aorta and pulmonary artery . calcifications are selected in the aortic arch and coronary artery walls . heart and great vessels metallic densities of valve replacement are observed in mitral and tricuspid valves . the heart chambers are enlarged . a stent is observed in the aortic valve . calcifications are selected in the aortic arch and coronary artery walls . the cardiothoracic index increased in favor of the heart . effusions in the form of pericardial smearing are observed . osseous structures no lytic-destructive lesions were detected in bone structures . suture materials secondary to the operation are observed in the sternum . abdomen millimetric calcific nodularities are observed in the walls of the aorta and pulmonary artery . calcifications are selected in the aortic arch and coronary artery walls . lung parenchyma in addition diffuse irregular interlobular septal thickenings were observed in both lungs especially in the left lung . atelectatic changes were observed in the lung parenchyma adjacent to the collection . it was thought to be compatible with lymphangitic spread . on the left there is a collection that is compatible with empyema in the first plane with a dense content showing peripheral wall contrast extending from the lung basal to the apex . lymphadenopathies with local conglomeration are observed at the bilateral hilar level . when both lung parenchyma windows are evaluated widespread free pleural effusion reaching in the thickest part on the right between the bilateral pleural leaves and atelectatic changes in the adjacent lung parenchyma were observed . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum on the right the image of the catheter extending to the superior vena cava is observed . calibration of mediastinal major vascular structures is natural . multiple lymphadenopathies are observed in the mediastinum in the upper-lower paratracheal prevascular in the aorticopulmonary window subcarinal cervical and both supraclavicular levels and the lymph node observed in the left supraclavicular area reaches large sizes by forming conglomeration . in addition large lymphadenopathies of approximately in size were observed at the axillary level again with a conglomerate appearance . however no significant change was detected in the size and number of lymph nodes observed at the mediastinal level . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels in the pericardial area an effusion reaching 11 mm in diameter was observed in its thickest part . pericardial thickening was not observed . heart contour and size are normal . osseous structures the dimensions of the lymph nodes in the left supraclavicular region were measured as in the current examination . no lytic-destructive lesion was detected in the bone structures in the study area . abdomen multiple laps have been observed in the abdomen and will be evaluated in detail in the entire abdominal ct examination . upper abdominal organs included in the sections are normal . the spleen size was markedly increased . lung parenchyma air cysts in millimeter sizes were observed in both lungs . no significant change was detected in the size and number of nodules described according to the previous examination . pleuroparenchymal sequelae density increases were observed in both lungs apical right lung middle lobe and left lung inferior lingular segment . when examined in the lung parenchyma window in both lung parenchyma multiple parenchymal nodules were observed in the upper and lower lobes the largest of which was 78 mm 78 mm in the previous examination located in the right lung lower lobe laterobasal subpleural and mm in the lower lobe laterobasal segment of the left lung measuring mm in different localizations . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the abdominal aorta . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the abdominal aorta . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window consolidation and density increases in ground glass density were observed in both lung parenchyma the majority of which were multilobar peripheral-subpleural localized and findings are frequently encountered in covid-19 pneumonia . no pericardial or pleural effusion was observed . pericardial and pleural effusion were observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum in the mediastinum no lymph nodes were observed in pathological size and appearance in both axillary regions . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures heart contour and size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma a few nodular nodules up to 7 mm in size are observed around the described emphysematous changes which are more prominent in the right lung lower lobe basal segment posterobasal segment . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . at the levels described there are also slightly patchy ground glass densities in the lung parenchyma . when examined in the lung parenchyma window subpleural centrilobular emphysematous changes located mostly peripherally in both lungs recessions are observed in the pleura at the levels described . a small amount of pleural effusion is observed in the right hemithorax . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . calcific atheroma plaques are observed in the aortic arch and coronary arteries . there is a small hiatal hernia . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . calcific atheroma plaques are observed in the aortic arch and coronary arteries . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen upper abdominal organs are included in the study partially and evaluated as suboptimal . calcific atheroma plaques are observed in the aortic arch and coronary arteries . lung parenchyma millimetric nonspecific nodules larger than 3 mm in diameter are observed in both lungs . when examined in the lung parenchyma window there is minimal emphysematous appearance in the upper lobes of both lungs . minimal mosaic density differences are observed in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . lymph nodes with a short axis reaching 10 mm were observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes in the vertebrae . abdomen in the upper abdominal organs including sections gallbladder is operated . thoracic aorta diameter is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window right lung upper lobe posterior bilateral lower lobe superior and left lung lower lobe basal segments have a centrally located crazy paving pattern and nodular consolidation areas with ground glass areas are observed around it . the outlook is highly suspicious for covid-19 pneumonia . no mass lesion with distinguishable borders was detected in the lung parenchyma . segmentary-subsegmentary minimal peribronchial thickening was observed in both lungs . it is recommended to be evaluated together with clinical and laboratory . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . a calcific atheroma plaque was observed in the wall of the descending aorta . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . a calcific atheroma plaque was observed in the wall of the descending aorta . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window peripherally located crazy paving pattern was formed in the lower lobe of the left lung and consolidation areas with frosted glass areas were observed around it . the described findings were evaluated in favor of covid-19 pneumonia . a millimetric nonspecific calcified lymph node was observed in the right upper paratracheal area . both lungs are mildly emphysematous . no mass lesion with distinguishable borders was detected in both lungs . it is recommended to be evaluated together with clinical and laboratory . irregularly limited density increases were also observed in the subpleural area in the right lung lower lobe mediobasal segment . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures degenerative changes were observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen on non-contrast sections the upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window no active infiltrative or mass lesion was detected in both lung parenchyma . in the lung parenchyma adjacent to the pleural effusion there are areas of increase in density evaluated in favor of compressive atelectasis areas of increase in density consistent with linear atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment . effusion up to 40 mm is observed on the right in the deepest part of the bilateral pleural space . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . a central venous catheter is observed . it shows aneurysmatic dilatation with 43 mm of ascending aorta and 31 mm of descending aorta . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels there is an increase in heart size . minimal pericardial effusion is observed . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures . in the corpus of the right adrenal gland there is a low-density lesion measuring mm which is evaluated in favor of adenoma in which millimeter-sized fat densities are also observed . it shows aneurysmatic dilatation with 43 mm of ascending aorta and 31 mm of descending aorta . no intraabdominal free fluid or loculated collection is observed . in the upper abdominal sections within the image within the limits of non-contrast ct there is a hyperdense stone of millimeter size in the gallbladder lumen . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . there was no finding compatible with pneumonia . pleural effusion or pneumothorax is not observed . airways when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma an increase in aeration was observed in the left lung . centriacinar millimetric ground glass nodules were observed in the basal segments of the lower lobe of the left lung . in terms of correlation with clinical and laboratory is recommended . the right lung could not be observed secondary to the operation . pleuroparenchymal sequelae density increases were observed in the left lung apicoposterior segment causing parenchymal distortion . pleuroparenchymal density increases were observed in the left lung lower lobe anteromediobasal and posterobasal segments . when examined in the lung parenchyma window emphysematous changes were observed in the left lung . widespread calcifications are observed on bilateral pleural faces prominent on the right . millimetric subpleural nodules are observed in the left lung inferior lingular segment and the left lung lower lobe posterobasal segment . in addition sequelae calcification in the pleura in the anteromediobasal segment of the lower lobe of the left lung and a focal consolidation area of mm which may be compatible with atelectasis is observed at this level . airways trachea and left main bronchus lumen are open . mediastinum calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . no lymph node was observed in the mediastinum and in both axillae in pathological size and appearance . the median and midline structures are deviated to the right . heart and great vessels calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . osseous structures degenerative changes were observed in the bone structures in the study area . postop defective appearance is observed in the 5th and 6th ribs on the right . no lesion with a clear border was detected at this level . postop was detected in soft tissues adjacent to the rib defect . t10 and t11 vertebrae have tb sequela changes and appearance . abdomen contour size parenchymal density of the liver are normal . splenic vein width is normal . no space-occupying solid or cystic mass lesion was detected . no space-occupying solid or cystic mass lesion is observed . hepatic and portal venous systems are normal . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . bilateral adrenal glands were normal and no space-occupying lesion was detected . intraabdominal free-loculated fluid was not detected in the sections . the contour size parenchyma density of the spleen is normal . no renal solid or cystic mass was detected . the contour size parenchyma density of the pancreas is natural . millimetric calculus was detected in the lower pole of the right kidney . stable size and number of hypodense lesions in different localizations were observed in both lobes of the liver the largest of which was 17 mm in diameter at the junction of segment cyst . contour size localization parenchymal thickness parenchymal staining pelvicalyceal structures of both kidneys are normal . no enlargement was detected in the main pancreatic duct . the gallbladder is normal . no dilatation was lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . variational azygos lobe and fissure were observed in the upper lobe of the right lung . when examined in the lung parenchyma window bilateral mild pleural effusion was observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . further review is recommended . a catheter image extending to the superior vena cava was observed . as far as can be seen in the anterior mediastinum a slightly hyperdense lesion with a size of mm with slightly lobulated contours was observed . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the lesion observed in the anterior mediastinum may belong to a pericardial hematoma or an anterior mediastinal mass but it cannot be characterized in this examination . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels in addition there is a dense effusion measuring 15 mm in the widest part of the pericardial area . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . apart from these both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma the described appearance was thought to be primarily changes . the appearances are also present in the previous examination of the patient and no significant difference was found in these findings . in the apical segment of the upper lobe of the right lung there is an appearance evaluated in favor of consolidation in the peribronchial area structural distortion and volume loss . the findings were evaluated primarily in favor of infective pathology . minimal peribronchial thickening and central bronchiectasis are observed around the middle lobe and lower lobe bronchi in the right lung . the largest of the described nodules are observed in the left lung upper lobe lingular segment inferior subsegment and left lung lower lobe in the superior segment and their longest diameters were measured as 21 mm and 18 mm respectively . it is not observed in the previous examination of the patient . the appearance may be compatible with changes due to treatments or infective pathology viral pneumonia . as far as can be observed in the medial part of the upper lobe of the right lung a maligt mass with an character is observed invading the mediastinal structures . there are nodules in both lungs . there are emphysematous changes in both lungs . ground glass areas and cystic areas are observed in the left lung upper lobe apicoposterior segment and lower lobe superior segment . no pleural effusion was detected on the left . minimal pleural effusion is observed on the right . airways the mass appears to the right main bronchus carina and trachea . mediastinum the widths of the mediastinal main vascular structures are normal . the mass extends in the mediastinum and extends to the lower half of the neck adjacent to the thyroid gland . in addition it is understood that the mass has bilateral brachiocephalic veins and inferior vena cava . the mass also appears to the aortic arch right brachiocephalic trunk right common artery and right subclavian artery . in this examination no lymph node that can be distinguished from the mass described in the right lung was detected in the mediastinum and hilar region . mediastinal structures cannot be evaluated optimally because contrast material is not given . however it was measured approximately 50 mm thick at the mediastinum inlet series 2 section at its thickest point . heart and great vessels there is no pericardial effusion . the views described are not specific . heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen the mass also appears to the aortic arch right brachiocephalic trunk right common artery and right subclavian artery . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . since the examination was in a single phase it was thought that it might belong to a hemangioma although a clear evaluation could not be made . there is a hypodense lesion lung parenchyma the described appearance was evaluated in favor of pneumonic infiltration . when evaluated together with the patients primary disease it was thought that the described manifestations might be a specific infection fungal infection . consolidation and ground-glass appearances including air bronchograms are observed in the lower lobe of the right lung especially in the basal segments . no mass was detected in both lungs . in addition in both lungs some round-shaped consolidations some of which are in the bronchovascular area and a ground-glass appearance are observed around them . in addition there are occasionally consolidations . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma 1-2 nonspecific nodules with 2-3 mm diameter are observed in the anterior segment of the upper lobe of the right lung and the superior segment of the lower lobe of the left lung . in the evaluation of both lung parenchyma paraseptal emphysemato areas are observed in the upper lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways nodular hyperdensity is observed in the tracheal lumen on the left which may be compatible with the mucus plug . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . right upper bilateral lower paratracheal aortopulmonary millimetric mediastinal lymph nodes are observed . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . there was no finding compatible with pneumonia . pleural effusion-thickening was not detected . no pleural effusion or pneumothorax was observed . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node was detected in the mediastinum in pathological size and configuration . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were initially evaluated in favor of bronchopneumonia . when examined in the lung parenchyma window in the lower lobe of the right lung there is a consolidation area in the paravertebral area extending to the basal level including air bronchogram signs in a patchy manner around which halo signs are detected . there are mosaic attenuation patterns in both lungs diffusely more prominent in the lower lobes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there is diffuse density reduction in bone structures . mild hypertrophic osteophytic taperings are observed in the vertebral corpus endplates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from this no significant difference was found between newly developed findings and . in the comparative evaluation of the patient with thorax ct infiltrates consistent with covid pneumonia in both lung parenchyma show a slight increase in the new review . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there are a few nodules of nonspecific millimetric dimensions some of which are calcified . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . linear density is observed in the left lung which may be compatible with pleuroparenchymal sequelae changes at the posterobasal level of the lower lobe . pleuroparenchymal sequelae changes are observed in the middle lobe on the right . on the right azygos fissure variation is observed . there was no finding compatible with bilateral pleural effusion pneumothorax or pneumonia . airways when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen upper abdominal organs included in the sections are normal . lung parenchyma the outlook has been reported for covid-19 pneumonia but cannot be ruled out . when examined in the lung parenchyma window focal consolidation area in the lower lobe of the left lung in the mediobasal segment and acinar infiltration areas adjacent to it were observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum the diameter of the main pulmonary artery was 29 mm and was at the upper limits . as far as can be observed soft tissue density in the anterior mediastinum and triangular type which may belong to the remt thymus tissue was observed . there are lymph nodes with a short axis smaller than 5 mm in the prevascular precarinal lower paratracheal area . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels no relevant findings . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma mosaic attenuation pattern and aeration differences are observed in the lung parenchyma towards the . it is recommended to be evaluated in terms of pathologies such as small airway obstruction such as . no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when the lung parenchyma window is examined no pneumonic infiltration or consolidation area was observed in the lung parenchyma . linear atelectasis is present in the lateral segment of the right lung middle lobe . no suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma . no pleural effusion was detected . airways trachea both main bronchi lobar and segmental bronchi air passages are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are normal . venous collateral structures are observed adjacent to the distal esophagus and adjacent to the splenic vein . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections it was understood that liver right lobe transplantation was performed . splenomegaly is present . loculated or free fluid was not detected in the section . lung parenchyma millimetric nonspecific nodules were observed in both lungs . when examined in the lung parenchyma window a band-shaped atelectasis is observed in the middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal examination is suboptimal due to lack of contrast . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the heart size has increased . pericardial effusion-thickening was not observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no significant consolidation was detected . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the outlook was evaluated in accordance with the frequently reported imaging features of covid-19 pneumonia . when examined in the lung parenchyma window in the lower lobes of both lungs and the middle lobe of the right lung faintly circumscribed ground glass density increases were observed . bilateral pleural effusion-thickening was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures mild degenerative changes were observed in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma pleuroparenchymal sequelae density increases were observed in the upper lobe of the right lung . a calcified nonspecific parenchymal nodule with a diameter of 1 cm was observed in the superior segment of the lower lobe of the right lung . when both lung parenchyma windows are evaluated mild emphysematous changes were observed in both lungs . irregularly circumscribed parenchymal nodules measuring 5 mm in diameter were observed in the right lung in different localizations in both lungs . bilateral pleural effusion-thickening was not detected . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta . mildly hyperdense lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal subcarinal and distal paraesophageal areas . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins . sliding type hiatal hernia was observed . heart and great vessels pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures an appearance compatible with mild osteopenia and increased trabeculation were observed in the bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcified atherosclerotic changes were observed in the wall of the thoracic aorta . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it has been evaluated as suspicious in terms of infectious process . there are aeration differences in the lung parenchyma . the finding favors interstitial edema especially in the upper lobes . atelectasis areas are present in both lung lower lobe basal segments . when examined in the lung parenchyma window uniform interlobular septal thickenings are observed in the upper lobes . a similar appearance is observed in the subpleural area in the left lung upper lobe lingula inferior segment as well . there is subpleural located nodular consolidation in the anterior segment of the right lung upper lobe and an area of ground glass opacity around it . airways no relevant findings . mediastinum calibrations of mediastinal major vascular structures are natural . calibration is natural . heart and great vessels pericardial effusion was not observed . heart sizes and compartments are natural . osseous structures no lymph nodule in pathological size and appearance was observed in the axilla and supraclavicular fossa . an old fracture line is observed in the sternium a case with a diagnosis of myeloma . in the thoracic vertebrae multisegmental height losses and material placed in their corpuscles are observed . there is a pronounced porotic appearance in the bone structures . abdomen no loculated or free fluid was detected in the areas included in the upper abdominal sections . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . there are no lytic-destructive lesions in the bone structures within the sections . thoracic vertebral corpus heights alignments and densities within the sections are normal . neural foramina are open . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced ct . lung parenchyma there are nodules 5 mm in size in the right lower lobe in both lungs . when examined in the lung parenchyma window fibrotic changes sequelae to emphysematous appearance were observed in the upper lobes of both lungs . airways trachea both main bronchi are open . mediastinum there is a calcific millimetric atheroma plaque in the aortic arch . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . there is a calcific millimetric atheroma plaque in the aortic arch . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are linear subsegmentary atelectasis areas in the left lung upper lobe posterior segment and left lung lower lobe superior segment . there are linear pleuroparenchymal band densities in bilateral lungs . when examined in the lung parenchyma window a few sequelae calcific nodules are observed in both lungs . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are present in the aortic walls . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . in the paratracheal area there are millimetric sequela calcific lymph nodes . no paravascular pretracheal subcarinal or bilateral hilar-axillary enlarged lymph nodes were detected in the mediastinal area within the limits of non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no fracture lytic-sclerotic lesion was detected in the bone structures in the study area . abdomen calcific atheroma plaques are present in the aortic walls . bilateral adrenal glands were normal and no space-occupying lesion was detected . the sizes of both kidneys included in the examination are smaller than normal as far as they are included in the imaging and their are thinned . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma clinical and laboratory evaluation is recommended . in the evaluation made in the lung parenchyma window multilobar peripheral subpleural localized consolidation and ground glass density areas are observed in both lungs and viral pneumonias covid-19 pneumonia is considered in the etiology of the findings . no pericardial-pleural effusion or thickening was detected . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels as far as can be seen calibration of vascular structures heart contour size is natural . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen millimetric stones are observed in the middle zone of the right kidney . as far as it can be seen within the limits of ct without contrast in the upper abdominal sections within the image no solid mass was detected . lung parenchyma no active infiltration or mass lesion was detected in both lungs . density increase areas consistent with subsegmental atelectasis were observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment . when examined in the lung parenchyma window there are diffuse mild ectasia and peribronchial diffuse thickness increases in the bronchial structures in both lung parenchyma which are prominent in the center . the bilateral hilar region was not evaluated optimally due to the lack of contrast in the examination . a few millimetric nodules some of which are pure calcified were observed in both lungs . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum lymph nodes measuring 95 mm in diameter were observed in the mediastinum at the prevascular paratracheal and subcarinal level the largest at the subcarinal level and the shortest at the subcarinal level . mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . as far as can be observed the calibration of the vascular structures and the heart contour size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures in the study area . in addition no lymph nodes in pathological size and appearance were detected in both supraclavicular fossa and both axillary regions . abdomen in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window pleuroparenchymal fibroatelectasis sequelae were observed in the left lung inferior lingular and lower lobe anteromediobasal segment and right lung middle lobe medial segment . several nonspecific parenchymal nodules with a diameter of 54 mm were observed in both lungs the largest of which was in the middle lobe of the right lung . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed aberrant right subclavian artery with retroesophageal course is observed . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures t11 t12 l1 and l2 vertebral posterior elements appear to be defective secondary to the operation . the neural foramina are open . a placed system was observed in the t10 t11 t12 l1 and l2 vertebral bodies . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are fibrotic changes in the bilateral lung apex . in the right lower lobe superior segment the views have become consolidation . interstitial pattern in the posterior segment of the right upper lobe and ground-glass density infiltrates in the middle lobe were observed . in the evaluation of both lung parenchyma crazy paving appearances of patchy peripheral-subpleural ground-glass density and interlobular septal thickening were observed in both lungs especially in the posterior segments of the lower lobes . pleural effusion-thickening was not detected in both hemithorax . airways viral pneumonia in the involved segments there are cylindrical bronchiectasis and vascular enlargement . trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window reticulonodular sequela fibrotic density increases were observed in both lung apexes . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures other bone structures in the study area are natural . c6-c7 disc space was narrowed and irregularity in the end plateaus facing the disc and osteophytes were observed in the end plateau corners . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs are normal . as far as can be seen in the sections hepatic flexure is observed on the anterior aspect of the colon syndrome . lung parenchyma when examined in the lung parenchyma window in the left lung a pneumothorax area with a diameter of 13 mm was observed in the apical at its widest part . no mass nodule and infiltration were detected in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . usg control is recommended . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are infiltration areas accompanied by bud tree view and acinar opacities in the upper lobe posterior segment of the right lung lower lobe and middle lobe and in the lower lobe basal segments and inferior lingular segment of the left lung . in the previous examination mucus plugs in the segmental bronchi of the left lung lower lobe were not detected in the current examination . sequelae pleuroparenchymal fibrotic density increases are observed in both lungs apical . however no significant regression was detected in the described infiltration areas . airways peribronchial thickenings are observed in segment bronchi at the levels described . mediastinum no lymph node was observed in pathological size and appearance . calibrations of mediastinal main vascular structures were followed naturally . stable size and number of lymph nodes are observed according to the previous examination accompanied by calcifications in the upper-lower paratracheal area . according to the previous examination stable millimetric lymph nodes are present in both axillary regions . heart and great vessels calcific plaques are observed in the wall of the coronary artery . heart contour and size are natural . osseous structures no lymph node in pathological size and appearance was observed in both supraclavicular fossae . there is an osteoporotic appearance in bone structures . abdomen when the upper abdominal sections in the study area are evaluated cortical cysts are observed in both kidneys . lung parenchyma no relevant findings . airways no relevant findings . mediastinum left paraaortic metastatic lymph node and right lower paratracheal metastatic lymph node have increased in size and other metastatic mediastinal lymph nodes are stable . heart and great vessels the radiological appearance of contour irregularities appearance due to visceral pericardial infiltration accompanied by calcifications in both ventricular which is more prominent in the left ventricle is stable . it measured 36 mm in long diameter . there was no significant difference in pericardial infiltrating tumor sizes . osseous structures no relevant findings . abdomen it was 23 mm in the previous examination . the metastatic lesions in the left adrenal gland also increased in size . it measured and respectively . in the old examination it is 23 mm and 17 mm . there is a marked increase in the size of the metastatic mass in the right adrenal gland . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be seen minimal calcific atherosclerotic changes are observed in the wall of the thoracic aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . as far as can be seen minimal calcific atherosclerotic changes are observed in the wall of the thoracic aorta . upper abdominal sections entering the examination area are natural . lung parenchyma peripherally located round-shaped ground-glass appearances are observed in the lower lobe of both lungs and the middle lobe of the right lung . during the pandemic process the findings were evaluated in favor of covid-19 pneumonia . no mass was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window there are findings compatible with emphysema . pneumonia appearance was not observed . no pleural effusion or pneumothorax was detected . airways no relevant findings . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thymic tissue with trigonal configuration is observed in the anterior mediastinum which does not cause a mass effect . mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window peripheral subpleural weighted nodular ground glass densities are present in both lung parenchyma . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . dilatation is observed in the distal part of the esophagus . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . there are schmorl nodules on the vertebral endplates . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . minimal suspicious thickening is observed in the medial leg of the adrenal gland on the left in the sections entering the section area . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the left lung lower lobe laterobasal segment the consolidation area with air bronchograms was observed . the area for consolidation has when with the previous . there is a thickening of the interstitium around the segmental bronchus in both lungs . a stable nodule with a diameter of 3 mm was observed in the anterior segment of the right lung upper lobe . the described findings are consistent with pneumonic infiltration . apart from this focal patchy ground glass densities were observed in both lungs . bilateral pleural effusion-thickening was not observed . focal consolidations were also observed in peripheral subpleural areas in the right lung middle lobe lateral segment and left lung upper lobe inferior lingular segment . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum a small amount of free air images were observed in the mediastinum . a catheter image extending from the left internal jugular vein to the superior-right atrium junction of the vena cava was observed . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . it is also present in the patients previous examination . mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen an accessory spleen with a diameter of approximately 14 mm was observed in the spleen hilum . no pathology was detected in the upper abdominal organs within the sections . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . there are areas of linear atelectasis in the posterior segments of the lower lobes of both lungs and occasionally accompanying nonspecific ground glass areas . no mass or infiltrative lesion was detected in both lungs . there are several nonspecific nodules with a diameter of 25 mm in both lungs the largest of which is in the lateral segment of the lower lobe of the right lung . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . mixed type hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures within the sections milimetric osteophytes are observed in the corners of the corpus of the thoracic vertebrae . no lytic-destructive lesion was observed in bone structures . c6-c7 intervertebral disc space is narrowed and there are sclerotic changes on the bone surfaces adjacent to the disc . abdomen as far as it can be evaluated within the limits of non-contrast ct there is a hypodense lesion with a diameter of 15 mm in which fat density is observed at the level of the medial crus of the left adrenal gland adenoma . mixed type hiatal hernia is observed at the esophagogastric junction . lung parenchyma when examined in the lung parenchyma window reticular fibrotic density increases were observed in both lung apexes . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia is observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltration was detected in both lung parenchyma . right upper-lower paratracheal aorta pulmonary millimetric lymph node is observed . in the evaluation of both lung parenchyma ground glass density is observed in the mediobasal segment of the lower lobe of the right lung . there are pleural effusions measuring 38 cm in the thickest part in the right hemithorax and 19 cm in the left hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . mediastinal vascular structures have a natural appearance . heart and great vessels the cardiothoracic index increased in favor of the heart . osseous structures no obvious pathology was detected in the bones . abdomen in the sections passing through the upper part of the abdomen a right renal cyst of 15 cm in diameter is observed . no obvious pathology was observed in the bilateral adrenal glands . lung parenchyma there are atelectasis in the left lung upper lobe lingular segment and right lung middle lobe . there are millimetric nonspecific nodules in both lungs . minimal emphysematous changes are observed in both lungs . in the posterior segment of the upper lobe of the right lung a small area of centracinar nodules and a minimal ground glass appearance are observed . the appearance was primarily evaluated in favor of distal airway disease . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . atheroma plaques are observed in the aorta and coronary arteries . no pathologically enlarged lymph nodes were observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when both lung parenchyma windows are evaluated diffuse ground glass density increases were observed in both lungs . the described appearance is the findings frequently observed in covid-19 pneumonia . there is regression in the areas of infiltration described according to the previous review . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits . heart and great vessels pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no mass-infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window emphysematous changes in both lungs and sequelae changes in the apical are observed . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . when the upper abdominal sections in the examination area are evaluated the liver parenchyma density was diffusely decreased consistent with adiposity . lung parenchyma a few bronchiectasis and peribronchial thickenings are observed in the middle lobe of the right lung . in addition budding tree appearances and focal consolidation areas with a diameter of 1 cm are observed in the left lung lower lobe superior segment and middle lobe . it was primarily thought to be secondary to infection . focal ground-glass views are present in the posterobasal segment of the lower lobe of the left lung . in the evaluation of both lung parenchyma a subpleural nodule with a diameter of 58 mm and a diameter of 4 mm located in the fissure of the left lung lower lobe superior segment is observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the ap diameter of the ascending and descending aorta is normal . no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . a few millimetric lymph nodes are observed in the right upper paratracheal aortopulmonary . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen the craniocaudal size of the liver appears to be increased . no calculus was detected in the gallbladder lumen . additional pathology was not distinguished . the ap diameter of the ascending and descending aorta is normal . bilateral adrenal glands appear natural . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a millimetric nonspecific parenchymal nodule was observed in both lungs . when examined in the lung parenchyma window diffuse emphysematous changes in the upper lobes of both lungs and bulla formations in the upper lobes were observed . airways bilateral peribronchial thickenings were observed . no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . there is aneurysmatic dilatation at the infrarenal level of the aorta in the upper abdominal sections in the examination area . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . calcified atherosclerotic changes were observed in the wall of the coronary artery of the thoracic aorta . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen it is recommended to be evaluated together with clinical and laboratory data for mild cholecystitis . calcified atherosclerotic changes were observed in the wall of the coronary artery of the thoracic aorta . there is aneurysmatic dilatation at the infrarenal level of the aorta in the upper abdominal sections in the examination area . the gallbladder is slightly distended . the wall thickness is slightly increased and the pericholecystic fatty planes are . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . correlation is recommended for better differential diagnosis . when examined in the lung parenchyma window mild mosaic pattern attenuations are observed in the lower lobes of both lungs the finding described for covid-19 pneumonia is atypical primarily secondary to tobacco use it has been evaluated as clinical lab . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a 3 mm diameter nodule in the middle lobe on the right . in the lower lobe there is a slight ground-glass-like density increase at the posterobasal level . no obvious nodular lesion was detected in the left lung . focal bud branch view is observed at the laterobasal level . there is an appearance compatible with emphysema in both lungs . at the anterobasal level there are also faint ground glass-like density increments . no pleural effusion or pneumothorax was observed in both lungs . airways the esophagus appears slightly compressed between the trachea and the aberrant subclavian artery . when examined in the lung parenchyma window trachea and both main bronchi are open . mediastinum no lymph node with pathological size and configuration was detected at the mediastinal and hilar level . aberrant right subclavian artery is observed . calibration of mediastinal major vascular structures is natural . the esophagus appears slightly compressed between the trachea and the aberrant subclavian artery . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma however in the right lung upper lobe posterior segment there are nodular lesions some of which are irregularly circumscribed in the current examination the largest of which is mm in diameter . sequelae fibrotic changes and pleuroparenchymal band formations consistent with linear atelectasis are observed in both lung apical segments . when examined in the lung parenchyma window mosaic attenuation pattern is observed in both lung parenchyma small airway disease small vessel disease . follow-up is recommended . no mass lesions were detected in both lungs . the appearances may belong to the nodular consolidation areas in the case with a previous history of covid pneumonia . no pericardial pleural effusion or thickening was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum there are calcified atheromatous plaques on the walls of the aortic arch descending aorta and coronary vascular structures . mediastinal main vascular structures heart contour are normal . there is no lymph node in pathological size and appearance in both axillary regions . in the mediastinum there are lymph nodes of fusiform configuration the largest of which is at the right upper paratracheal level with a short diameter of 12 mm and a fatty hilum . the anterior-posterior diameter of the ascending aorta is 42 mm and the anterior-posterior diameter of the descending aorta is 34 mm which is wider than normal . no pathological increase in wall thickness is observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels a slight increase in heart size is observed . mediastinal main vascular structures heart contour are normal . pericardial effusion-thickening was not observed . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . vertebral corpus heights are preserved . abdomen there are calcified atheromatous plaques on the walls of the aortic arch descending aorta and coronary vascular structures . bilateral adrenal glands were normal and no space-occupying lesion was detected . in the upper abdominal sections included in the sections no solid mass was detected as far as can be observed within the borders of non-contrast ct . the anterior-posterior diameter of the ascending aorta is 42 mm and the anterior-posterior diameter of the descending aorta is 34 mm which is wider than normal . intra-abdominal free fluid loculated collection was not observed . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma mild emphysematous changes are present in both lungs . minimal pleuroparenchymal sequelae changes are observed in both lung apex . a few millimetric nonspecific nodules are observed in both lungs . when examined in the lung parenchyma window there are mostly peripheral localized interstitial signs mild bronchiectatic changes in both lungs . in both hemithorax there is a pleural effusion measuring 10 mm in thickness on the right and 12 mm in thickness on the left . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion is observed in minimal plastering style . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are atelectatic changes in both lungs especially in the left upper lobe superior and inferior lingula and right lung upper lobe . clinical lab . initially was evaluated in favor of . and follow-up is recommended . when examined in the lung parenchyma window wide bronchiectasis peribronchial sheathing sequelae changes especially in the upper lobe of the right lung and hypodense oval-shaped findings measuring up to 16 mm in size are observed within these bronchiectatic . significant volume loss is observed at the apical level of the upper lobe of the right lung . blind . airways trachea both main bronchi are open . mediastinum there are crescentic atheroma plaques in the described aorta and coronary arteries . the mediastinum is deviated to the right secondary to the volume loss observed in the upper lobe of the right lung . the aortic arch was measured 28 mm and the descending aorta 26 mm . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta measures 46 mm and is wider than normal . mediastinal main vascular structures heart contour size are normal . osseous structures osteopenic appearance and degenerative changes were observed in the bone structures in the study area . abdomen there are crescentic atheroma plaques in the described aorta and coronary arteries . the aortic arch was measured 28 mm and the descending aorta 26 mm . in the upper abdominal organs including sections liver sizes are larger than normal . a small amount of free fluid was observed in the perihepatic area . thoracic aorta diameter is normal . there are in its contours and a small amount of free fluid in the perihepatic area . clinical laboratory correlation is recommended for parenchymal disease . a cortical cyst measuring 28 mm in size is observed in the left kidney . lung parenchyma the findings were evaluated in favor of the infectious process . when examined in the lung parenchyma window diffuse patchy ground-glass densities and enlargement of vascular structures are observed in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures hyperdense sclerotic lesion of 7 mm in size in vertebral corpus islet evaluated in its favour . multiple lytic lesions leading to loss of height are observed in the anterior of the vertebral corpus which has a sclerotic appearance on its wall most prominently in 10 in and 12 vertebral bodies . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window there are fibrotic recessions at the apical levels . aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen on non-contrast sections the upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma radiological findings were evaluated as compatible with covid pneumonia . in the lung parenchyma areas of pneumonic condolidation with air bronchograms in the right lung upper lobe posterior middle lobe and lower lobes of both lungs more prominently on the right and infiltration areas with ground glass density are observed in places . airways no relevant findings . mediastinum mediastinal lymph nodes were considered to be reactive when evaluated together with parenchymal findings . right upper paratracheal bilateral lower paratracheal subcarinal and peribronchial lymph nodes with increased size and number are observed in the mediastinum . heart and great vessels no relevant findings . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there are occasional atelectasis in the lung adjacent to the effusion . there are diffuse ground glass densities and interlobular septal thickenings in the left lung . two calcific parenchymal nodules are observed in the medial segment of the right lung middle lobe . lymph nodes were also observed in the left hilum . an irregularly circumscribed nodule with a diameter of 15 mm was observed in the superior segment of the lower lobe of the left lung . a short segment of the left lower lobe bronchus continues and becomes obliterated . there are consolidations showing fine calcifications in the left hilum which cannot be clearly distinguished from atelectasis in this area . pet-ct is recommended for space-occupying lesion . a massive pleural effusion reaching 47 cm in its thickest part and extending into the fissure is observed on the left . airways the trachea and heart are anteriorly by these soft tissue densities . mediastinum in the mediastinum there are right inferior paratracheal prevascular and aortopulmonary lymph nodes the largest with a short axis of 12 mm and which are thought to have not significantly during follow-up . atheroma plaques were noticed in the main vascular structures and coronary arteries . the descending thoracic aorta is . examination is recommended . in a segment of approximately 16 cm in the middle and distal part of the esophagus an appearance that may belong to two stents that also the gastroesophageal junction is observed . there are soft tissue densities at the proximal and distal ends of the section . heart and great vessels the trachea and heart are anteriorly by these soft tissue densities . there are stents applied to the coronary arteries . a dilatation in favor of the left heart was observed in the cardiac cavities . minimal effusion was observed in the pericardial space . atheroma plaques were noticed in the main vascular structures and coronary arteries . osseous structures degenerative changes are observed in the vertebrae . there is extensive osteoporosis of the bones . slight height reduction was observed in t8 vertebra and l1 vertebra . the appearance of an old fracture showing callus formation is observed in the sternum . abdomen is recommended . in sections passing through the upper part of the west the left adrenal gland was observed as diffusely slightly prominent . the descending thoracic aorta is . a hyperdense focal lesion with a diameter of 7 mm was observed in the upper pole of the left kidney . atheroma plaques were noticed in the main vascular structures and coronary arteries . lung parenchyma there is a nonspecific nodule of 4 mm in diameter in the middle lobe of the right lung . a few millimetric-sized lymph nodes in the left upper-lower paratracheal aortopulmonary are observed . in the evaluation of both lung parenchyma interlobular septal thickening in both lung parenchyma and more pronounced fibrotic density increases in both lung lower lobes are observed . pleural effusion measuring 43 cm in the thickest part of the left hemithorax is observed . there is a smear-like pleural effusion in the right hemithorax . airways trachea and main bronchi are open . millimetric sized calcific nodules are observed in the trachea and main bronchus walls . mediastinum no pathological lap was detected in the mediastinum . calcific plaques are observed in the wall of the aortic arch . secretion is observed in the esophageal wall slightly prominent . heart and great vessels the ascending and descending aorta is ectatic . coronary artery calcification is present . the cardiothoracic index increased in favor of the heart . osseous structures in the dorsal localization is observed in the anterior longitudinal ligament compatible with dish disease . bones have a distinctly osteopenic appearance . no lytic-destructive lesion was distinguished . abdomen in the sections passing through the upper part of the abdomen the liver appears to have increased in size with the partial part examination . no pathology was detected in bilateral adrenal glands . calcific plaques are observed in the wall of the aortic arch . subcapsular calcifications are observed in the spleen . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen small hiatal hernia is observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pleural effusion measuring 5 cm in its thickest part and entering the fissure in the left hemithorax and passive atelectasis are observed in the lung parenchyma adjacent to the effusion . airways no relevant findings . mediastinum calcifications are observed in the walls of the coronary artery in the aortic arch descending and abdominal aorta . heart and great vessels there are suture materials secondary to previous bypass surgery in coronary arteries . the cardiothoracic index increased in favor of the heart . electrodes that terminate in the right ventricle are observed on the anterior chest wall . osseous structures partial compression is observed in the t4 vertebral body which causes loss of height . abdomen no significant pathology was detected in the abdominal sections . calcifications are observed in the walls of the coronary artery in the aortic arch descending and abdominal aorta . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma there is minimal ground glass density in the paramediastinal area anterior to the right upper lobe . there are nonspecific nodules larger than 5 mm in both lungs . when examined in the lung parenchyma window there is minimal emphysematous appearance in the upper lobes of both lungs . in the right lung there are bronchiectasis in the upper lobe anterior and middle lobe and thickening of the bronchial wall . pleural effusion-thickening was not detected . reticulonodular infiltrates are observed in the peribronchial and subpleural areas in the middle lobe on the right . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . atheroma plaques are observed in the aorta and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . other mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes and anterior osteophytes are observed in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are several millimetric nonspecific nodules in the right lung . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . in the mediastinum and hilar regions several lymph nodes with a short diameter of 5 mm are observed and no enlarged lymph nodes in pathological size and appearance were detected . millimetric calcific atheroma plaques are observed in the aorta . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels heart contour and size are normal . osseous structures at the corners of the corpus of the thoracic vertebrae bridging osteophytes are observed . no lytic-destructive lesions were detected in bone structures . thoracic kyphosis is increased . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . millimetric calcific atheroma plaques are observed in the aorta . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . when examined in the lung parenchyma window both hemithorax are symmetrical . in the dorsal subpleural area of the right lung lower lobe superior segment focal ground-glass-like 1 2 density increases are observed . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . calibration of other mediastinal major vascular structures is normal . cto is within the normal range . the aortic arch is at the maximal physiological limit . thymic remt is observed in the anterior mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures the surrounding soft tissue plans and bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen however it is nonspecific . bilateral adrenal glands were normal and no space-occupying lesion was detected . in addition there is a slight decrease in hepatosteatosis density in the sections passing through the upper abdomen . cto is within the normal range . upper abdominal organs included in the sections are normal . the aortic arch is at the maximal physiological limit . lung parenchyma segmentary-subsegmental tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs . pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment . linear subsegmental atelectatic changes were observed in the medial segment of the right lung middle lobe the right lung upper lobe posterior segment left lung upper lobe inferior lingular and both lung lower lobe basal segments . a few millimetric nonspecific parenchymal nodules were observed in both lungs . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window a pleural effusion with a diameter of 17 mm in the thickest part on the right and 8 mm in the widest part on the left was observed in both hemithorax . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . calcific atheroma plaques were observed in the abdominal aorta . calibration of other mediastinal vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . mixed type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . as far as can be seen the ascending aorta is slightly ectatic with an anterior-posterior diameter of 33 mm . heart contour size is normal . osseous structures in addition mild scoliosis with left opening was observed at the thoracic level . trabeculation increase compatible with osteoporosis and minimal osteodegenerative changes were observed in the thoracic vertebrae in the bone structures included in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the abdominal aorta . upper abdominal organs included in the sections are normal . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma the findings were evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window ground glass densities are observed in patchy style crazy paving pattern which is more prominent in peripherally located lower lobe basal segments in both lungs . close monitoring of clinical laboratory correlation is recommended . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window no pneumonic infiltration or consolidation area was detected in both lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed in the parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma peribronchial thickening in both lungs focal consolidation in the posterior segment of the upper lobe of the right lung and reticular density increases were observed . both lungs are emphysematous . a parenchymal air cyst reaching in diameter was observed in the inferior lingular segment of the left lung . findings were evaluated in favor of sequelae changes . passive atelectatic changes were observed in the lower lobe posterobasal segments of both lungs in the lung areas adjacent to the effusion . there are passive atelectatic changes in the anterobasal segment of the lower lobe of the left lung . apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . minimal effusion was observed in the bilateral pleural space as far as it can be observed secondary to motion artifacts . a low-density nonspecific millimetric subpleural nodule adjacent to the major fissure was observed in the posterior segment of the right lung upper lobe . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum in the mediastinum lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . calcified atheroma plaques were observed in the supraaortic branches of the thoracic aorta and in the coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . a drainage catheter extending from the esophagus to the stomach was observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes were observed in the vertebrae . vertebral corpus heights are normal . abdomen verification with usg is recommended . liver pancreas spleen and both adrenal glands are normal as far as can be seen on non-contrast images . calcified atheroma plaques were observed in the supraaortic branches of the thoracic aorta and in the coronary arteries . an increase in density was observed in the gallbladder gall sludge . a drainage catheter extending from the esophagus to the stomach was observed . no stones were observed in both kidneys . lung parenchyma when examined in the lung parenchyma window diffuse emphysematous changes in both lungs clarification of interstitial signs mild bronchiectasis are present . the findings were initially evaluated in favor of interstitial lung disease . clinical laboratory correlation and follow-up are recommended for the differential diagnosis of infection due to the current pandemic . in both lungs spiculated nodules are observed in the left lung upper lobe anteriorly in the right lung middle lobe in the left lung upper lobe inferior lingula the largest in series 2 and in the right lung middle lobe in image spiculated nodules with contours measuring 6 mm are observed . mosaic attenuation patterns are observed around the described emphysematous changes especially in the middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . a few small lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings in the vertebral corpus endplates . the sclerotic finding measuring 11 mm in size in the vertebral body was evaluated in favor of the islet of bone . there is a slight decrease in density in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window multilobar mostly peripherally located nodular ground-glass consolidative areas were observed in both lungs . apart from this no mass lesion with distinguishable border was detected in both lungs . there is a linear fibrotic band in the left lung inferior lingular segment . band atelectasis changes were observed in the right lung middle lobe lateral segment and left lung inferior lingular segment . the outlook is highly suspicious for covid-19 pneumonia . other viral pneumonias were considered in the differential diagnosis . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . both adrenal glands and pancreas are normal . liver gallbladder and spleen are normal as far as can be observed in the non-contrast examination . accessory spleen with a diameter of 2 cm was observed inferior to the splenic hilus . an exophytic nodular lesion area of 15 cm in diameter was observed in the upper pole anterior of the left kidney cyst . thoracic aorta diameter is normal . no stones were detected in both kidneys within the sections . no intraabdominal free-loculated fluid was detected . lung parenchyma in the evaluation of both lung parenchyma in both lungs peripheral lung parenchyma and peribronchial ground glass densities and focal consolidations are observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . millimetric calcific plaque is observed on the descending aortic wall . heart and great vessels cardiothoracic index slightly increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the hyperdensity observed in the pelvicalyceal system of both kidneys may be due to the contrast of the previous examination . millimetric calcific plaque is observed on the descending aortic wall . lung parenchyma when examined in the lung parenchyma window there are ground-glass densities around which vascular enlargement is observed in a patchy manner more prominently in the left lung upper lobe inferior lingula in the basal segments in the superior lower lobe of both lungs . correlation with clinical and laboratory and close follow-up are recommended for the differential diagnosis of covid-19 viral pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when evaluated together with the patients clinical information it was thought that the described appearance might be compatible with viral pneumonia . there was no mass in both lungs and no infiltrative lesion in the left lung . there is a ground glass area and consolidation in the lower lobe of the right lung especially in the mediobasal segment and interlobular septal thickening in this area . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no relevant findings . lung parenchyma there is no mass or infiltrative lesion in both lungs . there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there is a stone with a diameter of 5 mm in the middle part of the left kidney . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma in lung parenchyma evaluation aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no newly emerged infiltration area was detected in the current examination . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma dependent density increases in the lower lobes of both lungs and more pronounced mosaic attenuation in the lower lobes small airway disease small vessel disease . in the evaluation of both lung parenchyma interlobular septal thickening is observed in both lung parenchyma . there is pleuroparenchymal sequelae density in the apex of the right lung . a slightly irregular contoured nodule with a diameter of 43 mm is observed in the middle lobe of the right lung and a subpleural nodule with a smooth contour of approximately 48 mm in diameter is also observed in the middle lobe . pleural effusion-thickening was not detected in both hemithorax . airways calcific nodules are observed in the trachea and bronchial walls osteochondroplastica . mediastinum calcific plaques are observed in the walls of the aortic arch descending aorta and abdominal aorta . no pathological lap was detected in the mediastinum . the diameter of the descending aorta is 3 cm and is above normal . right upper-lower paratracheal aortopulmonary narrow lymph nodes less than 1 cm in diameter are observed . heart and great vessels no relevant findings . osseous structures there is an increase in dorsal kyphosis . bone structures are osteopenic . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific plaques are observed in the walls of the aortic arch descending aorta and abdominal aorta . no additional significant pathology was detected in the abdominal sections . the diameter of the descending aorta is 3 cm and is above normal . lung parenchyma when examined in the lung parenchyma window linear pleuroparenchymal densities evaluated in favor of sequelae are observed in both lungs . the largest of these is observed laterobasal in the lower lobe of the left lung and is approximately 6 mm in diameter . in addition there are pulmonary nodules accompanied by pleural extensions in both lungs and these were primarily evaluated in favor of sequelae change . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcific atheroma plaques are observed in the aorta and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels the diameter of the ascending aorta was 38 mm at its widest point . heart contour size is normal . pericardial effusion-thickening was not observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen other upper abdominal organs included in the sections are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . cysts are observed in both kidneys the largest in the left kidney . thoracic aorta diameter is normal . a stone that does not cause millimetric collecting system dilatation is observed in the right kidney . lung parenchyma when examined in the lung parenchyma window fibroatelectasis changes are observed in the lower lobes of both lungs in the middle lobe of the right lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no mass-infiltration was detected in both lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . it cannot be characterized in this examination . when the upper abdominal sections in the examination area are evaluated a hypodense lesion with a diameter of 18 mm was observed at the level of the liver dome . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a well-defined nodule of 9x7 mm was observed in the posterobasal segment of the lower lobe of the left lung . when examined in the lung parenchyma window mild mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the abdominal aorta . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size has increased cardiomegaly . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen the left lobe is slightly hypertrophied . it is recommended to be evaluated for liver parenchymal disease . contours of the liver show lobulation in the upper abdominal sections in the study area . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . lung parenchyma when examined in the lung parenchyma window in the middle lobe of the right lung bronchial wall thickening bronchi filled with secretions focal consolidation and subsegmental atelectasis are observed . there are subsegmental atelectasis in the left lung upper lobe lingula and bilateral lower lung lobes . there are several nodules smaller than 5 mm in both lungs . pleural effusion-thickening was not detected . there are millimetric focal consolidations located subpleural in the middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum there are several lymph nodes in the upper lower paratracheal aortopulmonary subcarinal bilateral hilar the largest mm in size . there is wall calcification in the aorta . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cardiothoracic index increased in favor of the heart cardiomegaly . the ascending aorta is 45 mm in diameter and has an aneurysmatic appearance . osseous structures other bone structures in the study area are natural . there is a milimetric sclerotic focus in the left posterior part of the vertebral body . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . there is wall calcification in the aorta . lung parenchyma there is cystic bronchiectasis in the middle lobe on the right . at basal level parenchymal bands are observed . there are sequelae changes at both apical levels . there are focal ground-glass-like density increases in the upper lobe anterior segment of the right lung . in the lower superior segment of the right lung there are bud branches and focal ground-glass-like density increases in places . again cystic bronchiectasis appearances are present in the right lung and at the lower lobe level . in the non-contrast examination no distinguishable prominent lymph nodes were detected at both hilar levels . it continues towards the upper lobe . in the left lung there are cystic bronchiectasis areas and mucus impactions in the upper lobe anterior segment lower lobe superior segment and basal level . in the left lung there are consolidative densities including air bronchograms in the area extending from the lower lobe superior segment to the laterobasal and there are also bud branches at the basal level . airways a small tracheal diverticulum is observed in the right at the level of the thoracic inlet . when examined in the lung parenchyma window trachea calibration is natural . thickening of the peribronchovascular sheath is observed . trachea both main bronchi are open . mediastinum it is wider than normal . calibration of other mediastinal major vascular structures is normal . lymph nodes are observed in the upper-lower paratracheal area the aorticopulmonary window and the area with the largest measuring approximately mm in the aorticopulmonary window . atherosclerotic changes are present . the pulmonary calibration was measured at approximately 34 mm on the examination . a hiatal hernia is observed in the case . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto slightly increased in favor of the heart . osseous structures there is mild scoliosis with left-facing scoliosis at the dorsal lumbar level . there are degenerative changes in bone structures . abdomen in non-contrast upper abdominal sections both adrenals are natural . atherosclerotic changes are present . the spleen and liver are natural as far as can be observed . lung parenchyma radiological findings were evaluated as compatible with lung parenchymal involvement of covid infection . it is accompanied by air bronchograms . when examined in the lung parenchyma window bilaterally asymmetric and subpleural ground glass density areas and septal thickenings are observed in both lungs . airways the trachea and both main bronchial air columns are open . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . nodular density increases in favor of thymic remt are observed in the upper and anterior mediastinum . bilateral peribronchial lower paratracheal and paraaortic reactive lymph nodes are observed . the esophagus is observed in normal calibration . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesion is detected in bone structures . no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . abdomen an increase in liver parenchyma density consistent with mild hepatosteatosis is observed in upper abdominal sections . lung parenchyma in both lungs there are atelectatic changes in the posterior parts of the inferior minimal effusion on the left side more prominent on the left on both sides . when examined in the lung parenchyma window a few millimetric nodules are observed in the upper lobe of the right lung in the upper lobe of the left lung and in the paravertebral area in the left lung upper lobe in and in the subpleural area in . the nodules described are small to be characterized . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the thoracic aorta and aortic arch . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures a small amount of height loss is observed in the vertebral body . there is an appearance consistent with a new pathological fracture which was not observed in the previous pet ct on the left rib lateral . metastatic sclerotic lytic appearances are present in all observed bone structures . abdomen other upper abdominal organs included in the sections are normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the thoracic aorta and aortic arch . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma minimal bronchiectasis is observed in both lungs especially in the central parts especially in the lower lobes . no mass or infiltrative lesion was detected in both lungs . calcified pleural plaques are observed in the costal pleura in both hemithorax and in the left diaphragmatic and mediastinal pleura more prominently on the left . no pleural effusion was observed . in both lungs there are nodules measuring 64 mm in diameter in the laterobasal segment of the left lung lower lobe and 75 mm in diameter in the right lung the largest in the lower lobe superior segment in the peripheral subpleural space . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological pathological wall thickness increase was detected in the esophagus within the sections . sliding type hiatal hernia is observed at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . pericardial effusion was not detected . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . abdomen it is recommended that the patient be evaluated together with laboratory findings in terms of liver parenchymal disease . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced ct . liver contours are lobulated . the left lobe of the liver is minimally hypertrophic . lung parenchyma a few millimetric-sized nonspecific parenchymal nodules were observed in the middle lobe and lower lobe of the right lung . as far as can be seen a millimetric calcified lymph node was observed in the right hilar region . three nonspecific parenchymal nodules the largest of which were 46 mm in diameter adjacent to each other were observed in the left lung lower lobe laterobasal segment . when examined in the lung parenchyma window bilateral peribronchial thickenings are observed . bilateral pleural thickening-effusion was not detected . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal pathological dimensions . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion was detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in addition there are scattered focal ground-glass-like density increases in both lungs and there is a consolidation area with air bronchograms most of the lobe in the right lung lower lobe segments . in the left lung lower lobe superior segment faint bud branch views are observed . when examined in the lung parenchyma window sequelae changes are observed at the apical level in both lungs . again in the left lung there is a faint bud branch view at the upper lobe anterior-apicoposterior segment transition . on this ground there are 4-5 nonspecific nodules the largest of which is approximately mm in size on the right apex and there is a view of branches with faint buds a little more caudally . bilateral pleural effusion was not observed . airways no relevant findings . mediastinum millimetric calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . calibration of other major vascular structures in the mediastinum is natural . no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . cto is normal . the aortic arch calibration was measured as 31 mm and was larger than normal . heart and great vessels millimetric calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . osseous structures degenerative changes are observed in the bone structure . abdomen in the upper abdominal organs included in the sections there are mild hepatosteatosis in the liver and calcifications in the parenchyma . millimetric calcific atheroma plaques are observed in the aortic arch descending aorta and coronary arteries . there is a hypodense appearance compatible with millimetric cortical cysts in the middle part of the right kidney and a more prominent cortical cyst on the left . cto is normal . the aortic arch calibration was measured as 31 mm and was larger than normal . lung parenchyma there are millimetric nonspecific nodules in both lungs most of which are calcific . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are sometimes linear atelectasis in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are tubular structures around the esophagus in the posterior which are found to be venous collateral when evaluated together with the patients previous examinations . heart and great vessels as far as can be observed heart contour and size are normal . there are atheroma plaques in the left descending coronary artery . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no mass or infiltrative lesion was detected in both lungs . minimal peribronchial thickening was observed in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures could not be evaluated optimally because no contrast agent was given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma focal ground-glass-like density increase is observed in the posterobasal segment of the left lung lower lobe . in the anterior segment of the upper lobe of the right lung occasional thickening of the interstitial tissue thin pleuroparenchymal bands and tractional bronchiectasis are observed . there are occasional millimetric on this ground . lymph nodes not exceeding 1 cm in size are observed at the left hilar level . in the area extending anteriorly in the right lung lower lobe laterobasal segment a faint bud branch appearance compatible with infiltration is observed . when examined in the lung parenchyma window both hemithorax are symmetrical . airways calibration of trachea and main bronchus is natural . lumens are clear . mediastinum several lymph nodes are observed in the mediastinum some of which have calcific dimensions not exceeding 1 cm . nodular density is observed in the prevascular area which is considered to be compatible with a 15x9 mm lymph node in calcific appearance . calibration of mediastinal major vascular structures is natural as far as it can be evaluated on non-contrast examination . calcific atheroma plaques were detected in the abdominal aorta . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is normal . osseous structures in the dorsal region there is mild left-facing scoliosis with the opening facing left . degenerative changes are observed in the bone structure entering the examination area . abdomen no obvious pathology was observed in the non-contrast upper abdominal sections . calcific atheroma plaques were detected in the abdominal aorta . lung parenchyma however as far as can be seen it was measured as mm at its widest point . further examination of the described appearance is recommended . no mass or infiltrative lesion was detected in both lungs . minimal smooth interlobular septal thickening was observed in the lower lobe of the right lung . linear atelectasis was observed in both lungs . the exact size cannot be given because the described view does not give clear boundaries . there is a lesion of nodules and ground glass appearances in the anteromediobasal segment of the lower lobe of the left lung . there are millimetric nonspecific nodules in both lungs . there are emphysematous changes in both lungs . bilateral minimal pleural effusion was observed . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . the effusion measured 10 mm at its thickest point . mediastinum there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . mediastinal structures could not be evaluated optimally because no contrast agent was given . there are atheromatous plaques in the aorta and coronary arteries . no enlarged lymph nodes in pathological dimensions were detected . no pathological increase in wall thickness was detected in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . when evaluated together with other findings these appearances were thought to be due to cardiac pathology . it is understood that the patient underwent coronary bypass surgery . pericardial effusion was not detected . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma the described area aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window at the posterobasal level of the lower lobe of the left lung an atelectatic change in the form of a band is observed . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the anterior segment of the upper lobe of the right lung a focal ground-glass area of approximately 15x13 mm is observed and the appearance may belong to the early signs of viral pneumonia . in the examination made in the lung parenchyma window sequela parenchymal changes are observed in the apex of both lungs . no mass lesions were detected in both lung parenchyma . evaluation and follow-up along with clinical and laboratory findings are recommended . a nonspecific 3 mm nodule is observed in the posterior segment of the right lung upper lobe . both lung ventilation is natural . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal main vascular structures and heart examination iv . in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . no pathological increase in wall thickness is observed in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels calibration of vascular structures heart contour and size are natural . mediastinal main vascular structures and heart examination iv . it could not be evaluated optimally due to lack of contrast . no pericardial effusion or increased thickness was detected . osseous structures no lytic-destructive lesion was observed in the bone structures within the image . vertebral corpus heights are preserved . abdomen a diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density . in the upper abdominal sections within the image no solid mass was detected within the borders of non-contrast ct . no intraabdominal free fluid or loculated collection was detected . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window pleuroparenchymal fibrotic recessions causing parenchymal distortion were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe . a 2 mm diameter nodular density increase was observed over the fissure on the left intrapulmonary lymph node . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures osteodegenerative changes were observed in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window an approximately mm ground glass nodular density increase is observed in the anterior upper lobe of the right lung . in addition there are specific linear density increases located subpleural in the left lung lingular segment and especially the finding described on the right is highly suspicious for covid-19 pneumonia . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . in addition an asymmetrical thickening of approximately 23 mm is observed anteriorly towards the gastric cardia at the level of the esophagogastric junction . in the distal esophagus slight enlargement of the lumen and asymmetrical mucosal thickening reaching a diameter of 19 mm are observed in the lumen . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are millimetric stones in the neck of the gallbladder . in the upper abdominal organs included in the sections the liver caudate lobe is larger than normal and lobulated . thoracic aorta diameter is normal . diffuse collateral vascular structures are observed in the area . the spleen is larger than normal mm . portal vein diameter increased 19 mm . there is a suspicion of maligcy and endoscopy is recommended . portal vein us examination is recommended . in addition an asymmetrical thickening of approximately 23 mm is observed anteriorly towards the gastric cardia at the level of the esophagogastric junction . lung parenchyma when examined in the lung parenchyma window in both lungs there are subpleural localized more prominent in the right lung and lower lobes as well as minimally observed ground glass opacities in the central part . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . there is lobulation in the liver contours . no enlarged lymph nodes in pathological dimensions were detected . it is recommended that the patient be evaluated for liver parenchymal disease . lung parenchyma no pneumonic infiltration or mass was observed in both lungs . there are ground glass densities that on the posterobasal aspect of both lung lower lobes . when examined in the lung parenchyma window a 2 mm nodule located subpleural in the right lung middle lobe lateral was observed . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific plaques are observed at the level of lad in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no newly emerged pulmonary nodule was observed in both lung parenchyma . the appearance of the described nodules is nonspecific . centriacinar emphysema is observed in both lungs . several subpleural 65 mm pulmonary nodules are observed in both lungs the largest of which is in the posterobasal segment of the left lung lower lobe . airways no relevant findings . mediastinum millimetric lymph nodes are observed in the fatty hilum in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . evaluation of mediastinal vascular structures is suboptimal since no contrast material is given . no pathological increase in wall thickness was detected in the esophagus within the sections . sliding type hiatal hernia is observed at the lower end of the esophagus . heart and great vessels pericardial effusion-thickening was not observed . as far as can be evaluated the heart contour and size are normal . osseous structures when the bone was examined in the window no lytic destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax . abdomen as far as it can be evaluated within the limits of non-enhanced ct in the upper parenchymal organs no mass with distinguishable borders was detected . no upper abdominal free fluid or loculated fluid was observed within the sections . lung parenchyma with the findings it was evaluated in favor of covid-19 viral pneumonia in the plan . when examined in the lung parenchyma window ground-glass densities especially in the lower lobes are observed in a peripheral localized patch pattern in both lungs . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window patchy ground glass consolidations forming a multisegmental central-peripheral crazy paving pattern were observed in both lungs and accompanying diffuse atelectatic changes were observed . in the examination performed without contrast the underlying centrally located mass cannot be excluded . an area of consolidation was observed in the central peribronchial area in the basal segment of the left lung lower lobe . a smear-like effusion was observed in the left pleural space . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques were observed in the aortic arch and lad . as far as can be seen mediastinal main vascular structures heart contour size are normal . numerous calcified lymph nodes measuring 13 mm were observed in the aortopulmonary right lower bilateral hilar subcarinal short axis . mediastinal structures cannot be evaluated optimally because contrast material is not given . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures extensive sclerosis compatible with renal was observed in the bone structures in the study area . abdomen kidney sizes decreased in line with crf . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the aortic arch and lad . upper abdominal organs included in the sections are normal . the gallbladder was not observed operated . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is minimal emphysema in both lungs . central tubular bronchiectasis was observed in both lungs . apart from these a few stable millimetric nodules were observed in both lungs . the described views are also present in the previous examination of the patient . the appearances are nonspecific but when evaluated together with the clinical knowledge it was thought that it may be due to a specific infection . no mass lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window a nodular lesion with ground glass densities is observed around the upper lobe and middle lobe of the right lung . pleural-pericardial effusion-thickening was not observed . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum central venous catheter is seen on the right and the catheter extends to the superior-right atrium junction of the vena cava . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . no pathologically enlarged lymph nodes were observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no upper abdominal free fluid-collection was detected in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in these areas density increases close to consolidation are observed in places . no mass or infiltrative lesion was detected in both lungs . when examined in the lung parenchyma window especially in the lower lobes of the bilateral lungs and peripherally located pleural-based patchy ground glass areas are observed . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window fibrotic changes mosaic density difference and 8 mm calcification are observed in the upper lobe of the left lung . in addition there are a few millimetric nonspecific nodules in the upper lobe of the left lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . millimetric calcific lymph nodes are observed in the mediastinum in the prevascular distance . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pathological size and configuration of lymph nodes are not observed at both hilar levels . density reduction consistent with emphysema is observed in both lungs . there are lesions in both lungs which are more prominent in the mid-lower zones are peripherally located partially have ground glass-like density increases around them and thickening in the interlobular septa and pleuroparenchymal areas on the ground and fibrotic linear changes are observed . in the case which was learned from the anamnesis the findings are consistent with the anamnesis . when examined in the lung parenchyma window both hemithorax are symmetrical . a calcific nodule with a diameter of 3 mm is observed at the subpleural level of the anterior segment of the left lung upper lobe . bilateral pleural effusion-pneumothorax was not detected . airways calibration of the trachea and main bronchi is normal but appearances compatible with tubular bronchiectasis are observed in the case . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum . it is slightly wider than normal . calibration of mediastinal major vascular structures at other levels is normal . the aortic arch calibration is 31 mm . cto is within the normal range . pulmonary trunk calibration is at the maximal physiological limit . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structure . there is a hypodense appearance in the right half of the l1 vertebra corpus which may be compatible with a small hemangioma . abdomen it is slightly wider than normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . it is recommended to be evaluated in terms of syndrome . the aortic arch calibration is 31 mm . the hepatic flexure appears to herniate into the area . cto is within the normal range . in the upper abdominal organs including sections millimetric-sized amorphous calcification is observed at the level of the liver in the anterior neighborhood of the left lobe . surrounding soft tissue planes are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma segmental and subsegmental tubular bronchiectasis and peribronchial thickening were observed in both lungs . no mass lesion with distinguishable borders was detected in both lungs . parenchymal fibroatelectatic sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe . when examined in the lung parenchyma window focal ground glass densities with pattern were observed in the peripheral areas of the left lung upper lobe lingular and lower lobe basal segment and the appearance is highly suspicious for covid-19 pneumonia . it is recommended to be evaluated together with clinical and laboratory . evaluation and close follow-up are recommended together with previous examinations if any . multiple subpleural nodules with a diameter of mm with fissure-based in the lower lobe superior segment on the left and 55 mm in diameter in the lateral segment of the middle lobe on the right were observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be observed the anterior-posterior diameter of the ascending aorta is 39 mm and the anterior-posterior diameter of the descending aorta is 29 mm which is larger than normal . pulmonary artery calibration is natural . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . an exophytic hypodense nodular lesion area of 11 mm in diameter was observed in the middle part anterolateral of the left kidney cyst . an accessory spleen with a diameter of 13 mm was observed in the anterior neighborhood of the lower pole of the spleen . as far as can be seen on non-contrast sections the liver parenchyma density is diffusely decreased consistent with hepatosteatosis . as far as can be observed the anterior-posterior diameter of the ascending aorta is 39 mm and the anterior-posterior diameter of the descending aorta is 29 mm which is larger than normal . lung parenchyma focal air trapping area in the anteromediobasal segment of the lower lobe of the left lung and linear pleuroparenchymal fibroatelectasis sequelae in the central part were observed . when examined in the lung parenchyma window a millimetric nonspecific parenchymal nodule was observed in the lateral segment of the right lung middle lobe . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pleural effusion-thickening was not detected . when examined in the lung parenchyma window subpleural peribronchial nodular ground glass densities were observed in both lungs . airways trachea both main bronchi are open . mediastinum there are lymph nodes in the mediastinum with short axes reaching 10 mm . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific millimetric plaques were observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures anterior osteophytes are observed in the vertebrae in the bone structures in the study area . abdomen in the upper abdominal sections included in the examination there is an increase in density in the mesenteric fatty tissue . lung parenchyma when examined in the lung parenchyma window linear subsegmental atelectasis is observed in the mediobasal part of the left lung lower lobe . there is a sequela calcific pulmonary nodule in the posterobasal right lung lower lobe . no active infiltration consolidation or space-occupying lesion was detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen when the upper abdominal sections included in the examination were evaluated no pathological appearance was detected within the limits of ct . thoracic aorta diameter is normal . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a few millimetric nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window no mass infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma consolidation in the inferior subsegment in the left lung upper lobe lingular segment and a minimal ground glass area around it are observed . no mass was detected in both lungs . this distinction cannot be made in this examination . there are emphysematous changes in both lungs . the described appearance can be traced in bacterial or viral pneumonias . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because no contrast material is given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels atheroma plaques and stents are observed in the coronary arteries . as far as can be seen heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . pleural effusion-thickening was not detected . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination and the calibration of the vascular structures and the heart contour size are natural . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen free fluid loculated collection is not observed . in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . no lymph node was detected in intraabdominal pathological size and appearance . lung parenchyma there are linear atelectasis changes in the right medial segment in the bilateral apexes linear atelectasis in the left inferior lingular segment and emphysema in the upper lobes of both lungs . no active infiltration or mass lesion was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window there are a few millimetric calcific nodules in the lower and middle lobes of the right lung . no nodule was observed in the right lung . aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there are emphysematous changes in both lungs . there are linear atelectasis in the lower lobes of both lungs . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma since the wall structure is regular and the wall structure is relatively thin it was not evaluated in favor of a cavitary lesion due to infection . it was evaluated mostly in favor of the sequelae lesion . the wall structure is quite regular . when examined in the lung parenchyma window there are prominent subsegmental atelectasis areas in the right lung middle lobe medial segment and left lower lobe basal segments of both lungs . there is a cystic lesion with a thick wall structure adjacent to the fissure in the superior segment of the left lung lower lobe . it is recommended to compare with previous views if any . airways no relevant findings . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcifications are present in lad . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen if it is not available it is recommended to have a correlation with its clinic and if there is a difference in its clinic control imaging is recommended . thoracic aorta diameter is normal . sonographic examination is recommended . upper abdominal organs included in the sections are normal . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen in the upper abdomen sections within the image a 12 mm diameter hypodense lesion that cannot be characterized within the borders of non-contrast ct is observed in the liver segment 2 localization . lung parenchyma it is not typical for covid-19 pneumonia . when evaluated in the parenchyma window of both lungs diffuse emphysematous changes were observed in both lungs . pleuroparenchymal sequelae density increases were observed in the left lung upper lobe apicoposterior segment and lower lobe superior segment . patchy ground glass density increases were observed in both lungs . millimetric lymph nodes were observed in the right upper-lower paratracheal area . uniform interlobular septal thickenings were observed in the lower lobes of both lungs secondary to cardiac pathology . appearance is nonspecific . it just appeared in the review . in the right lung lower lobe laterobasal segment a subpleural parenchymal nodule with a diameter of 65 mm was observed . bilateral minimal pleural effusion was observed . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes and stent materials were observed in the thoracic aorta and coronary artery walls . no lymph node was detected in mediastinal pathological size and appearance . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . as far as can be observed the diameter of the ascending aorta was 43 mm and the descending aorta was 33 mm in diameter showing fusiform dilatation . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . the main pulmonary artery diameter was 38 mm and increased . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels minimal effusion was observed in the anterior pericardium . calcified atherosclerotic changes and stent materials were observed in the thoracic aorta and coronary artery walls . heart size increased . pace maker and electrodes extending to the floor of the ventricle were observed on the left anterior chest wall . osseous structures there is minimal fusion in the posterior elements . diffuse degenerative changes were observed in bone structures . abdomen calcified atherosclerotic changes and stent materials were observed in the thoracic aorta and coronary artery walls . calcified atherosclerotic changes were observed in the wall of the abdominal aorta . thickening and calcification were observed in the anterior longitudinal ligament . as far as can be observed the diameter of the ascending aorta was 43 mm and the descending aorta was 33 mm in diameter showing fusiform dilatation . it is recommended to be evaluated together with clinical and laboratory data in terms of possible ankylosing spondylitis and inflammatory . nonspecific hypodense lesions measuring 8 mm in diameter were observed at the level of the liver dome . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma no suspicious nodule or mass-occupying lesion was detected in the lung parenchyma . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . linear atelectasis are observed in the medial segment of the right lung middle lobe . a millimetric nonspecific nodule was observed in the middle lobe of the right lung . there are areas of dependent atelectasis adjacent to the pleura in the lower lobe basal segments . airways the air passages of the trachea lobar and segmental bronchi of both main bronchi are open . mediastinum no space-occupying lesion was observed in the mediastinal fat pad . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . calcified atherosclerotic plaques are observed in the coronary arteries . osseous structures it may have developed on the background of degeneration . no fractures were observed in bone structures . degenerative changes in the first joint and a lytic bone lesion with a transition zone in the right half of the sternum adjacent to the joint are observed . abdomen no features were detected in the upper abdomen sections . lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window sequelae reticular density increases were observed in the apex of both lungs . nonspecific millimetric parenchymal nodules were observed in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma linear atelectasis was observed in the left lung upper lobe lingular segment inferior subsegment . there are millimetric calcific nodules in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . the described appearances were evaluated in favor of venous collaterals . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are tubular structures adjacent to the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there is a mosaic attenuation pattern in both lungs small airway disease small vessel disease . in the patient with a history of radiotherapy it was initially evaluated secondary to radiotherapy . there are patches of consolidation areas accompanied by ground glass areas in the left lung upper lobe apicoposterior segment and both lung upper lobe anterior segments . there are areas of atelectasis in which air bronchograms are observed in the medial segment of the left lung lower lobe . left hemidiaphragm is elevated . no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . no mass was detected in both lungs . no pleural-pericardial effusion or thickening was detected . airways bilateral peribronchial thickness increase is observed . there is an appearance compatible with mucoid secretion in the trachea . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . multiple lymphadenopathies are observed in both axillae and no significant difference was found between the examinations in terms of number and size . the widths of the mediastinal main vascular structures are normal . heart and great vessels heart contour and size are normal . osseous structures it causes height loss in t3 and t4 vertebrae . in the left thorax anterolateral wall the size of the central necrotic nodular metastases infiltrating the muscle planes adjacent to the costa has increased mm in the current examination mm in the previous examination . sclerotic bone metastases are observed in vertebrae left and 8th ribs . abdomen the size of the metastatic lesion observed in the subcutaneous fatty tissue in the anterior of the process has increased mm in the current examination mm in the previous examination . as far as it can be evaluated within the limits of non-contrast ct there is a low-density hypodense lesion with a diameter of 14 mm in the right kidney cyst it is stable . lung parenchyma pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a nonspecific parenchymal nodule with a diameter of 2 mm was observed in the upper lobe of the right lung . when examined in the lung parenchyma window no mass nodule was detected in both lung parenchyma . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . bilateral mild bronchiectatic changes were observed . mediastinum as far as can be seen calibration of mediastinal major vascular structures is natural . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures mild degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen accessory spleen with a diameter of 1 cm was observed at the level of the spleen hilus . millimetric parenchymal calcifications were observed in the right lobe of the liver in the upper abdominal sections that entered the examination area . there are calcifications in the right adrenal gland that are considered compatible with sequelae . it cannot be clearly characterized in this examination . a hypodense lesion with a diameter of 7 mm was observed in the trunk of the left adrenal gland adenoma . millimetric calculi were observed in the right kidney . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window atelectatic changes were observed in right lung middle lobe medial left lung upper lobe inferior lingular and both lung lower lobe basal segments . emphysematous changes were observed in the upper lobes of both lungs . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum calcific atheroma plaques were observed in the supraaortic branches of the thoracic aorta and in the coronary arteries . the diameter of the pulmonary trunk was measured 33 mm and its calibration increased . the mediastinum could not be evaluated optimally in the non-contrast examination . the anterior-posterior diameter of the descending aorta is 30 mm at the upper limit . calcific plaques were observed in the abdominal aorta visceral branches and proximal parts of the iliac artery . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen the thoracic aorta is tortoised and elongated . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the diameter of the ascending aorta is normal . heart contour size is normal . a small amount of effusion was observed in the pericardial space . osseous structures spur formations bridging with each other were observed in the right anterolateral corners of the vertebrae . a displaced and fracture was observed in the right humeral head . vertebral corpus heights are preserved . thoracolumbar s-shaped scoliosis was observed . abdomen calcific atheroma plaques were observed in the supraaortic branches of the thoracic aorta and in the coronary arteries . two cortical-parapelvic cysts the largest of which is 45 cm in diameter were observed in the anterior of the right kidney . two millimetric calculi were observed in the lower pole of the left kidney . small hernia was observed . in the upper abdominal organs included in the sections calculus images with a diameter of 12 mm were observed in the gallbladder lumen . the anterior-posterior diameter of the descending aorta is 30 mm at the upper limit . calcific plaques were observed in the abdominal aorta visceral branches and proximal parts of the iliac artery . nodular thickening was observed in both adrenal glands . as far as can be seen the thoracic aorta is tortoised and elongated . lung parenchyma there is no mass or infiltrative lesion in both lungs . minimal bronchiectasis is observed in the central parts of both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . as far as can be seen the central venous catheter is seen on the right and the catheter terminates in the superior distal part of the vena cava . mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed within the sections . lung parenchyma there are several nonspecific nodules less than 5 mm in diameter in both lungs . no pneumonic infiltration or consolidation area was detected in the lung parenchyma . airways no relevant findings . mediastinum calibrations of the main mediastinal vascular structures are normal . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma apart from this no new findings were detected in the current examination in both lung parenchyma . atelectatic changes were also observed in the lower lobe of the right lung . nodular lesion observed in the previous examination in the left lung lower lobe superior segment in the peripheral subpleural area cannot be differentiated in the current examination since there are large areas of consolidation in this localization . peripheral subpleural focal ground glass density increases were also observed in the left lung lingular segment . at this level a newly developed free pleural effusion measuring 24 mm in thickness was observed in the current examination . airways no relevant findings . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma there are millimetric nonspecific nodules in the upper lobe of the left lung in series 2 image 74 and in the apical level of the right lung upper lobe in series 2 image 38 . upper abdominal organs included in the sections are normal . when examined in the lung parenchyma window in both lungs there are centriacinar nodular millimetric ground glass densities especially in the upper lobes and prominent bronchial structures . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . minimal passive atelectatic changes were observed in the lung areas adjacent to the effusion in both lungs . atelectasis changes were observed in the left lung inferior lingular segment and the left lung lower lobe basal segment . when examined in the lung parenchyma window a smear-like effusion was observed in the bilateral pleural space . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum central venous catheter is seen on the right . in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen diffuse hyperplasia was observed in the right adrenal gland . no intraabdominal free-loculated fluid was detected . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . as far as can be observed in the non-contrast examination liver spleen left adrenal gland pancreas both kidneys within sections are normal . lung parenchyma consolidation in the posterobasal segment and ground glass area are observed in the lower lobe of the left lung . although the described appearances are not specific covid-19 pneumonia which is stated in the clinical preliminary diagnosis can often cause the described findings . no mass was detected in both lungs . in addition there are nodules in both lungs especially in the peripheral areas with a ground glass area around them . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window no active infiltration or mass lesion was detected . there are changes in the bases of both lungs . there are stable fibroatelectatic changes in both lungs . pleural pericardial effusion was not detected . airways no occlusive pathology was detected in the lumen . trachea and both main bronchi are open . mediastinum no lymph node was detected in the mediastinum in pathological size and appearance . since the mediastinal main vascular structures and cardiac examination were not it could not be evaluated optimally . thoracic esophagus is in normal calibration . heart and great vessels calibration of vascular structures heart contour and size are natural . no pathological wall thickening was detected . since the mediastinal main vascular structures and cardiac examination were not it could not be evaluated optimally . osseous structures bone structures in the study area are natural . in addition no lymph nodes reaching pathological dimensions were detected in the bilateral axillary region and bilateral supraclavicular area . vertebral corpus heights are preserved . abdomen in the evaluation of the upper abdominal organs included in the sections within the limits of ct without contrast diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density . there are suture materials secondary to the operation in the gallbladder lodge . lung parenchyma a mm diameter nodule was observed on the fissure on the left intraparenchymal lymph node . the described finding may be compatible with early covid-19 pneumonia or other viral pneumonias . no mass lesion with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window peripheral weighted nodular ground glass opacities were observed in both lungs . a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . it is recommended to be evaluated together with clinical and laboratory . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in the non-contrast examination the mediastinal could not be evaluated optimally . as far as can be seen calibration of mediastinal major vascular structures is natural . prevascular right upper-lower paratracheal aortopulmonary subcarinal bilateral calcified lymph nodes measuring 75 mm in the short axis of the larger hilar and not reaching pathological dimensions were observed sequelae of granulomatous infection . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures vertebral corpus heights are preserved . spur formation bridging with each other in the right anterolateral corner of the thoracic column and mild scoliosis with the opening facing left were observed . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pathological diagnosis verification is recommended . in addition density increases compatible with compressive atelectasis are observed in the right lung parenchyma adjacent to the effusion . when examined in the lung parenchyma window emphysematous changes are observed in both lung parenchyma . massive effusion is observed in the right pleural space . a 19 mm sized nodule with a pleural base with a slightly irregular border is observed . a 19 mm sized nodule with a pleural base is observed in the inferior lingular segment of the left lung . pericardial effusion and left pleural effusion are not observed . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures . calibration of mediastinal major vascular structures is natural . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there is a slight increase in the cardiothoracic ratio in favor of the heart . osseous structures osteophytic taperings are observed at the vertebral corpus corners . no lytic-destructive lesion was observed in the bone structures in the study area and the height of the vertebral corpus was preserved . abdomen in the upper abdominal organs including sections there is free fluid in the perihepatic and perisplenic areas within the borders of non-enhanced ct . calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures . apart from this a few millimeter-sized nonspecific nodules are observed . in the middle zone of the left kidney a lesion with hypodense fluid density that cannot be clearly characterized within the borders of non-enhanced ct is observed cyst . lung parenchyma no pathologically sized and configured lymph node was detected at mediastinal and bilateral hilar level . planes with this level of are soiled . there is a decrease in mild emphysematous densities in both lungs . when examined in the lung parenchyma window both hemithorax are symmetrical . a subpleural 2 mm diameter nodule is observed in the posterior segment of the right lung upper lobe . no bilateral pleural effusion or pneumothorax was detected . airways lumens are clear . calibration of the trachea and main bronchi is normal . mediastinum no pathologically sized and configured lymph node was detected at mediastinal and bilateral hilar level . the aortic arch calibration was measured as 31 mm which is above normal . cto is normal . calibration of other mediastinal major vascular structures is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . osseous structures mild degenerative changes are observed in the bone structure . abdomen surrounding soft tissue plans are natural . bilateral adrenal glands were normal and no space-occupying lesion was detected . a decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area . the aortic arch calibration was measured as 31 mm which is above normal . cto is normal . upper abdominal organs included in the sections are normal . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures millimetric osteophytes were observed in the thoracic vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma active infiltration area - infiltrative mass no lesion was observed . findings were initially interpreted in favor of sequelae changes . there are interlobar septal thickness increases accompanied by sequelae pleuroparenchymal recessions in a focal area in the posterobasal region of the lower lobe of the right lung . bronchial structures in both lungs are slightly ectatic . it is accompanied by mild traction bronchiectasis at this level . pleural effusion-thickening was not detected . when examined in the lung parenchyma window sequela pleuroparenchymal bands accompanied by slight pleural thickness were observed in the anterior upper lobe of the right lung in the superior segment of both lungs in the lower lobe in the anteromedial of the right lung in the lower lobe of the lower lobe and in the left lung lower lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels there are calcific atheroma plaques at the level of the coronary arteries . pericardial effusion-thickness increase was not detected . mediastinal main vascular structures heart contour size are normal . osseous structures the medullary densities of the bone structures in the sections are natural . no lytic - destructive lesion was observed . abdomen both kidneys are atrophic . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass nodule-infiltration was detected in both lungs . right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed . in the evaluation of both lung parenchyma consolidation is observed in the posterobasal segment of the lower lobe of the left lung which creates crazy paving in which interlobular septal thickening is observed . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum calcific plaques are observed in the wall of the coronary artery in the aortic arch . heart and great vessels calcific plaques are observed in the wall of the coronary artery in the aortic arch . osseous structures degenerative changes are observed in the vertebrae . no lytic-destructive lesion was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific plaques are observed in the wall of the coronary artery in the aortic arch . lung parenchyma the described appearance is nonspecific . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . early-stage covid-19 pneumonia cannot be ruled out . when examined in the lung parenchyma window a millimeter-sized ground-glass nodular lesion was observed in the anterior segment of the upper lobe of the right lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no mass-infiltration was detected in both lung parenchyma . atelectatic changes were observed in the left lung inferior lingular segment . several nonspecific parenchymal nodules measuring 4 mm in diameter were observed in both lung parenchyma the largest of which was in the anterobasal segment of the left lung lower lobe . when examined in the lung parenchyma window mosaic attenuation areas were observed in both lungs small airway disease small vessel disease . bilateral pleural thickening-effusion was not detected . airways bilateral peribronchial thickenings were observed . as far as can be traced trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum multiple lymph nodes were observed in the upper-lower paratracheal subcarinal prevascular and bilateral hilar localization with a short axis smaller than 1 cm with millimetric dimensions . lymph nodes of similar nature are observed in both axillary regions . on the right the image of the catheter extending to the superior vena cava is observed . mediastinal structures were evaluated as suboptimal since the examination was non-contrast . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected without contrast . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures there is less than 50 height loss in the l1 vertebra upper end plate . abdomen in the upper abdominal sections that entered the examination area millimetric-sized multiple calcules were observed in the gallbladder lumen . lung parenchyma there are areas of parenchymal infiltration some of which are in the recovery phase while others are in the recovery phase . new uptake areas are observed in the form of ground glass density in places . in the current review it was found that infiltrative areas in the form of ground glass opacity in favor of radiological in the form of subpleural consolidation and linear density increases . airways no relevant findings . mediastinum a few lymph nodes showing a slight increase in size are observed in the mediastinum . heart and great vessels heart sizes are slightly increased . mitral valve replacement is followed and a line is available . osseous structures there is extensive osteoporosis in bone structures . multisegmentary posterior was performed on thoracic vertebrae . transpeduncular in and t5 t7 t10 t11 t12 and l1 vertebrae are slightly to soft tissue in the area . abdomen there are millimetric sized calculi in the gallbladder lumen . moderate hepatosteatosis is observed . lung parenchyma there are several millimetric nonspecific nodules in both lungs . ventilation of both lungs is normal and there is no mass or infiltrative lesion in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there is also a central venous catheter inserted from the left . the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . the port catheter terminates at the superior-right atrium junction of the vena cava . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen no relevant findings . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . no significant change was observed in atelectasis observed in the middle lobe of the right lung and a decrease was observed in atelectasis observed in both lower lobes and left lung lingular segment . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . calcific atheroma plaques are observed in the main vascular structures . no lymph nodes were detected in pathological dimensions . a central venous catheter extending from the left internal jugular vein to the brachiocephalic vein was observed . some of the described lymph nodes are calcific . the diameter of the pulmonary artery and descending aorta are in normal calibration . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the heart was followed naturally . the ascending aorta was observed wider than normal with an anterior-posterior diameter of 40 mm . osseous structures an increase in trabeculation consistent with osteoporosis was observed in the vertebrae . mild s-shaped scoliosis was observed at the thoracic level . vertebral corpus heights are preserved . abdomen a 21 mm diameter sequelae amorphous calcification area which also causes mild retraction in the capsule was observed in the right lobe of the liver as far as can be seen in the non-contrast sections . both kidneys are atrophic . the diameter of the pulmonary artery and descending aorta are in normal calibration . calcific atheroma plaques are observed in the main vascular structures . lung parenchyma branch with buds and acinar opacities were observed in the lower lobes of both lungs and the middle lobe of the right lung . there are fibroatelectatic changes in both lungs . when examined in the lung parenchyma window significant emphysematous changes were observed in the lower lobes of both lungs . clinical and laboratory correlation is recommended for the infectious process . bronchiectatic changes peribronchial thickening and volume loss were observed in both lungs especially in the lower lobe of the left lung . bilateral pleural thickening-effusion was not detected . airways bilateral peribronchial thickenings were observed . trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . lymph nodes with a fatty hilum with a short axis smaller than 7 mm were observed in the mediastinal upper-lower paratracheal subcarinal area . no lymph node was detected in mediastinal pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in the bone structure . no lytic-destructive lesion was detected . abdomen liver parenchyma density decreased diffusely hepatosteatosis in accordance with the adiposity in the upper abdominal sections within the study area . no dilatation was detected in the thoracic aorta . lung parenchyma in the evaluation of both lung parenchyma optimum could not be evaluated due to respiratory artifact and no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . there are osteopenia and osteophytic degenerative changes . abdomen pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma the number and size of the nodules observed in the right lung the largest in the posterior segment of the upper lobe and in the area adjacent to the fissure are stable . when examined in the lung parenchyma window emphysematous changes are observed in the upper lobe and lower lobe superior segments of both lungs accompanied by larger on the right in both lung apexes . central tubular bronchiectasis was observed in both lungs . a stable passive atelectatic change was observed in the superior segment of the lower lobe of the right lung . the finding was considered secondary to infectious processes . post-treatment control is recommended . in the right lung lower lobe superior segment posterior in the subpleural area a newly emerged focal consolidation area with a light ground glass surrounding it was observed in the current examination . pleural effusion-thickening was not detected . airways trachea and both main bronchi are open and no obstructive pathology is observed in the lumen . mediastinum the mediastinal main vascular structures and heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures was normal . in the mediastinum lymph nodes with fusiform configuration stable not in pathological size and appearance with a short diameter of 9 mm are observed at the level of the aorticopulmonary window . calcific atheroma plaques are observed in the wall of the abdominal aorta . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels the mediastinal main vascular structures and heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures was normal . heart contour and size are natural . pericardial effusion-thickening was not observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdomen sections within the image no solid mass free or loculated collection is observed within the borders of non-contrast ct . calcific atheroma plaques are observed in the wall of the abdominal aorta . lung parenchyma there are fibrotic sequelae changes at both apical levels . in the lower lobe of the right lung a large space-occupying lesion with a size of mm in the posterior paravertebral and area measuring up to 69 mm in the craniocaudal axis is observed which the main bronchial structures and significantly narrows it . emphysematous changes are present in both lungs . when examined in the lung parenchyma window cystic bronchiectatic changes are observed in both lungs . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum small lymph nodes measuring up to 9 mm in size are observed in the mediastinum especially in the paratracheal and aorticopulmonary window . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes are observed in bone structures . abdomen liver parenchyma density changes in favor of steatosis . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma when examined in the lung parenchyma window in both lungs ground-glass densities and peribronchial thickenings were observed along the peribronchovascular interstitium accompanied by patchy areas of consolidation . prominence of interlobular septa was observed in both lung parenchyma . atelectatic changes were observed in bilateral pleural effusion and adjacent lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins . sliding type hiatal hernia was observed . heart and great vessels heart size increased . the diameter of the ascending aorta was 42 mm and showed fusiform dilatation . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma there are subsegmental atelectasis areas accompanied by ground glass areas in the left lung upper lobe lingular segment and the inferior subsegment and both lung lower lobe posterior segments . no mass was detected in both lungs . a mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . no pleural-pericardial thickening or effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . several lymph nodes with a diameter of 6 mm are observed in the mediastinum and hilar regions the largest of which is in the right lower paratracheal area . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures the density of the bone structures in the sections is heterogeneous secondary to the primary maligcy and there are widespread millimetric lytic lesions especially in the thoracic vertebrae and compression fractures that cause 75 loss of height in places . abdomen as far as it can be evaluated within the contrast ct limits there are multiple hypodense lesions of 17 mm in diameter in the liver in both lobes the largest at the junction of segment 7-8 . there is a hyperdense nodular lesion with a diameter of 5 mm in the upper pole of the left kidney hemorrhagic cyst . lung parenchyma millimetric nodules some of which are calcific were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . diffuse emphysematous changes are observed in both lungs . there are localized linear atelectasis and minimal pleuroparenchymal sequelae changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen there is a decrease in liver parenchyma density consistent with minimal adiposity . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma the outlook was evaluated in favor of bronchopneumonia . a sequela nodular atelectatic change was observed in the posterior apical segment of the left lung upper lobe . it is recommended to be evaluated together with post-treatment control and previous examinations if any . in both lungs more prominent segmental-subsegmental peribronchial thickenings and luminal narrowing were observed in the lower lobe basal segments . a few millimetric nonspecific parenchymal nodules were observed in both lungs . centrilobular nodular tree view appearance was observed in the peribronchovascular interstitium in the left lung lower lobe basal . mosaic attenuation was thought to be secondary to small airway disease . in the left lung lower lobe laterobasal segment focal density increase of mm and accompanying widespread atelectatic changes were observed . linear atelectasis was also observed in the posterobasal segment of the lower lobe of the right lung . when examined in the lung parenchyma window there is a mosaic attenuation pattern in both lungs . sequelae thickening was observed in the posterior costal pleura in the left hemithorax . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures osteodegenerative changes were observed in the thoracolumbar vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window centriacinar emphysema areas and pleuroparenchymal linear densities are observed in both lungs more prominently in the apical regions . the outlook doubt on covid pneumonia . in the right lung lower lobe superior segment adjacent to the diaphragm a centrally located nodular area with ground glass densities is observed around it . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures no fractures lytic or destructive lesions were detected in the bone structures in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . two gallstones 16 mm in size are observed in the gallbladder included in the examination . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma small airway disease small vessel disease clinical correlation is recommended . when examined in the lung parenchyma window thickening of interlobular septa clarification of interstitial signs mild emphysematous changes are observed in both lungs especially in the lower lobes . there was no finding in favor of a significant infectious process . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures are normal . thoracic aorta diameter is normal . no enlarged lymph nodes were detected in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like pericardial effusion is observed . heart size slightly increased . osseous structures no relevant findings . abdomen other upper abdominal organs included in the sections are normal . thoracic aorta diameter is normal . dilatations are observed in the intestinal loops that can be observed in the upper abdomen . millimetric calcific foci are observed in the subdiaphragmatic area of the right lobe of the liver . follow-up is recommended . lung parenchyma when examined in the lung parenchyma window in both lung parenchyma ground glass densities with a tendency to merge with peripheral posterior are observed . subsegmental atelectasis changes are observed in the middle lobe of the right lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . diffuse calcific atheroma plaques are observed in the coronary arteries . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are minimal diffuse densities in the liver entering the cross-sectional area . in the neighborhood of the spleen an appearance compatible with the millimetric accessory spleen is observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . on the left the diaphragm is and the abdominal structures are slightly elevated towards the hemithorax . upper abdominal organs included in the sections are normal . lung parenchyma in the right lung branches with buds are observed around the sequelae changes in the upper lobe posterior segment and in the area extending caudally . accompanying atelectatic lung segment is observed on the right . in the lower lobe segments ground-glass-like density increases are observed adjacent to atelectasis . appearances consistent with emphysema are observed in the upper zones of both lungs . again at the anterior segment level there are bud branches and focal ground-glass-like densities in places . however at the level of the right hilum there is a hypodense lesion compatible with the lymph node measuring approximately 20x12 mm . there is peribronchial thickening in the paramediastinal area in the middle lobe of the right lung and an appearance compatible with tubular bronchiectasis in the bronchial calibration . in the evaluation of both lungs in the parenchyma window there are sequelae changes at the apical level . in the non-contrast examination both hilar levels could not be evaluated optimally . there are also ground-glass-like density increases in the lower lobe superior segment . in the lower lobe of the left lung branch bud landscapes sequelae changes and accompanying ground glass-like density increments are present . in both pleural distances there is a pleural effusion with a thickness of 50 mm on the right and 25 mm on the left in localizations where it is slightly more prominent on the right . airways no relevant findings . mediastinum multiple lymph nodes are observed in the mediastinum in the upper-lower paratracheal area in the aorticopulmonary window at the prevascular level and in the subcarinal area with the largest measuring approximately mm in the subcarinal area . calibrations of the aortic arch and pulmonary trunk have increased . calcific atheroma plaques are observed in the aortic arch . aortic arch calibration was 32 mm pulmonary trunk calibration 29 mm right pulmonary artery calibration 24 mm left pulmonary artery calibration 23 mm . heart and great vessels both atrium increased . cto increased in favor of the heart . osseous structures degenerative changes are observed in the bone structure . abdomen lymph nodes are observed at the level of the central mesentery the largest of which is approximately 17x10 mm in size . surrounding soft tissue and muscle structures are natural . calcific atheroma plaques are observed in the aortic arch . it is recommended to be evaluated together with sonography . in the evaluation of the sections passing through the upper abdomen there is a decrease in density consistent with hepatosteatosis in the liver . both adrenals are natural . mild effusion is observed in both levels . the left kidney is atrophic . calibrations of the aortic arch and pulmonary trunk have increased . mild effusion appearance is observed in the bile bed . aortic arch calibration was 32 mm pulmonary trunk calibration 29 mm right pulmonary artery calibration 24 mm left pulmonary artery calibration 23 mm . lung parenchyma pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma patchy peripheral-subpleural ground glass density crazy paving appearances were observed in both lungs . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . viral pneumonia in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma a nonspecific parenchymal nodule with a diameter of 4 mm was observed in the middle lobe of the right lung . there are pleuroparenchymal sequelae density increases and paracicatricial bronchiectatic changes in the left lung inferior lingular segment . bilateral pleural thickening-effusion was not detected . when examined in the lung parenchyma window there are diffuse ground-glass-like density increases in the peripheral subpleural area and basal segments in both lungs and accompanying focal consolidation areas in the lower lobe . airways trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma when examined in the lung parenchyma window there are mosaic attenuation patterns in both lungs fine linear and atelectatic changes especially in the lower lobe basal levels . there are a few millimetric calcific nodules in both lungs . airways on the right side there are thickenings in the main bronchial structures that do not differ significantly . trachea both main bronchi are open . mediastinum there are calcific atheroma plaques in the aortic arch descending aorta and ascending aorta in a crescentic fashion in the coronary arteries . thoracic aorta diameter is normal . there are several lymph nodes measuring up to 14 mm in size in the mediastinum especially in the paratracheal area . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . there are calcific atheroma plaques in the aortic arch descending aorta and ascending aorta in a crescentic fashion in the coronary arteries . other mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . there are calcific atheroma plaques in the aortic arch descending aorta and ascending aorta in a crescentic fashion in the coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltration was detected in both lungs . in addition there is a 4 mm diameter parenchymal nodule in the anterobasal segment of the lower lobe of the right lung . there are pleuroparachymal sequelae densities focal pleural thickening parenchymal distortion and post-operative changes and cerclage material in the posterobasal and mediobasal segment of the right lung lower lobe . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures in the evaluation of both lung parenchyma possible post-op fractures are observed in the right 8th and 9th ribs . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma when examined in the lung parenchyma window as far as can be observed secondary to movement both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma . no pleural effusion was observed . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum there is mild fullness in the subcarinal localization and it could not be evaluated due to the lack of contrast material . lymph nodes of mm in the upper mediastinum adjacent to the main vascular structures and 18x12 mm in the pretracheal area adjacent to the azygos vein were observed . evaluation of mediastinal structures is suboptimal since no contrast material is given . no lymph node was observed in the axilla in pathological size and appearance . heart and great vessels the port catheter is monitored . a mild pericardial effusion measuring 7 mm in diameter at its widest point was observed between the pericardial leaves adjacent to the right ventricle . heart sizes are normal . its distal end terminates in the right atrium . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen in the upper abdomen sections there is an increase in wall thickness compatible with diffuse long segment at the level of the splenic flexure and transverse colon included in the section . lung parenchyma no nodular lesions were detected in both lung parenchyma . apart from this there are mosaic attenuation patterns in both lungs and linear sequelae with peripherally located sequelae . although not typical for pneumonia pneumonia is also included in the differential diagnosis due to ground glass opacities . the appearance was not evaluated in favor of significant infiltration . pleural effusion-thickening was not detected . when examined in the lung parenchyma window ground glass and ground glass opacities and increases in interlobular septal thickness are observed in the lower lobe superior segment subpleural space in the left lung . airways trachea both main bronchi are open . mediastinum since the examination is without contrast the evaluation of the patients mediastinal structures solid organs and vascular structures is suboptimal . atheroma plaques are present in the aorta and coronary arteries . no enlargement or stenosis-occlusion was detected in the abdominal aorta . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures vertebral corpus heights are natural . bone structures entering the cross-section area are natural . abdomen intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . atheroma plaques are present in the aorta and coronary arteries . no renal solid or cystic mass was detected . splenic vein width is normal . bilateral adrenal glands were normal and no space-occupying lesion was detected . the contour size parenchyma density of the spleen is normal . on the left a millimetric stone that causes moderate dilatation in the collecting system at the junction is observed . it was thought to be secondary to hydronephrosis . no space-occupying solid or cystic mass lesion is observed . hepatic and portal venous systems are normal . contour size localization parenchymal thickness parenchymal staining and pelvicalyceal structures of the right kidney of both kidneys are normal . no enlargement or stenosis-occlusion was detected in the abdominal aorta . there is in the perinephric fatty planes of the left kidney . no space-occupying solid or cystic mass lesion was detected . abdominal vascular structures are natural . contour size parenchymal density of the liver are normal . intra and extrahepatic bile ducts gallbladder are normal . no significant tumoral wall thickening obstruction-dilatation was detected in the tract . the contour size parenchyma density of the pancreas is natural . no intraabdominal free-loculated fluid was detected . no enlargement was detected in the main pancreatic duct . lung parenchyma no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma compatible with progressive disease . passive atelectatic changes were observed in the lung areas adjacent to the effusion . there was no finding in favor of active infiltration in both lungs . a pathologically sized lymph node measuring mm was observed in the right lower paratracheal lymph node . widespread emphysema areas with appearance were observed in the upper lobes of both lungs . formations are observed in the apical segments of both lungs and there is parenchymal destruction . tubular bronchiectasis which became prominent in the central part of both lungs was observed . a primary lung mass displacing the esophagus to the left lateral where the fatty planes between it and the esophagus extending along the right lateral and posterior of the trachea were by invading the mediastinum localized in the upper lobe posterior and lower lobe superior segment located centrally at the suprahilar level of the right lung was observed . the largest of the nodules described was observed in the anteromediobasal segment of the lower lobe of the left lung and was 13x11 mm in size in the previous examination . a smear-like effusion was observed in the bilateral pleural space . airways a primary lung mass displacing the esophagus to the left lateral where the fatty planes between it and the esophagus extending along the right lateral and posterior of the trachea were by invading the mediastinum localized in the upper lobe posterior and lower lobe superior segment located centrally at the suprahilar level of the right lung was observed . as far as can be seen in the non-contrast sections no pathological obstruction was detected in the lumen of the trachea and both main bronchi . mediastinum apart from this no pathological lymph nodes were detected in the lymph node stations . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures the mass extends into the spinal canal at the level of t4 and t5 vertebrae by the right half of the t3 t4 and t5 vertebral corpus the right posterior elements and the 4th and 5th ribs . a pathological fracture characterized by approximately 60 loss of height was observed in the t5 vertebral body . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it may be compatible with interstitial lung disease . mild central tubular bronchiectasis was observed in both lungs . clinical and laboratory correlation is recommended . findings are nonspecific . apart from this no nodular or infiltrative lesion with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window more extensive interlobular septal thickenings and ground glass densities were observed in the lower lobes in the peripheral subpleural areas of both lungs . a smear-like effusion extending to the major fissure was observed in the right pleural space . no pleural effusion was detected on the left . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed in the mediastinum and both hilum . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen periesophageal and perigastric diffuse collaterals were observed . spleen size increased . images of intrahepatic dilated bile ducts and free air in them were observed at the level of the liver dome . the pancreas is normal . no stones were observed in both kidneys . changes consistent with chronic parenchymal disease were observed in the liver as far as can be observed in the non-contrast sections . lung parenchyma no newly emerged consolidation area was detected in the current review . when examined in the lung parenchyma window pleuroparenchymal sequelae density increases are observed in the apical posterobasal section of the right lung upper lobe . in addition an increase in pleuroparenchymal density is observed in the posterobasal region of the lower lobe of the right lung . in the left lung upper lobe lateral minimal regression is observed in the peripherally located ground-glass density areas described in the previous examination . interseptal thickness increases are observed in this area which may be compatible with interstitial sequelae change . no mass-nodule pleural thickening or effusion was observed in both lung parenchyma . no pericardial-pleural effusion or thickening was observed . airways the trachea is in the midline and both main bronchi are open . mediastinum as far as can be seen heart size and contour and mediastinal main vascular structures are in natural appearance . since the mediastinal structures were unenhanced they could be evaluated as suboptimal . heart and great vessels as far as can be seen heart size and contour and mediastinal main vascular structures are in natural appearance . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is minimal pleural effusion on the left . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . minimal pericardial effusion was observed . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen optimal evaluation was not made as only a part of the system was included in the sections . it is recommended that the patient be evaluated with clinical findings and further examination if indicated . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . there is minimal dilatation in the right kidney collecting system . lung parenchyma the described appearance may be pneumonic infiltration or passive atelectasis . apart from this there are sometimes linear atelectasis in both lungs . there are millimetric nonspecific nodules in both lungs . there is consolidation in the posterobasal segment of the lower lobe of the right lung . a nonspecific ground-glass appearance is observed in the anterior segment of the upper lobe of the right lung . many pathologies can cause this appearance . no mass was detected in both lungs . this distinction was not made in this study . a bulla measuring approximately 50 mm is observed in the middle lobe of the right lung . both lungs have a mosaic attenuation pattern small airway disease small vessel disease . there is bilateral minimal pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . atheroma plaques are observed in the aorta and coronary arteries . lymph nodes are observed in the mediastinum and hilar regions . the shortest diameter of the largest of these lymph nodes was 10 mm . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . sliding type minimal hiatal hernia was observed at the lower end of the esophagus . heart and great vessels pericardial effusion was not detected . as far as can be observed the heart is larger than normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen the liver contours are lobulated and the left lobe is hypertrophic . no upper abdominal free fluid-collection was detected in the sections . it is recommended that the patient be evaluated for liver parenchymal disease . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma subsegmental atelectatic changes were observed in the middle lobe of the right lung . atelectasis-consolidation area was observed in the lower lobe of the right lung . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . subsegmental atelectasis was observed in the lower lobes of both lungs . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . no lymph node was detected in mediastinal and hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart size has increased cardiomegaly . pericardial thickening-effusion was not detected . osseous structures it is recommended to be evaluated for multiple myeloma . multiple lytic hypodense lesions were observed in the bone structures included in the study area . abdomen calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . an uncharacterized hypodense lesion with a diameter of 22 mm was observed in the body part of the right adrenal gland . liver sizes increased in upper abdominal sections within the study area . gallbladder was not observed cholecystectomized . lung parenchyma pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung the inferior lingular segment of the left lung and the lower lobes of both lungs . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . there is a pleural effusion measuring 9 mm in thickness on the right . in the posterobasal segment of the lower lobe bilaterally prominent calcified pleural plaques are observed in the pleura on the left . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum the diameter of the main pulmonary artery was 35 mm and it shows dilatation . there are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . there are lymph nodes with a short axis smaller than 6 mm in the mediastinal upper-lower paratracheal prevascular and subcarinal areas . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there are post-operative changes in the mitral valve . there is significant dilatation especially in the right and left atrium . there are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . pericardial thickening-effusion was not detected . as far as can be seen heart sizes were significantly increased . osseous structures there are metallic suture materials belonging to sternotomy in the sternum . degenerative changes were observed in bone structures . abdomen it is recommended to be evaluated for liver parenchymal disease . the contours of the liver are slightly irregular in the upper abdominal sections in the examination area . free fluid is present in the perihepatic perisplenic space . left lobe and caudate lobe are slightly prominent . there are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . lung parenchyma in the evaluation of both lung parenchyma windows peripherally located interlobular septal thickenings were observed in both lungs and widespread patchy ground glass densities and crazy paving pattern were observed tending to merge with each other . a subpleural nonspecific parenchymal nodule with a diameter of 5 mm was observed in the superior segment of the lower lobe of the right lung . there is bilateral smear-like pleural effusion . airways as far as can be seen trachea and main bronchi are open . mediastinum mediastinal structures were evaluated as suboptimal since the examination was unenhanced . mediastinal main vascular structures heart contour size are normal . heart and great vessels mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is no mass or infiltrative lesion in both lungs . formation is observed in the middle lobe of the right lung . there are millimetric nodules in both lungs . linear atelectasis and pleuroparenchymal sequelae changes are also observed in both lungs . there are emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the main pulmonary artery diameter was 37 mm and wider than normal . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . the ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal . osseous structures the neural foramina are narrowed . there are osteophytes in the vertebral corpus corners . vertebral corpus heights alignments and densities within the sections are normal . intervertebral disc distances are narrowed . abdomen there is no pathological increase in wall thickness of herniated bowel segments . there are atheromatous plaques in the aorta and coronary arteries . in the epigastric region a defect measuring mm in the widest part of the midline is observed and the small intestine segments herniate under the skin . lung parenchyma clinical laboratory correlation is recommended . subsegmental atelectatic changes were observed in the posterobasal segment of both lung lower lobes . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . it has been evaluated as consistent with the frequently reported imaging features of covid-19 pneumonia . a 25 mm diameter calcified parenchymal nodule was observed in the upper lobe of the left lung . when both lungs are evaluated in the parenchyma window in both lungs diffuse ground-glass-like density increases are observed which tends to merge in the peripheral subpleural area especially in the lower lobes . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no relevant findings . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen within the sections upper abdominal organs are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are occasional linear atelectasis in both lungs . it is understood that the minimally uniform interlobular septal thickening observed in the previous examination of the patient disappeared . there is no mass or infiltrative lesion in both lungs . minimal mosaic attenuation pattern is observed in both lungs small airway disease small vessel disease . in addition it is observed that there is normal aeration in atelectasis segments observed in both lungs in this examination . a few millimetric nonspecific nodules were observed in the right lung . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . pathological size and enlarged lymph node were not observed . there are millimetric atheroma plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . the neural foramina are open . there are no lytic-destructive lesions in the bone structures within the sections . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was observed in the sections . there are millimetric atheroma plaques in the aorta and coronary arteries . lung parenchyma there is a small amount of effusion in both hemithorax more prominent on the right and diffuse thickening in the interlobular septa accompanied by the described thickenings there is minimal subpleural patchy ground-glass density in the middle lobe of the right lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum there are multiple lymph nodes measuring up to 10 mm in the mediastinum . there are calcific atheroma plaques in the dorsal aorta and coronary arteries . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there is minimal pericardial effusion . the cardiothoracic index increased in favor of the heart . suspected early covid-19 viral pneumonia accompanied by cardiac stasis in terms of clinical laboratory correlation follow-up is recommended . osseous structures diffuse density reduction and degenerative changes are observed in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . there are calcific atheroma plaques in the dorsal aorta and coronary arteries . upper abdominal organs are included in the study partially and evaluated as suboptimal . lung parenchyma millimetric sized nonspecific parenchymal nodules were observed in both lungs . when examined in the lung parenchyma window linear subsegmental atelectatic changes were observed in the middle lobe of the right lung the segment of the upper lobe of the left lung and the basal segments of the lower lobes of both lungs . centriacinar and paraseptal emphysematous changes in both lungs and minimal peribronchial thickening in the walls of segmental-subsegmental bronchi were observed . there was no finding in favor of mass lesion-active with distinguishable borders in the lung parenchyma . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . atherosclerotic wall calcifications were observed in the abdominal aorta . as far as can be seen mediastinal main vascular structures heart contour size are normal . in the non-contrast examination the mediastinal could not be evaluated optimally . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum . osteophytes in the corners of the thoracic vertebrae and degenerative changes in the endplates were observed . abdomen calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . atherosclerotic wall calcifications were observed in the abdominal aorta . as far as can be seen in non-contrast sections there is a nodular lesion cyst of approximately 16 mm in diameter with exophytic extension in the lower pole of the left kidney . lung parenchyma in the evaluation of both lung parenchyma mosaic attenuation is observed in both lungs small airway disease small vessel disease . thin pleuroparenchymal subsegmental atelectasis are observed in the subpleural spaces in the lower lobes of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper bilateral lower paratracheal aortopulmonary narrow lymph node with a diameter of 1 cm is observed . the heart and mediastinal vascular structures have a natural appearance . millimetric sized calcifications are observed in the aortic arch . no pathological lap was detected in the mediastinum . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen liver is observed in the sections passing through the upper part of the abdomen and post-op metallic sutures are observed on the liver section surface . millimetric sized calcifications are observed in the aortic arch . it has a nodular appearance that has partially entered the examination area in the bilateral adrenal glands . lung parenchyma when examined in the lung parenchyma window in both lungs patchy ground glass densities are observed in the right lung upper lobe lateral and lower lobe posterior . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles . abdomen thoracic aorta diameter is normal . early viral pneumonia was evaluated for covid-19 . the upper abdominal organs are partially included in the study and the significant decrease in density in the liver parenchyma was evaluated in favor of steatosis . lung parenchyma in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . in the case with a previous covid anamnesis there are ground-glass-like density increases in both lungs with widespread confluence and density increases compatible with pleuroparenchymal sequelae on this background peribronchial thickenings and mild tractional bronchiectasis appearances on this background at baseline . bilateral pleural effusion-pneumothorax was not detected . airways in the evaluation of both lungs in the parenchyma window calibration of trachea and main bronchi is normal their lumens are clear . mediastinum the aortic arch is at the maximal physiological limit . no pathologically sized and configured lymph nodes are observed in the mediastinum and at both hilar levels . calibration of major vascular structures in the other mediastinum is normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures dorsal kyphosis increased . degenerative changes are observed in the bone structure . abdomen hiatal hernia is observed . surrounding soft tissue plans are natural . a nonspecific hypodense lesion with a diameter of approximately 5 mm is observed at the level of the right lobe of the liver . upper abdominal organs included in the sections are normal . an nodular density is observed with the spleen which is evaluated as compatible with the accessory spleen with a round configuration in the anterior of the spleen . the aortic arch is at the maximal physiological limit . there is a decrease in density consistent with steatosis in the liver entering the cross-sectional area . lung parenchyma no mass-infiltration was detected in both lung parenchyma . emphysematous changes were observed in both lungs . bilateral peribronchial thickness increase was observed . pleuroparenchymal sequelae density increases are observed in the lower lobes of both lungs the middle lobe of the right lung and the anterior segment of the upper lobe . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . according to the previous examination stable nonspecific parenchymal nodules were observed in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum according to the previous examination stable lymph nodes were observed in the mediastinal upper-lower paratracheal subcarinal and prevascular areas . calcified atherosclerotic changes were observed in the wall of the thoracic artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . as far as can be observed the diameter of the descending aorta was 29 mm and increased . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . calcified atherosclerotic changes were observed in the wall of the thoracic artery . upper abdominal sections entering the examination area are natural . as far as can be observed the diameter of the descending aorta was 29 mm and increased . lung parenchyma no relevant findings . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . a change consistent with steatosis is observed in the liver parenchyma entering the section area . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there is a suspicious cortical cyst in the left kidney with a partial appearance . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific nodules are observed in both lungs . there are areas of slightly patchy ground glass density which can be difficult to distinguish from the parenchyma more prominently in the middle lobe of the right lung . clinical laboratory correlation is recommended for the onset of an early infectious process . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma recommended . clinical lab . except as described both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window slight ground glass densities are observed in the posterobasal segments of the lobes of both lungs . blind . they were primarily evaluated for dependent atelectasis and the appearance is atypical in terms of viral pneumonia . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum calcific atheroma plaques are observed in the aortic arch . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . there is a small hiatal hernia . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are osteopenic appearance and degenerative changes in the bone structures in the study area . abdomen in the left adrenal gland 13 mm in size fluid attenuation and oval fat were evaluated for finding adenoma . calcific atheroma plaques are observed in the aortic arch . the upper abdominal organs are partially included in the study and there are findings consistent with thickening of the colon wall loops in the left splenic flexure hyperemia and edema in the surrounding fatty tissues . lung parenchyma the outlook is primarily suggestive of an infectious process . in the current examination newly emerged areas of patchy consolidation and ground glass density increases and peribronchial thickenings were observed in both lungs . in addition patchy consolidation areas and ground glass density increases were observed in the upper lobe of the left lung with a similar appearance . clinical and laboratory correlation is recommended . emphysematous changes were observed in both lungs . in the upper lobe and middle lobe of the right lung widespread patchy consolidation areas in perihilar localization and accompanying ground-glass density increases were observed . the effusion was measured 50 mm in its thickest part adjacent to the basal segment of the lower lobe of the right lung . the described appearance suggests primarily an infectious process . as far as can be observed pleural effusion was observed in the bilateral hemithorax . atelectatic changes were observed in the lung parenchyma adjacent to the pleural effusion . it is observed that the described pleural effusions have a loculated appearance and extend to fissures in places . airways no obstructive pathology was detected in the lumen of the trachea and both main bronchi . bilateral peribronchial thickenings are observed . trachea and lumen of both main bronchi are open . mediastinum lymph nodes measuring 17x11 mm in size were observed in the upper-lower paratracheal precarinal subcarinal localization . mediastinal structures were evaluated as suboptimal because the examination was unenhanced . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . thoracic esophageal was normal and no significant pathological wall thickening was detected in the examination margins . heart and great vessels pericardial thickening-effusion was not detected . heart contour and size are natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen the stent material applied to the bile ducts was observed . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls . no lymph node was detected in pathological size and appearance in the upper abdominal sections included in the examination area . in the non-contrast ct limits no mass lesion with clear borders was detected in the upper abdominal organs . the largest of the described collections is observed in the perisplenic area and measured at its thickest point and no significant size change was detected . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . lung parenchyma in the middle lobe of the right lung band-like sequela fibrotic density increases were observed . emphysematous changes are present in both lungs . there are minimal atelectatic changes in the adjacent lung parenchyma . the described effusion extends into the fissure . an air cyst with a diameter of 15 mm was observed in the posterobasal segment of the lower lobe of the left lung . when examined in the lung parenchyma window in the current examination there is a free pleural effusion measuring 38 mm at its thickest point between the left pleural leaves and atelectatic changes in the adjacent lung parenchyma . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels there is a postoperative hemorrhagic effusion measuring 8 mm at its widest point in the anterior pericardial area . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . the heart contour size is normal . postop suture materials were observed in the pericardium anteriorly . osseous structures there are changes with old fracture sequelae at the level of the lower ribs of the left lung . no lytic-destructive lesion was detected in bone structures . there are metallic suture materials belonging to sternotomy on the anterior thorax wall . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . the gallbladder was not observed cholecystectomized . in the upper abdominal sections in the study area liver parenchyma density was diffusely decreased in line with the adiposity . lung parenchyma when examined in the lung parenchyma window thickening is observed in the interlobular septa especially in the left lung . millimetric nonspecific nodules are observed in the subpleural area in the left hemithorax . there are interlobular septal thickenings in the left lung parenchyma mild irregularities in the pleura and a small amount of smearing effusion . airways trachea both main bronchi are open . mediastinum angiography is recommended in case of doubt for better differential diagnosis of findings . multiple millimetric lymph nodes with a short axis measuring up to 5 mm are observed in the paratracheal area on the left side in the aorticopulmonary window and upper mediastinum . it measures up to 49 mm in diameter and has prominent calcific plaques at the level of the main pulmonary artery . the main pulmonary artery and the right main pulmonary artery are markedly enlarged . aortopulmonary collateral vascular structures are observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections a suboptimally distinguishable 9 mm hypodense area in the left kidney within the examination limits was initially evaluated in favor of a cyst . angiography is recommended in case of doubt for better differential diagnosis of findings . aortopulmonary collateral vascular structures are observed . lung parenchyma when examined in the lung parenchyma window ground-glass densities in diffuse patchy in both lungs and small lymph nodes with a short axis measuring 7 mm in the mediastinum are observed . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . when examined in the lung parenchyma window ground-glass densities in diffuse patchy in both lungs and small lymph nodes with a short axis measuring 7 mm in the mediastinum are observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . it is partially included in the upper abdominal examination included in the sections and in the attenuation of the hypodense oval-shaped fluid measuring 7 mm in the right lobe of the liver the finding was evaluated in favor of a cyst . lung parenchyma aeration of both lung parenchyma is normal and no nodular lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . when examined in the lung parenchyma window posteriorly located subpleural small patchy ground glass densities are observed in the superior lobes of both lungs and clinical lab correlation is recommended for the onset of an infiltrative process . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it was similar to the primary mass and was thought to be compatible with metastasis . multiple parenchymal nodules were observed in both lungs . in addition multiple smaller nodules that have just appeared in the current examination were also observed in both lungs . an irregularly contoured nodular area measuring approximately 28 mm in size in the long axis of the upper lobe apical segment anterior to the right lung was observed . airways trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen . mediastinum as far as can be seen the anterior-posterior diameter of the ascending aorta was 45 mm the anterior-posterior diameter of the descending aorta was 33 mm and the diameter of the pulmonary trunk was 38 mm which was larger than normal . the mediastinum could not be evaluated optimally in the non-contrast examination . calcific atheroma plaques were observed in the thoracic aorta lad and circumflex artery . on the right the port chamber on the anterior chest wall and the anterior surface of the pectoral muscle and the image of the catheter extending to the superior distal vena cava were observed . lymph nodes measuring 10 mm in the short axis were observed in the right upper-lower paratracheal subcarinal aorticopulmonary and left hilar localization . existing lymph nodes were also present in the previous examination of the patient and became evident by increasing millimeter size . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart contour size is normal . the aortic valve is calcified . osseous structures no relevant findings . abdomen as far as can be seen the anterior-posterior diameter of the ascending aorta was 45 mm the anterior-posterior diameter of the descending aorta was 33 mm and the diameter of the pulmonary trunk was 38 mm which was larger than normal . pancreas and spleen are normal . intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected . bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheroma plaques were observed in the thoracic aorta lad and circumflex artery . upper abdominal organs are normal as far as can be seen in the sections . no intraabdominal free-loculated fluid was detected . millimetric calculus was observed in the gallbladder lumen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma if there is no evaluation together with previous examinations follow-up is recommended . when examined in the lung parenchyma window in the left lung upper lobe posterior section right lung lower lobe anterior subpleural area and right lung lower lobe posterior section nodular density increases are observed showing pleural extensions from place to place . in the middle lobe of the right lung an area of minimal consolidation in which the can be distinguished is observed showing irregularly circumscribed pleural extensions sequelae change . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . calcific plaques are observed in the aortic walls . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper part of the left kidney included in the examination a well-circumscribed hypodense nodular appearance of approximately 7 mm in diameter which may be compatible with is observed . calcific plaques are observed in the aortic walls . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from these no appearance compatible with a mass or infiltrative lesion was detected in both lungs and aeration in both lungs is normal . the described appearance was primarily evaluated in favor of infective pathology . there is minimal bronchiectasis in the central parts of both lungs . there are linear atelectasis in the anterior segment of the upper lobe of the right lung and centriacinar nodules some of which have the appearance of budding trees in this localization . there is no minimal pleural effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are millimetric lymph nodes in the mediastinum and hilar regions . since the contrast material is not given mediastinal structures cannot be evaluated optimally . there are no pathologically enlarged lymph nodes . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is minimal pericardial effusion . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen in liver parenchyma density there is a decrease in density compatible with moderate-to-severe adiposity . no pathologically enlarged lymph node was detected . no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in addition subsegmental atelectasis in the posterobasal segment of the left lung lower lobe or mild protrusion in the bronchi are observed . there are subsegmental atelectasis in the middle lobe of the right lung and the lingular segment of the left lung . right upper-bilateral lower paratracheal lymph nodes with millimetric size are observed . in the evaluation of both lung parenchyma focal ground-glass densities are observed in the peripheral lung parenchyma and peribronchial parenchyma in the middle lobe and lower lobe of the left lung diffuse in the right lung . nodules with a size of mm are observed in the middle lobe of the right lung 45 mm in diameter in the left lung lingular segment and 4 and 35 mm in diameter on the fissure plate of the left lung lower lobe superior segment . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . heart and great vessels the cardiothoracic index was slightly increased in favor of the heart . osseous structures there is no lesion in the bones . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma no mass-infiltration was detected in both lung parenchyma . extensive multiple thin-walled air cysts were observed in both lungs prominent in the upper lobes . a nonspecific parenchymal nodule with a diameter of 3 mm was observed in the lateral segment of the right lung middle lobe . when examined in the lung parenchyma window there are post-op suture materials in the upper lobe of the left lung . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . lung parenchyma in both lungs there are several nonspecific nodules measuring approximately 4 mm in diameter the largest of which is in the lateral part of the left lung upper lobe apicoposterior segment posterior subsegment . no mass or infiltrative lesion was detected in both lungs . there is minimal bronchiectasis in the central parts of both lungs . there are sometimes linear atelectesis in both lungs . diffuse emphysematous changes were observed in both lungs . it was learned that the patient underwent a right lower lobectomy . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . there are millimetric lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathologically enlarged lymph node was detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma no pathological size and configuration lymph nodes were detected at both hilar levels . a nonspecific nodule with a diameter of approximately 2 mm is observed in the posterior segment of the right lung upper lobe . focal ground-glass-like density increase is observed in the left inferior lingular segment . mild sequelae changes are observed in the middle lobe on the right . bilateral pleural effusion was not found to be compatible with pneumonia or pneumothorax . airways the calibration of the trachea and main bronchi is normal and their lumens are clear . at the central level mild prominence consistent with bronchiectasis is observed in the bronchial structures . mediastinum thymic tissue with trigonal configuration without mass effect is observed in the anterior mediastinum . no pathological size and configuration lymph nodes were detected in the mediastinum . calibration of the main mediastinal vascular structures is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels cto is within the normal range . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . abdomen there is a lesion that can not be evaluated clearly because it partially enters the examination area but gives a nodular appearance in the adrenal region . if necessary cross-sectional examination of the upper abdomen is recommended . upper abdominal organs included in the sections are normal . left adrenal gland locus is normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window a few millimetric non-specific nodules are observed in the right lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space occupying lesion was detected . thoracic aorta diameter is normal . millimetric hyperdense finding in the middle zone of the right kidney was evaluated in favor of calcification . in the upper abdominal organs including sections there is an appearance compatible with hepatosteatosis in the liver parenchyma . lung parenchyma ventilation of both lungs is natural . when examined in the lung parenchyma window no active infiltration or mass lesion was observed in both lungs . sequela parenchymal changes are observed in bilateral apex left upper lobe inferior lingular segment and right lung middle lobe medial segment . millimetrically sized nonspecific nodules are observed in both lungs . no active infiltration or mass lesion was detected . no pericardial pleural effusion or increased thickness was detected . airways there is diffuse mild ectasia and minimal peribronchial thickness increase in bronchial structures . trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum in the mediastinum in the fossa in both axillary regions no lymph nodes are observed in pathological size and appearance . calcified atheroma plaques are observed in the thoracic aortic wall . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . calibration of mediastinal vascular structures heart contour its size is natural . sliding type mild hiatal hernia was observed at the lower end . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . calibration of mediastinal vascular structures heart contour its size is natural . osseous structures no lytic or destructive lesions were observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no free fluid or loculated collection is observed . calcified atheroma plaques are observed in the thoracic aortic wall . in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma centrilobular emphysematous changes are observed in the upper lobes of both lungs . there are several millimetric nonspecific nodules in both lungs . when examined in the lung parenchyma window small cavitation is observed in series 2 image 150 in the posterior segment of the lower lobe of the left lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are several millimetric lymph nodes in the mediastinum . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures hypertrophic osteophytic tapering and degenerative changes are observed in the vertebra corpus end plate . a 9 mm nodule is observed on the lower endplate of the vertebral body . abdomen thoracic aorta diameter is normal . there is an irregular appearance in the contours of the liver parenchyma and it has an appearance compatible with the liver s . the right kidney is partially observed and there is a finding that is evaluated in favor of cortical cyst in the first plan measuring mm in the axial sections which can be observed with an oval shape in fluid attenuation in the posterior . hypodense upper abdominal organs are partially included in the examination and were evaluated as suboptimal . lung parenchyma when both lung parenchyma windows are evaluated no mass-nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected . heart and great vessels pericardial effusion - no thickening was detected . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . osseous structures left-facing scoliosis was observed in the thoracic vertebrae . no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric nonspecific nodules were observed in both lungs . there are emphysematous changes and local atelectasis in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no metastatic lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . there are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma apart from these nodules there is 1 larger sequela nodule with lateral pleuroparenchymal extensions and calcification in the anterior segment of the right lung upper lobe . no infiltrative lesion was detected in both lung parenchyma . when examined in the lung parenchyma window multiple pulmonary nodules are observed in both lungs with a diameter of 7 mm in the superior segment of the lower lobe of the right lung . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . renal calculus is observed in the middle part of the right kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a 7 mm nodule appearance adjacent to pleuroparenchymal sequelae in the lingular segment of the left lung . motion artifacts are present in the lower lobes of both lungs . in the evaluation of both lung parenchyma movement artifacts are observed in the lower lobes of both lungs . pleuroparenchymal sequelae density with mild nodular form is observed in the lingular segment of the left lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum calcific plaques are observed in the walls of the aortic arch and coronary artery . no pathological lap was detected in the mediastinum . right upper paratracheal lymph nodes some of which are calcified are observed in millimeter size . heart and great vessels calcific plaques are observed in the walls of the aortic arch and coronary artery . the cardiothoracic index was slightly increased in favor of the heart . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen a 38 cm cortical exophytic cyst is observed in the left kidney which partially enters the examination area . bilateral adrenal glands appear natural . in the sections passing through the upper part of the abdomen the gallbladder has a contracted appearance . calcific plaques are observed in the walls of the aortic arch and coronary artery . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window a few nonspecific millimetric nodules were observed in both lungs . pleural effusion-thickening was not detected . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . the upper abdominal organs that can be seen in sections are natural . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . a millimetric nonspecific calcific nodule was observed in the anterobasal segment of the lower lobe of the right lung . when examined in the lung parenchyma window linear subsegmental atelectatic changes were observed in the right lung middle lobe left lung upper lobe inferior lingular and both lung lower lobe basal segments . a 6 mm diameter subpleural nodule was observed in the paramediastinal area in the anterior segment of the right lung upper lobe . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen . bilateral adrenal glands were normal and no space-occupying lesion was detected . 2 mm in diameter in the upper pole of the right kidney . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window ground-glass densities are observed in both lung lower lobe posterobasal mediobasal and laterobasal segments locally consolidated in the left lung lower lobe apex and in the left lung lingular segment . no nodular lesions were detected in the lung parenchyma of both lungs . pleural effusion-thickening was not detected . a subpleural 3 ground-glass nodule is observed in the lateral segment of the middle lobe on the right . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . a stone density of 3 mm is observed in the upper pole calyx of the right kidney . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is no mass or infiltrative lesion in both lungs . there are millimetric nodules in both lungs . no pleural or pericardial was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathologically enlarged lymph nodes were observed . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . lung parenchyma it is also observed in the anterobasal segment of the right lung . linear subsegmental atelectasis area is also observed in the left lung lower lobe anterobasal segment . ground-glass opacities consistent with prominent dependent atelectasis on the right are observed in the basal sections of both lungs . there are linear subsegmental atelectasis areas in the right lung lower lobe superior segment and posterobasal segment and left lung linguloinferior segment . there is a mosaic attenuation pattern in the basal segments of the lower lobes of both lungs secondary to small airway involvement . mild and increased wall thickness are observed in the lower lobe basal segments of both lungs more prominently in the lower lobe basal segments of the right lung . when examined in the lung parenchyma window increases in pleuroparenchymal density in both upper lobe apical segments of both lungs are consistent with sequelae change . the right hemidiaphragm is prominently elevated . in the lower lobe of the right lung there are nonspecific nodular lesions with a diameter of 55 mm in fissure in the anterobasal segment and 4 mm in subpleural location in the posterobasal segment . mild pleural irregularity is consistent with sequelae change in the apical segment pleura of the right lung upper lobe case with a history of tb . airways trachea both main bronchi are open . mediastinum no lymph node was observed in pathological size and appearance in both axillae . there is wall calcification in the aortic arch that does not cause stenosis . bilateral upper paratracheal lower paratracheal and subcarinal localized several millimetric lymph nodes with short muscle not exceeding 1 cm were observed . there is a sliding type hiatal hernia at the gastroesophageal junction level . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart dimensions and compartments appear natural . there is a calcified atheroma plaque in the middle part of the lad . osseous structures there are sclerosis and degenerative cysts in both glenohumeral joints . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there is wall calcification in the aortic arch that does not cause stenosis . no gross pathology was observed in the upper abdominal organs included in the sections . lung parenchyma a few millimetric nonspecific pulmonary nodules were observed in both lungs . when examined in the lung parenchyma window linear atelectasis are observed in the right lung lower lobe laterobasal segment and left lung upper lobe lingular segment . no active infiltration consolidation or mass lesion was detected . airways as far as can be observed trachea both main bronchi are open . mediastinum evaluation of solid organs vascular structures and mediastinal areas is suboptimal due to the lack of contrast of the examination . no lymph node in pathological size and appearance was observed in both axillary regions . calcific atheroma plaques are observed in the aorta and coronary arteries . in the mediastinal area lymph nodes with echogenic fatty hiluses with short axes not exceeding 7 mm are observed . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels heart size was slightly increased . the left atrium is dilated . pericardial effusion-thickening was not observed . there are metallic artifacts of the stent in the coronary arteries . osseous structures there are suture materials in the sternum on the anterior chest wall . no fractures lytic or sclerotic lesions were observed in the bones . abdomen evaluation of solid organs vascular structures and mediastinal areas is suboptimal due to the lack of contrast of the examination . calcific atheroma plaques are observed in the aorta and coronary arteries . the upper abdominal organs included in the examination have a natural appearance . lung parenchyma no suspicious nodular or mass-occupying lesion was detected in the lung parenchyma . when examined in the lung parenchyma window pneumonic infiltration or consolidation area is not observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node in pathological size and appearance was observed in the mediastinum . calibrations of mediastinal major vascular structures are natural . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections there is an image of a cortical cyst of 8 mm in diameter in the right kidney and a calculi with a diameter of 4 mm in the lower pole calyx . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window linear atelectatic changes were observed in right lung middle lobe medial and left lung inferior lingular segments . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen the right adrenal gland is normal . thickening was observed in the left adrenal gland corpus . upper abdominal organs included in the sections are normal . two accessory spleens with diameters of 145 and 15 mm were observed in the anterior neighborhood of the lower pole of the spleen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequela parenchymal changes were observed in the apex of both lungs right lung middle lobe medial segment and left lung upper lobe inferior lingular segment . no active infiltration or mass lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . a few millimeter-sized nonspecific nodules were observed . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . no pathological size and appearance lymph nodes were observed in the mediastinum both hilar regions bilateral supraclavicular fossae and both axillary regions . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast . calcific atheroma plaques were observed on the walls of the coronary vascular structures . calibration of vascular structures as far as can be observed heart contour and size are natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen it was evaluated in favor of adenoma . in the upper abdominal sections within the image a low-density nodular lesion measuring mm in size was observed in the left adrenal gland corpus as far as it can be seen within the borders of unenhanced ct . lung parenchyma close follow-up of clinical laboratory correlation of findings in terms of early viral pneumonia covid-19 is recommended . when examined in the lung parenchyma window patchy light ground glass densities are observed at the right lung lower lobe superior and anterior to the left lung inferior lingula level . no nodular lesions were detected in either parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are minimal pleuroparenchymal sequelae changes in both lung apexes . no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . it is recommended to evaluate the described appearance by endoscopy . in addition there is an increase in wall thickness of 7 mm in the thickest part of the esophagus in the middle and distal part . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no enlarged lymph nodes in pathological dimensions were detected . lung parenchyma no suspicious nodular or mass-occupying lesion was detected . when examined in the lung parenchyma window no pneumonic infiltration or consolidation area was detected in both lung parenchyma . airways trachea both main bronchi are open . mediastinum mediastinal major vascular structures are normal . no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion was not observed . heart dimensions and compartments are in natural appearance . osseous structures no lytic-destructive lesion was detected in the bone structures included in the study area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . liver parenchyma density in upper abdominal sections shows a decrease in line with advanced hepatosteatosis . there is a 2 mm diameter calculi image in the right kidney . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the lower lobe of the left lung a small 19 mm bulla is present among the atelectatic changes . when examined in the lung parenchyma window slight patchy ground glass densities are observed in both lungs located peripherally . the findings were evaluated in favor of the suspected infectious process in the first place due to the current pandemic . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . multiple small lymph nodes measuring up to 12 mm in the short axis and 17 mm in the long axis are observed in the . mediastinal main vascular structures are normal . there are calcifications in the walls of the cardia at the esophagogastric junction . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . osseous structures degenerative changes are observed in the bone structure there is a slight decrease in density . abdomen other upper abdominal organs included in the sections are normal . in case of doubt ct or mri with upper-lower abdomen contrast is recommended for further diagnosis . cortical cyst in the first place thinning of the parenchyma chronic hydronephrosis evaluated in its favour . bilateral adrenal glands were normal and no space-occupying lesion was detected . there is evidence of fluid attenuation which is thought to be the left kidney at first with regular contours and calcifications on the wall . thoracic aorta diameter is normal . there are calcifications in the walls of the cardia at the esophagogastric junction . the left kidney entering the section area is partially observed . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it is recommended to evaluate the patient together with laboratory findings . there is minimal bronchiectasis in the central parts of both lungs . however when evaluated together with clinical information covid-19 pneumonia cannot be completely excluded . the described appearance is non-specific . no mass was detected in both lungs . in the mediobasal segment of the lower lobe of the right lung a ground-glass appearance is observed in a small area in the peripheral area . there are minimal emphysematous changes in both lungs . there is an increase in linear density within the described area . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . there are calcific lymph nodes in the and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma when examined in the lung parenchyma window active infiltration was not observed in both lung parenchyma . minimal ectasia was observed in both lung bronchial structures . there are a few nonspecific nodules in millimeter sizes . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . no pathological increase in thoracic esophagus wall thickness is observed . heart and great vessels the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of iv contrast and as far as can be observed the calibration of the vascular structures the heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen the craniocaudal size was measured as mm and increased . as far as it can be observed within the limits of non-contrast ct there is a diffuse decrease in liver parenchymal density secondary to hepatosteatosis . lung parenchyma when examined in the lung parenchyma window band-like sequela fibrotic density increases were observed in the superior segment of the lower lobe of the right lung . pleural effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be observed trachea and both main bronchial lumens are open . mediastinum no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma a mass is observed in the apical segment of the upper lobe of the right lung which almost completely fills the apical segment and extends to the central part of the lung . there is consolidation in the lower lobe of the right lung with an air bronchogram . there are similar appearances in a smaller area in the middle lobe of the right lung . there is almost complete loss of aeration in the lower lobe of the right lung except for the superior segment . these appearances were evaluated primarily in favor of infective pathology . centriacinar nodules budding tree appearances and ground glass areas are observed in the apicoposterior segment and lingular segment of the left lung upper lobe and in the left lower lobe of the left lung and upper lobe of the right lung . the anterior-posterior diameter of the described mass was mm at its widest point . there is no pleural effusion on the left . there is minimal pleural effusion on the right . airways no occlusive pathology was detected in the trachea and both main bronchi . the endotracheal tube terminates approximately 3 cm proximal to the carina . there is an endotracheal tube in the trachea . mediastinum the widths of the mediastinal main vascular structures are normal . the catheter terminates at the superior vena cava-right atrium junction . a central venous catheter inserted from the left is observed . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions in this examination . mediastinal structures cannot be evaluated optimally because contrast material is not given . inside the esophagus there is a nasogastric tube that ends in the stomach . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . there is a pericardial effusion measuring 25 mm in its thickest part . pericardial thickening was not detected . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was observed in the sections . inside the esophagus there is a nasogastric tube that ends in the stomach . lung parenchyma when examined in the lung parenchyma window a few nonspecific nodules measuring up to 4 mm on the right and 3 mm on the left are observed in both lungs . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen in the upper abdominal organs included in the sections a decrease in density in favor of steatosis is observed in the liver parenchyma . lung parenchyma there are nodules of more than one ground glass density measuring up to 8 mm in size with a halo sign around it especially in the lower lobe posteriors and the lateral segment of the right lung lower lobe in both lungs . nodular lesion atelectasis there is another nodule with irregular contours measuring up to mm in size with a faint halo around it in the lateral segment in serial 2 image in the lower lobe of the left lung . budding tree images more prominent in the basal segments of both lung lower lobes suggest infectious processes . diffuse paraseptal centrilobular emphysematous changes are observed in both lungs . clinical laboratory correlation is recommended . when examined in the lung parenchyma window there are atelectatic changes in the form of thick bands in both lungs especially in the left upper lobe inferior lingula and in the right lung middle lobe followed by bronchiectatic changes . at the posterobasal level of the lower lobe of the left lung an increase in pleural-based density of 10 mm is observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . calcific atheroma plaques are observed in the aortic arch and coronary arteries . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta is measured 39 mm millimetric calcific atheroma plaques are observed . calcific atheroma plaques are observed in the aortic arch and coronary arteries . other mediastinal main vascular structures heart contour size are normal . osseous structures a 13 mm hypodense stable lesion is observed in liver segment . there is a diffuse density decrease in bone structures and hypertrophic osteophytic tapering in the end plates . abdomen thoracic aorta diameter is normal . a 13 mm hypodense stable lesion is observed in liver segment . there is a diffuse density decrease in bone structures and hypertrophic osteophytic tapering in the end plates . calcific atheroma plaques are observed in the aortic arch and coronary arteries . upper abdominal organs are partially included in the examination and were evaluated suboptimally . lung parenchyma no pathological size and configuration of lymph nodes were detected at both hilar levels . in the right lung lower lobe mediobasal segment there are increases in density compatible with sequelae changes and tractional mild bronchiectasis at this level . branches with buds are seen in almost all zones in the right lung in the upper lobe apicoposterior segment and lower lobe basal segments in the left mm in the posterobasal segment of the lower lobe not observed in the previous examination . there was no significant pleural effusion pleural thickening or pneumothorax in both lungs . airways lumens are clear . there is local thickening of the peribronchovascular sheath . when examined in the lung parenchyma window calibration of trachea and main bronchi is natural . mediastinum calibration of other mediastinal major vascular structures is normal . the aortic arch calibration was measured as 32 mm . in both axillary lobes lymph nodes with hilar fat are observed and the largest is measured as mm in the right axillary lodge . millimetric lymph nodes are observed at the prevascular level in the upper-lower paratracheal area . cto is normal . both are wider than normal . pulmonary trunk calibration is 30 mm . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structure . there is right-facing scoliosis at the dorsal level . abdomen cto is normal . both are wider than normal . in sections passing through the upper abdomen the spleen is larger than normal . the aortic arch calibration was measured as 32 mm . lung parenchyma structural distortion loss of volume and atelectatic changes are observed in the left lung lingular segment and lower lobe . its widest dimension was measured as mm in axial sections series 2 . tissue diagnosis is recommended . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in the right lung parenchyma . effusion up to 13 mm is observed in the deepest part of the left pleural space . pericardial right pleural effusion was not detected . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum in the mediastinum in both axillary regions and in the supraclavicular fossa no lymph nodes are observed in pathological size and appearance . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no solid or cystic mass was detected in the upper abdominal organs included in the sections within the limits of ct without contrast . intra-abdominal free fluid intra-abdominal pathological size and appearance of lymph nodes are not observed . lung parenchyma small airway disease small vessel disease . when examined in the lung parenchyma window there are sometimes linear atelectasis in both lungs . mosaic attenuation pattern is observed in both lungs . it is recommended to evaluate it together with clinical and laboratory findings in terms of covid-19 pneumonia . in both lungs there are areas of increase in density consistent with the newly developed consolidation in all lobes in the current examination and viral pneumonia is considered in the etiology of the findings . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no free fluid loculated collection or pathologically sized lymph nodes are observed in the upper abdominal sections within the image . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lung parenchyma . the outlook is not typical for covid 19 pneumonia in the presence of a pandemic . minimal ground glass density is observed in the lower lobes of both lungs with a nonspecific appearance . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . no significant pathology was detected in the non-contrast examination of the abdominal sections . lung parenchyma there are minimal pleuroparenchymal sequelae changes in both lung apexes . when examined in the lung parenchyma window more than one metastasis is observed in both lungs and no dimensional or numerical increase was detected . airways there are millimeter-sized calcifications in the trachea and the walls of both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma pleuroparenchymal fibroatelectasis sequelae changes in both lungs no mass lesion with distinguishable borders was detected in both lungs . in addition parenchymal nodules with a diameter of approximately 8 mm were observed in the anterobasal subsegment of the left lung lower lobe anteromediobasal segment in both lungs . in the differential diagnosis covid-19 pneumonia and other viral pneumonias were considered due to the pandemic . when examined in the lung parenchyma window there are central-peripheral reticular density increases and accompanying nodular ground glass consolidations in both lungs . tubular bronchiectatic changes and minimal peribronchial thickening were observed in the center of both lungs . follow-up is recommended . airways trachea both main bronchi are open . mediastinum the examination was considered suboptimal since no contrast agent was given . multiple lymph nodes with prevascular right upper-bilateral lower paratracheal subcarinal bilateral hilar aortopulmonary and axillary short axes less than 1 cm were observed . subject to pulmonary artery calibrations . as far as can be seen the anterior-posterior diameter of the ascending aorta was 41 mm and the anterior-posterior diameter of the descending aorta was 26 mm . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques were observed in lad . heart contour size is normal . osseous structures at the mid-thoracic level bridging spur formations were observed in the right anterolateral corner of the vertebra . bone structures in the study area are natural . abdomen the examination was considered suboptimal since no contrast agent was given . bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . as far as can be seen the anterior-posterior diameter of the ascending aorta was 41 mm and the anterior-posterior diameter of the descending aorta was 26 mm . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are sequela parenchymal changes in the bilateral apex . a 7x6 mm semisolid nodule was observed in the posterobasal segment of the lower lobe of the left lung . when examined in the lung parenchyma window no active infiltration or mass lesion was detected in both lungs . the appearance may be of early viral pneumonia . pericardial pleural effusion was not detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum no lymph nodes in pathological size and appearance were detected in both axillary regions supraclavicular fossa and mediastinum . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen no pathology was detected in the upper abdominal sections within the image . lung parenchyma there are multiple lymph nodes in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area and measuring 10 mm in size . in both lungs there are consolidations with peripheral weight mostly in the lower lobe of the right lung linear areas of atelectasis in the lower lobes and accompanied by air bronchograms . no pleural-pericardial effusion or thickening was detected . there are coarse calcifications in the consolidative area in the subpleural area in the anterior segment of the left lung upper lobe . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum there are multiple lymph nodes in the mediastinum and bilateral hilar regions the largest of which is in the right lower paratracheal area and measuring 10 mm in size . the widths of the mediastinal main vascular structures are normal . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels the cardiothoracic ratio is in the upper physiological limits . the left atrium is dilated . osseous structures there are bridging osteophytes in the anterior corners of the corpus of the thoracic vertebrae within the sections . no lytic-destructive lesion was observed in bone structures . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma the appearance of the lesions is not specific . there are nodules in both lungs the largest of which is in the left lung lower lobe in the of the laterobasal segment and the superior segment and measuring approximately 47 mm in diameter . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . it is recommended to be evaluated together with previous examinations . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . there was no appearance that could be evaluated in favor of metastasis . abdomen there were no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections . as far as it can be observed within the limits of unenhanced ct no mass with distinguishable borders was detected in the upper abdominal organs within the sections . lung parenchyma millimetric nodules of 3 mm in size were observed in both lungs . when examined in the lung parenchyma window there are minimal sequela fibrotic changes in the upper lobes of both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no lymph node enlarged in pathological dimensions was detected at the hilar level . density differences consistent with mosaic attenuation pattern are observed in the lower lobes in places small airway diseasesmall vessel disease . sequelae changes are observed in the inferior lingular segment . another nodular formation is observed at the genu level which cannot be clearly evaluated due to its small size of mm . when examined in the lung parenchyma window emphysematous changes are observed in both lungs . there were no signs consistent with significant pleural effusion pneumothorax or pneumonia in both lungs . airways trachea both main bronchi are open . mediastinum mediastinal main vascular structures are normal . millimetric sized calcific atheroma plaques are observed in the aortic arch . millimetric sized lymph nodes are observed in the mediastinum . there is a mild hiatal hernia . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . osseous structures there are changes secondary to sternotomy . there is a fracture at the level of the first rib costovertebral joint on the right . changes secondary to sternotomy are observed . degenerative changes are observed in the bone structure entering the examination area . abdomen in the right surrenal there are lesions compatible with adenoma in the first plan with a density of 17x10 mm and a density of hu in the lateral crus and a density of approximately 20x12 mm and hu in the medial crus . there is a decrease in density consistent with fatty liver in the upper abdominal organs included in the sections . left adrenal is full . it is recommended to be evaluated for focal omental . on the right there is a lesion with a diameter of approximately 9 mm in the neighborhood of the hepatic flexure around which density increases consistent with edema-inflammation are observed in fatty planes . millimetric sized calcific atheroma plaques are observed in the aortic arch . lung parenchyma aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . when examined in the lung parenchyma window pleuroparenchymal sequelae density increases were observed in both lung apexes . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there is a 2 mm diameter nodule at the level of the minor fissure . there was no finding compatible with pneumonia . pleuroparenchymal linear density increase is observed in the inferior lingular segment . no pleural effusion or pneumothorax was observed . a 2 mm diameter nodule is observed in the lateral subpleural area of the left lung upper lobe apicoposterior segment . a nodule with a diameter of 3 mm is observed in the lateral subpleural area at the anterior-posterior segment transition of the upper lobe of the right lung . airways when examined in the lung parenchyma window trachea both main bronchi are open . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . calibration of mediastinal major vascular structures is natural . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen surrounding soft tissue plans are natural . in the sections passing through the upper abdomen a slight decrease in density consistent with hepatosteatosis is observed in the liver . lung parenchyma there are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . millimetric nodules are observed in both lungs . there is no mass or infiltrative lesion in both lungs . there are emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma the described nodular lesion measured approximately mm at its widest point . an irregularly circumscribed nodule causing minimal structural distortion and volume loss was observed in the anterior segment of the left lung upper lobe . in the presence of primary disease this appearance was thought to be primarily metastasis . apart from this a few millimetric nonspecific nodules were observed in the left lung . when examined in the lung parenchyma window the right lung has a total atelectasis appearance . there was no finding in favor of infection in the left lung . thickening of the peribronchial sheath and linear atelectasis were observed on the left . no pleural effusion was detected on the left . massive pleural effusion with free air images is observed in the right hemithorax . airways no occlusive pathology was observed in the lumen . trachea both main bronchi are open . mediastinum as far as can be seen the mediastinal main vascular structures heart contour and size are normal . the heart and mediastinal structures are observed to be displaced to the left . the mediastinum could not be evaluated optimally in the non-contrast examination . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels effusion reaching 14 mm in thickness was observed in the pericardial space . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . the heart and mediastinal structures are observed to be displaced to the left . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no lymph nodes in pathological dimensions were observed . bilateral adrenal glands were normal and no space-occupying lesion was detected . no upper abdominal free fluid-collection was detected in the sections . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . there are millimetric nonspecific parenchymal nodules in both lungs . atelectatic changes were observed in the middle segments of the right lung the upper lobe of the left lung the inferior lingular and the lower lobes of both lungs . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . airways it is recommended to be evaluated together with us . no occlusive pathology was observed in the tracheal lumen . trachea is displaced to the right in the upper part and narrowed significantly secondary to the effect of lumen compression . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . spur formations bridging with each other were observed in the central lateral corners of the vertebrae in the middle part of the thoracic aorta . as far as can be seen mediastinal main vascular structures heart contour size are normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion in favor of metastasis was observed in the bone structures included in the study area . abdomen as far as can be seen on non-contrast sections the liver parenchyma density is minimally diffusely decreased consistent with hepatosteatosis . a thickening was observed at the junction of the left adrenal gland corpus and medial crus . spur formations bridging with each other were observed in the central lateral corners of the vertebrae in the middle part of the thoracic aorta . there is of the left kidney . intraabdominal pathological size and appearance of lymph node were not detected . atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries . spleen pancreas right adrenal gland are normal . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . apart from this a few nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . millimetric calcific nodules were observed in the left lung lower lobe superior segment and right lung upper lobe posterior segment . linear atelectatic changes were observed in the lower lobe laterobasal segment of the right lung and the inferior lingular segment of the left lung . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries . bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as it can be observed in the sections the gallbladder was not observed . accessory spleen with a diameter of 18 mm was observed inferior to the splenic hilus . surgical suture materials secondary to the operation were observed in the gallbladder fossa . lung parenchyma there are atelectatic changes in the left lung upper lobe inferior lingula and lower lobe basal segment . the lower lobe of the left lung the budding tree images around the bronchiectasis being more prominent in the basal segment . when examined in the lung parenchyma window there are bronchiectasis in the middle lobe of the right lung and the basal segment of the lower lobe of the left lung around which nodular ground glass densities and consolidation areas are observed air bronchogram signs and a fuller appearance that can hardly be distinguished from bronchovascular structures in both hilar regions . airways trachea both main bronchi are open . mediastinum it shows lymph nodes that do not show significant dimensional and structural differences of 18 mm in the previous examination whose size was measured up to 17 mm in the carina in the aorticopulmonary window in the anterior mediastinum in the prevascular and paratracheal area . thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . in the upper abdomen included in the sections a smear-like effusion is observed in the perisplenic area and the spleen size has increased . a 6 mm stone is observed in the right kidney . lung parenchyma no mass lesion was observed . no ground-glass-like density increase or consolidation pleural effusion or pneumothorax were detected at other levels . when examined in the lung parenchyma window a nonspecific ground-glass nodule with a diameter of about 3 mm is observed in the medial subpleural area in the superior segment of the left lung lower lobe . airways no relevant findings . mediastinum no lymph node with pathological size and configuration was detected in the mediastinum and hilar level . thymic tissue is observed in the anterior mediastinum . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma other infectious processes are in the differential diagnosis . when examined in the lung parenchyma window ground glass densities and consolidation area are observed in both lungs especially at the left lung upper lobe superior and inferior lingula right lung middle lobe and right lung lower lobe basal level . findings can be seen in covid-19 viral pneumonia . airways trachea both main bronchi are open . mediastinum mediastinal major vascular structures are normal . calcific atheromatous plaques are observed in the aorta and coronary arteries . small lymph nodes are observed in the mediastinum . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a slight increase in cardiac dimensions is observed . pericardial effusion-thickening was not observed . osseous structures diffuse density reduction and degenerative changes are observed in bone structures in the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . calcific atheromatous plaques are observed in the aorta and coronary arteries . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the upper mediastinum of the right lung there are soft tissue densities that cannot be differentiated from the heart and observed in previous examinations and cannot be distinguished from mediastinal lymphadenomegaly . in this localization atelectasis is observed in the right lung upper lobe parenchyma and cannot be distinguished from the soft tissue described . bilateral pleural effusions measuring approximately 47 cm in the right hemithorax and . interlobular septal thickenings and ground glass densities-consolidations which are more prominent in the middle lobe of the right lung are observed in the visible lung tissue . airways tracheal tube is observed . mediastinum in the upper mediastinum of the right lung there are soft tissue densities that cannot be differentiated from the heart and observed in previous examinations and cannot be distinguished from mediastinal lymphadenomegaly . in addition bilateral axillary lymphadenopathies observed in previous examinations are stable . aortopulmonary lymphadenomegaly which can be distinguished from this soft tissue is observed and was also present in the previous examination . heart and great vessels the cardiothoracic index has increased in favor of the heart and pericardial fluid with irregular contours is observed measuring . soft are observed in the supraclavicular fossa adjacent to the bilateral thyroid gland and intense edematous areas extending to the bilateral tissue are observed in the neck region . osseous structures no relevant findings . abdomen widespread intra-abdominal effusion is observed in the sections passing through the upper part of the abdomen . both adrenal glands prominent on the left are diffusely thick . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures there are osteophytes in the vertebral corpus corners . intervertebral disc distances were minimally narrowed . no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . vertebral corpus heights alignments and densities within the sections are normal . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no lesion was detected in the lung parenchyma secondary to an operation in the right hilar region in the current examination . surgical materials are available at the right hilus level . the right pleural effusion is stable . when examined in the lung parenchyma window pleural effusion reaching 2 cm in thickness is observed on the right and atelectatic changes are observed in the adjacent lung . airways calcifications are observed in the tracheal . trachea both main bronchi are open . mediastinum stable lymph nodes with a short diameter of 15 are observed in the mediastinal paratracheal area and in the right hilar region . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . no obvious pathology was detected . the thoracic esophagus is dilated throughout and a type 1 hiatal hernia is observed at the esophagogastric junction . heart and great vessels the diameter of the ascending aorta was approximately 35 mm . mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced . minimal pericardial effusion is observed and its thickness reaches 5 mm . osseous structures there was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region . on the right the defective appearance secondary to the operation on the 7th rib draws attention . in the evaluation of bone structures significant degenerative changes were observed in the bones and osteophyte formations are present in the vertebral corpus corners . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no obvious pathology was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . there are nonspecific nodules in both lungs the largest measuring approximately 6 mm in diameter . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . atheroma plaques are observed in the aorta . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . there are osteophytes in the vertebral corpus corners . the neural foramina are open . intervertebral disc distances are preserved . abdomen in addition two stones measuring 7 mm in diameter are observed in the upper pole of the left kidney . there is a stone measuring 15 mm in diameter in the left renal pelvis . atheroma plaques are observed in the aorta . lung parenchyma consolidative lung parenchyma is observed in the anterior segment of the left lung upper lobe . crazy paving pattern is observed in both lungs which tends to coalesce in almost all zones in the right basal region and generally in the interstitial scars and becomes prominent in the interlobular septa . no bilateral pleural effusion or pneumothorax was detected . airways when examined in the lung parenchyma window trachea and both main bronchi are normal . mediastinum no pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels . the aortic arch calibration is 29 mm . calibration of other mediastinal major vascular structures is normal . calcific atheroma plaques are present in the root of the aortic arch and in the descending aorta . cto is normal . there is a hiatal hernia . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels no relevant findings . osseous structures degenerative changes are observed in the bone structures in the study area . abdomen surrounding soft tissue plans are natural . the aortic arch calibration is 29 mm . calcific atheroma plaques are present in the root of the aortic arch and in the descending aorta . cto is normal . in the upper abdominal organs included in the sections a cortical cyst is observed in the left kidney . lung parenchyma there is a millimetric nonspecific nodule in the anterior segment of the upper lobe of the right lung . ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma in the evaluation of both lung parenchyma a nonspecific subpleural nodule with a diameter of 3 mm is observed in the laterobasal segment of the lower lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . subpleural retraction is observed in the superior segment of the right lung lower lobe . airways trachea and main bronchi are open . mediastinum no relevant findings . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . no additional significant pathology was detected in the non-contrast abdominal sections . lung parenchyma mass lesion with distinguishable borders in both lungs - no finding in favor of pneumonia was detected . when examined in the lung parenchyma window a few nonspecific parenchymal nodules were observed in both lungs . airways trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesions were detected in bone structures . dorsal kyphosis is increased . abdomen the upper abdominal organs that can be seen in the sections are natural . no space-occupying lesion was detected in the liver that entered the cross-sectional area . diffuse thickening was observed in the right adrenal gland corpus and left adrenal gland medial crus . lung parenchyma when examined in the lung parenchyma window patchy ground glass densities are observed in the bilateral posterior segment of both lung lower lobes more prominently on the right in a patchy manner . the findings were evaluated in favor of covid-19 viral pneumonia and clinical laboratory correlation follow-up is recommended . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . there are small lymph nodes measuring up to 15 in the mediastinum especially in the paratracheal aorticopulmonary window . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen there are changes in favor of steatosis in the liver parenchyma . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . a stone measuring up to 27 mm in size is observed in the gallbladder entering the examination area cholelithiasis . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no mass nodule infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no significant pathology was detected in the abdominal sections . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma emphysematous changes are present in both lungs . when examined in the lung parenchyma window around the right main bronchus a mm mass invading the mediastinal fatty tissue slightly obliterating the right main bronchus and lower lobe bronchus the right main pulmonary vein and fatty planes was observed . thickness increase was observed in both major fissures . peribronchial thickenings were observed in both lungs . honeycomb appearance was observed in the lower lobes of both lungs . airways trachea both main bronchi are open . mediastinum when examined in the lung parenchyma window around the right main bronchus a mm mass invading the mediastinal fatty tissue slightly obliterating the right main bronchus and lower lobe bronchus the right main pulmonary vein and fatty planes was observed . thoracic aorta diameter is normal . pretracheal area prevascular area subcarinal area and right hilar area there are lymphadenopathies the largest of which is in the prevascular area mm in size . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . suture materials and defect of the sternotomy were observed . vertebral corpus heights are preserved . abdomen there are streaks in both perirenal fatty tissues . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . a 13 mm diameter nodular density was observed in the vicinity of the lower pole of the spleen which was evaluated in favor of the accessory spleen . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window sequelae changes are observed at the apical level . focal ground-glass-like density increase in the upper lobe of both lungs and thickening of the interlobular septa are observed . no significant ground-glass-like density increase mass lesion pleural effusion or pneumothorax was detected in other areas . there is a 3 mm diameter nodule in the subpleural area in the anterior segment of the upper lobe of the left lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures mild degenerative changes are observed in the bone structure entering the examination area . vertebral corpus heights are preserved . abdomen thoracic aorta diameter is normal . a appearance and coarse calcification at this level are observed in the left adrenal . upper abdominal organs included in the sections are normal . right adrenal glands are normal and no space-occupying lesion was detected . lung parenchyma when examined in the lung parenchyma window in the right lung middle lobe lateral segment in the area adjacent to the fissure and in the lower lobe posterobasal segment centriacinar nodules and a budding tree view were observed . a millimetric nonspecific parenchymal nodule adjacent to the minor fissure was observed in the upper lobe of the right lung . pleuroparenchymal fibrotic recession was observed in the basal segment of the lower lobe of the left lung . the outlook was evaluated in favor of infective processes . no mass lesion with distinguishable border was detected in the lung parenchyma . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . calibration of mediastinal main vascular structures as far as can be observed is natural . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels a smear-like pericardial effusion was observed . heart size increased . osseous structures in the case with the density of all bone structures within the sections is heterogeneous and there are widespread lesions . vertebral corpus heights are preserved . abdomen diffuse atherosclerotic wall calcifications were observed in the splenic artery . as far as can be observed within the sections the spleen dimensions have increased significantly . lung parenchyma in addition several noncalcified nodules were observed in both lungs . there is a millimetric calcific nodule in the lower lobe of the right lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma in addition in the posterobasal segment of the lower lobe of the right lung there are vaguely circumscribed ground glass densities and centriacinar nodular opacities in the appearance of a tree with buds . when examined in the lung parenchyma window ectasia is observed in the bronchial structures in the lower lobe of the left lung and at this level peribronchial thickness increases and areas of density increase compatible with consolidation in which air bronchograms are observed in the adjacent lung parenchyma and ground glass densities in the appearance of budded trees are observed in places . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum lymph nodes with fusiform configuration the largest of which are less than 1 cm in diameter are observed in pathological size and appearance . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are natural . no lymph nodes in pathological size and appearance were detected in the bilateral axillary region and supraclavicular area . the soft tissue density of the thymus tissue is seen in the anterior mediastinum . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels pericardial effusion-thickening was not observed . the mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast and the calibration of the vascular structures heart contour and size are natural . osseous structures no lytic-destructive lesion was observed in the bone structures within the image and the vertebral corpus heights were preserved . abdomen no solid mass was detected in the upper abdominal organs included in the sections within the borders of unenhanced ct . lung parenchyma subsegmental atelectasis areas were observed in the lower lobes of both lungs . however it is not specific . it can be observed in covid-19 pneumonia . when evaluated in the parenchyma window of both lungs mild emphysematous changes were observed in both lungs . appearance is nonspecific . a calcified nonspecific parenchymal nodule with a diameter of 3 mm was observed in the middle lobe of the right lung . peripheral subpleural ground glass density increase was observed in the lower lobe of the left lung . a nonspecific parenchymal nodule with a diameter of 55 mm located subpleural was observed in the laterobasal segment of the lower lobe of the left lung . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . lymph nodes with a short axis smaller than 1 cm some of which are calcified are observed in the mediastinum bilateral hilar upper-lower paratracheal prevascular and subcarinal areas . the diameter of the descending aorta is 35 mm and shows fusiform dilatation . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . as far as can be observed the diameter of the ascending aorta is 47 mm and shows fusiform dilatation . pericardial thickening-effusion was not detected . pace maker and electrodes extending to the floor of the ventricle were observed on the left anterior chest wall . us control is recommended . osseous structures degenerative changes were observed in bone structures . no lytic-destructive lesion was detected . abdomen the diameter of the descending aorta is 35 mm and shows fusiform dilatation . no dilatation was detected in the thoracic aorta . clinical and laboratory correlation is recommended . right adrenal gland calibration was normal and no space-occupying lesion was detected . the examination cannot be characterized as it lacks contrast . a hypodense lesion containing 1 cm diameter areas of fat density was observed in the left adrenal gland body part adenoma . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no pleural effusion was observed . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are normal . heart and great vessels heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma there are emphysematous changes in the bilateral apical segments . no nodular or infiltrative lesion was detected in both lungs . when examined in the lung parenchyma window in both lung lower lobe basal segments there are pleuroparenchymal bands and areas of increased density consistent with subsegmentary atelectesis . pleural effusion-thickening was not detected . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum calcific atheroma plaques are observed on the wall of coronary vascular structures in the thoracic aorta . mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures and heart contour size are natural . in the mediastinum no lymph nodes were detected in pathological size and appearance in both axillary regions . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of iv contrast and as far as can be observed calibration of vascular structures and heart contour size are natural . osseous structures degenerative changes and osteoporotic changes are observed in the bone structures within the image . there is a deep nodule in the upper end plateau of the t11 vertebra . abdomen calcific atheroma plaques are observed on the wall of coronary vascular structures in the thoracic aorta . in the upper abdominal sections within the image in the upper pole of the left kidney there is a lesion measuring mm in size cyst which cannot be clearly characterized within the limits of non-contrast ct in hypodense fluid density with cortical location and exophytic extension . lung parenchyma in the evaluation of both lung parenchyma atelectasis is observed in the posterobasal segment of the left lung lower lobe . there is an air cyst of 7 mm in diameter in the medial basal segment of the lower lobe of the right lung . a 5 mm diameter nodule is observed in the medial segment of the right lung middle lobe . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum it was thought that there were lymph nodes in the mediastinum that could not be clearly from the hilar vascular structures . the heart and mediastinal vascular structures have a natural appearance . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures millimetric lymph nodes were observed in the bilateral supraclavicular fossa . no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . the spleen was as large . peripancreatic and multiple lymphadenopathies in the splenic hilum were observed in a limited number of sections . lung parenchyma there is minimal peribronchial thickening in both lungs . minimal emphysematous changes were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . this lesion could not be characterized because contrast agent was not given . however it was learned from the previous examinations of the patient that this lesion was a cyst . lung parenchyma widespread consolidation areas with air bronchograms in the left lung thickening of the interlobular septa and areas of increased density in the ground glass density were observed . areas of focal ground glass density increase were observed in the upper lobe and middle lobe of the right lung in the paracardiac area . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . pleural effusion up to a depth of 22 mm is observed on the left and passive atelectasis is present in the lung adjacent to the effusion . no pleural effusion or thickening was detected on the right . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . a large number of laps were observed in the prevascular paratracheal subcarinal and left hilar regions the largest of which was mm in the prevascular area . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no relevant findings . abdomen diffuse thickness increase was observed in the right adrenal gland included in the sections . if necessary us is recommended . a mass of mm was observed in the left adrenal gland with areas of fat density adenoma . thoracic aorta diameter is normal . upper abdomen mri is recommended . lung parenchyma in the evaluation of both lung parenchyma fibroatelectasis paraseptal emphysema appearances and traction bronchiectasis were observed in bilateral lung apex especially on the left . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum the heart and mediastinal vascular structures have a natural appearance . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma right lung lower lobe medial segments have areas of increased density consistent with consolidation which is primarily evaluated as secondary to aspiration pneumonia . cystic ectasia is observed in the bronchial structures in the lower lobe of the right lung . in the axial sections of the lower lobe anterior of the left lung a mm nodule with a spiculated contour is observed . tissue diagnosis is recommended . apart from this a few nonspecific nodules the largest of which is 6 mm in size are observed in the lower lobe of the right lung . in both pleural spaces there is a free effusion up to 13 mm on the right at its deepest point . airways a hypodense appearance which is thought to belong to secretion is observed in the right main lobe bronchus at the base of the trachea . mediastinum mediastinal vascular structures could not be evaluated optimally because the cardiac examination was performed without iv contrast material . there are calcified atheroma plaques in the wall of the thoracic aorta . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels pericardial effusion was not detected . calibration of vascular structures is natural . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen in the upper abdomen sections within the image no free fluid-loculated collection was detected as far as can be observed within the borders of non-contrast ct . solid mass is not observed . there are calcified atheroma plaques in the wall of the thoracic aorta . lung parenchyma when examined in the lung parenchyma window there are sequelae changes in both lungs more prominent in the upper lobe apex . there is minimal emphysema in both lungs . multiple nodules the larger ones reaching 7 mm in size in the anterior lower lobe on the right were observed in the bilateral lungs . airways the bronchi are minimally ectatic more prominent in the central . the bronchial walls are thickened . trachea both main bronchi are open . mediastinum calcific plaques were observed in the aorta and coronary arteries . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures heterogeneous densities are present in segment . osteophytes extending anteriorly on the vertebrae are observed in the bone structures within the study area . abdomen in the upper abdominal organs included in the sections the liver especially the left lobe is atrophic with irregular contours and heterogeneous parenchyma . calcific plaques were observed in the aorta and coronary arteries . lung parenchyma no mass nodule infiltration was detected in both lungs . right upper-bilateral lower paratracheal millimetric lymph node is observed . in the evaluation of both lung parenchyma pleuroparenchymal sequelae are observed in the apex of both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesion was observed in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . an approximately 1 cm diameter hypodensity is observed in the anterior cortex which partially enters the examination area in the right kidney cortical cyst . lung parenchyma when examined in the lung parenchyma window millimetric nodules up to 3 mm in diameter were observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . there are sequelae changes and mild emphysematous changes . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma sequelae changes are observed in the linguistic segment . at the apical level of the left lung upper lobe focal nonspecific ground-glass density is observed in the center . focal aeration is observed in the posterior segment of the right lung upper lobe laterally . when examined in the lung parenchyma window a 2 mm diameter subpleural nodule is observed in the left lung laterobasal segment . no pleural effusion or pneumothorax was detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma it has been evaluated in terms of early-stage covid-19 pneumonia . when examined in the lung parenchyma window at the posterobasal level of the lower lobe of the right lung there are ground-glass densities that can hardly be distinguished from the small parenchyma in a mild patchy manner . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in both lungs there is the appearance of a branch with buds located peripherally more prominently in the lower lobe segments . a little more superiorly there is another peripheral nodule with a diameter of 75 mm . mild bronchiectasis is observed in the lower lobes of both lungs at the central level . however a lymph node with a calcific appearance and 11x8 mm in size is observed at the right hilar level . when examined in the lung parenchyma window there are findings consistent with emphysema in both lungs . there are sequelae changes at the apical levels . a slight sequelae change is observed on the right at the level of the minor fissure . in the apicoposterior segment there is a subpleural 4 mm diameter nodule on the ground of sequelae . a subpleural 3 mm diameter nodule is observed at the laterobasal level of the left lung . a subpleural nodule with a diameter of 3 mm is observed caudal to the upper lobe posterior segment . a nodule with a diameter of 4 mm is observed in the lateral subpleural area of the right lung upper lobe . no pleural effusion or pneumothorax was detected . there is a 3 mm diameter nodule in the left lung upper lobe anterior segment subpleural area . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar pathological dimensions were detected . calcific atheroma plaques are observed in the aortic arch descending aorta coronary arteries and at the level of the aortic root . in the mediastinum the aortic arch calibration is 31 mm slightly above normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . cto is within normal limits . calcific atheroma plaques are observed in the aortic arch descending aorta coronary arteries and at the level of the aortic root . other major vascular structures are normal . osseous structures vertebral corpus heights are preserved . degenerative changes are observed in the bone structure entering the examination area . abdomen calcific atheroma plaques are observed in the aortic arch descending aorta coronary arteries and at the level of the aortic root . in the upper abdominal organs included in the sections a decrease in density consistent with steatosis in the liver is observed . between the left kidney and the left adrenal a well-defined hypodense lesion with a density of approximately 20 hu is observed with a size of 33 mm whose origin cannot be clearly evaluated . in the mediastinum the aortic arch calibration is 31 mm slightly above normal . there is coarse calcification in the wall . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma when examined in the lung parenchyma window in both lung parenchyma multilobar indistinct ground-glass density increases are observed and viral pneumonias covid-19 pneumonia is considered in the ethology of the findings . no mass lesions were detected in both lungs . no pericardial pleural effusion or increased thickness was detected . airways trachea both main bronchi are open and no occlusive pathology is detected . mediastinum in the mediastinum in both axillary regions and in the bilateral supraclavicular fossa no lymph nodes are observed in pathological size and appearance . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are natural . mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of iv contrast . osseous structures no lytic or destructive lesions were observed in the bone structures within the image . abdomen in the upper abdominal sections within the image no pathology was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma when examined in the lung parenchyma window there is a 10 mm nodule in the posterior of the right lung upper lobe and slight ground glass densities around it . ground-glass density is observed in the apex of the lower lobe of the lung on the left . there is a pleural effusion with a diameter of 7 mm in its widest part in the form of smearing in the bilateral hemithorax . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . the mediastinum could not be evaluated optimally in the non-contrast examination . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma sequelae changes are also observed in the upper lobe anterior segment caudal and in the middle lobe . slight thickening of the bronchovascular sheath is observed at the level of the upper lobe apicoposterior segment of the left lung . a nodule with a diameter of approximately . in the lingular segment of the left lung several adjacent nodules with a diameter of 4 mm are observed and there are sequelae changes at this level . there are bilateral sequelae pleuroparenchymal density increases at the apical level . no pathological size and configuration of lymph nodes were detected at both hilar levels . airways when examined in the lung parenchyma window calibration of trachea and main bronchi is normal . mediastinum lymph nodes that do not reach pathological dimensions are observed in the mediastinum . it is wider than normal . the aortic arch calibration is 31 mm . cto is normal . millimetric sized fibrocalcific atheroma plaques are observed in the aortic arch and coronary arteries . hiatal hernia is observed . heart and great vessels millimetric sized fibrocalcific atheroma plaques are observed in the aortic arch and coronary arteries . osseous structures degenerative changes are observed in the bone structure . abdomen it is wider than normal . the aortic arch calibration is 31 mm . accessory spleen is observed in the spleen hilum . cto is normal . an area protected from fat is observed in the vicinity of the gallbladder . in the evaluation of upper abdominal organs including sections there is a decrease in density consistent with hepatosteatosis in the liver . the spleen is natural . millimetric sized fibrocalcific atheroma plaques are observed in the aortic arch and coronary arteries . lung parenchyma there is atelectasis and budding tree appearance in the anterior segment of the left lung upper lobe . the findings are compatible with empyema . there is atelectasis and volume loss in the left lung lingular segment adjacent to it . in both lungs there are more short multiple millimetric nodules less than 3 mm in diameter in the left lung upper lobe apicoposterior segment . in addition a loculated collection in the left lung upper lobe lingular segment inferior subsegment approximately mm in size in the subpleural area accompanied by an increase in pleural thickness and in which millimetric air bubbles are observed is also compatible with empyema . a 15 cm thick effusion is observed in the left hemithorax and there are air bubbles in the effusion accompanied by an increase in pleural thickness . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced ct . lung parenchyma no infiltration was detected in both lung parenchyma . when examined in the lung parenchyma window sequelae changes were observed in the upper and lower lobes of the left lung . there are atelectatic changes in the lower lobe of the right lung . airways no relevant findings . mediastinum the diameter of the main pulmonary artery was 39 mm the diameter of the right pulmonary artery was 30 mm and the left pulmonary artery was 29 mm showing dilatation . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels as far as can be seen the diameter of the ascending aorta was 46 mm and showed fusiform aneurysmatic dilatation . heart size increased . calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . osseous structures slightly left-facing scoliosis was observed in the thoracic vertebrae . degenerative changes were observed in the bone structure . abdomen calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall . calcific atherosclerotic changes were observed in the wall of the abdominal aorta . in the upper abdominal sections in the examination area a hypodense lesion with a diameter of 40 mm was observed in the left kidney midzone posterior cortex cyst . lung parenchyma when examined in the lung parenchyma window millimetric nonspecific nodules are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma these appearances are also frequently observed findings in covid-19 pneumonia . when examined in the lung parenchyma window nodular ground glass and consolidation are observed in the superior posterobasal and laterobasal segments of the left lung lower lobe and also in the subpleural and occasionally central areas . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are emphysematous changes in the upper lobes . bronchiectasis in the bilateral upper lobes and right middle lobe and air cysts in the right middle lobe are observed . airways trachea both main bronchi are open . mediastinum there are millimetric lymph nodes with a short axis not exceeding 1 cm in the mediastinum . millimetric calcific sequela lymph nodes are observed in the mediastinum especially at the paraesophageal and subcarinal levels . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . sliding type hiatal hernia is observed . heart and great vessels pericardial effusion-thickening was not observed . calcific atheroma plaques and an appearance compatible with stent are observed in the coronary arteries . mediastinal main vascular structures heart contour size are normal . osseous structures there are anterior osteophyte formations in the vertebrae . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lungs areas of increase in density consistent with multilobar consolidation mostly located peripherally are observed and viral pneumonias are considered in the etiology of the findings . clinical and laboratory evaluation is recommended for covid-19 pneumonia . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed there are calcified atheroma plaques in the wall of the aortic arch . calibration of mediastinal vascular structures heart contour and size are natural . no lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . there is a sliding type hiatal hernia at the lower end . heart and great vessels mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed there are calcified atheroma plaques in the wall of the aortic arch . calibration of mediastinal vascular structures heart contour and size are natural . heart contour and size are natural . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen no free fluid-loculated collection was observed . mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of iv contrast and as far as can be observed there are calcified atheroma plaques in the wall of the aortic arch . no solid mass was detected in the upper abdominal organs included in the sections as far as can be observed within the limits of non-contrast ct . lung parenchyma when examined in the lung parenchyma window linear atelectatic changes are observed in the left lung upper lobe inferior lingula and right lung middle lobe medial . minimal cylindrical bronchiectasis is observed at the basal level of the lower lobe of the left lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma again faint ground glass densities are observed at the posterobasal level in both lungs depending vascular density . a ground glass nodule with a diameter of 4 mm is observed in the upper lobe posterior segment adjacent to the vascular structures . when examined in the lung parenchyma window a ground-glass nodule with a diameter of 8 mm is observed at the apical level of the upper lobe of the right lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bone structure entering the examination area . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . no mass or nodular space-occupying lesion was observed in the lung parenchyma . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no feature was observed in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window diffuse mosaic attenuation patterns are observed in both lungs . small airway disease small vessel disease evaluated in its favour . a millimetric nonspecific nodule is observed in the anterior segment of the lower lobe of the right lung in series 2 image . upper abdominal organs included in the sections are normal . airways trachea both main bronchi are open . mediastinum in the mediastinum there are small lymph nodes with a short axis measuring up to 5 mm in the aorticopulmonary window . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass lesion with distinguishable border was detected in both lungs . patchy faintly circumscribed ground glass densities were observed in the basal segments of the lower lobe of the right lung . appearance is nonspecific . when examined in the lung parenchyma window mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . nonspecific pulmonary nodules with a diameter of 5 mm were observed in both lungs the largest of which was in the laterobasal segment of the lower lobe of the left lung . it may be compatible with sequelae or viral pneumonias . minimal peribronchial thickening was observed in both lungs . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen the mediastinal main vascular structures heart contour and size are normal . mediastinal main vascular structures heart contour size are normal . osseous structures spur formations bridging each other were observed in the right anterolateral corners of the vertebrae at the mid-thoracic level . abdomen millimetric calculus was observed in the gallbladder lumen as far as can be observed within the sections . bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . apart from this the upper abdominal organs are normal . lung parenchyma when examined in the lung parenchyma window a few millimetric nonspecific nodular densities are observed in the left lung . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma volume reduction reticular density increases suggestive of fibrosis and traction bronchiectasis were observed in the upper lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . in the evaluation of both lung parenchyma patchy peripheral-subpleural crazy paving appearances and consolidations were observed in both lungs . airways viral pneumonia there are cylindrical bronchiectasis and vascular enlargement in the affected areas . trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures there are degenerative changes in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . calcific atheroma plaques were observed in the main vascular structures . an exophytic cortical cyst of 41 cm in diameter was observed in the upper pole of the right kidney . hypertrophy was observed in other lobes . lung parenchyma there are nodules in both lungs many of which are calcific . there are emphysematous changes in both lungs . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways there is no obstructive pathology in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels it is understood that the patient underwent mitral and aortic valve replacement . pacemaker electrodes terminate in the right atrium and ventricle . as far as can be observed the heart is larger than normal . especially the left atrium is observed to be larger than normal . osseous structures no fracture or lytic-destructive lesion was detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window pleuroparenchymal density increases bronchiectasis and sequela fibrotic changes are observed in the upper lobe apex of both lungs more prominent on the right . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . the gastric fundus appears as hernia from the hiatus to the mediastinum . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are degenerative changes in the vertebrae . bone structures in the study area are natural . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . the gastric fundus appears as hernia from the hiatus to the mediastinum . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are millimetric nonspecific nodules in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . no pathologically enlarged lymph nodes were observed . lung parenchyma in terms of differential diagnosis of a mass lesion accompanied by infectious findings clinical and laboratory correlation close follow-up further examination in case of doubt and are recommended after infection . there is a finding that is observed at the of cavitation extending from the perihilar area to the paravertebral area in the posterior of the lower lobe of the right lung with a size of up to 33 mm accompanied by patchy ground glass densities . when examined in the lung parenchyma window diffuse centrilobular emphysematous changes are observed in both lungs mostly in the upper lobes . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . there are several small lymph nodes in the . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are imaging features that are frequently reported in covid-19 pneumonia . other viral pneumonias can be considered in the differential diagnosis . bilateral pleural thickening-effusion was not detected . when both lung parenchyma windows are evaluated focal nodular ground glass density increases were observed in the peripheral subpleural area in the upper and lower lobes of both lungs . airways trachea lumen of both main bronchi are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected . heart and great vessels pericardial effusion - no thickening was detected . as far as can be observed mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes were observed in the bone structure . no lytic-destructive lesion was detected . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . in the upper abdominal organs included in the sections the liver parenchyma density was slightly decreased in line with the adiposity . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass nodule or infiltration was detected in both lungs . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lymph node was detected in the mediastinum . calcific atheroma plaques in the main vascular structures esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures no obvious pathology was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . millimetric cyst was observed in the liver . there is an appearance of bile sludge in the gallbladder . lung parenchyma when examined in the lung parenchyma window parenchymal sequelae band appearance is observed in the inferior lingular segment on the left . there was no finding compatible with pneumonia . no pleural effusion or pneumothorax was observed . airways no relevant findings . mediastinum thymic tissue is observed in the anterior mediastinum with a conical configuration that does not cause mass effect . there was no lymph node that reached pathological size and configuration in the mediastinum and hilar level . calibration of mediastinal major vascular structures is natural . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels cto is normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen hiatal hernia is observed in the upper abdominal organs included in the sections . lung parenchyma no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window central tubular bronchiectasis is observed in both lungs and there are emphysematous changes in both lungs . nodular pleuroparenchymal thickenings were observed in the bilateral apex . bilateral pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum lymph nodes with short axes measuring less than 1 cm were observed in the mediastinum . no lymph node was detected in pathological size and appearance . mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesion in favor of metastasis was observed in the bone structures included in the study area . abdomen millimetric calculus was observed in the middle pole of the left kidney . as far as can be seen in non-contrast sections liver gall bladder spleen pancreas right adrenal gland are normal . thickening of the left adrenal gland corpus was observed . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen a change in favor of steatosis is observed in the liver parenchyma entering the section area hepatosteatosis . bilateral adrenal glands were normal and no space-occupying lesion was detected . other upper abdominal organs included in the sections are normal . thoracic aorta diameter is normal . lung parenchyma however the presence of an infective pathology cannot be completely excluded . consolidation is accompanied by an air bronchogram . apart from this peripheral and centrally located nodule-nodular consolidations and ground glass areas are observed in both lungs . a round-shaped consolidation and a ground glass area are observed in the medial part of the right lung lower lobe superior segment . the presence of round-shaped consolidation especially described in the right lung lower lobe superior segment primarily lymphoma involvement in the differential diagnosis . no mass was detected in both lungs . the largest in this view measured approximately 13 mm in diameter . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . atheroma plaque is observed in the aortic arch . there are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . sclerotic bone lesions are observed in the sternum . abdomen atheroma plaque is observed in the aortic arch . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . lung parenchyma when examined in the lung parenchyma window subsegmental atelectasis areas were observed in the lower lobes of both lungs . peribronchial thickenings and tubular bronchiectasis were observed in the basal segments of both lungs . millimetric parenchymal nodules were observed in both lungs . consolidation area is observed in the posterobasal segment of the left lung lower lobe . however the consolidation area observed in the lower lobe of the left lung has just emerged in the current examination and clinical and laboratory correlation is recommended . pericardial pleural thickening-effusion was not detected . airways the described bronchiectatic changes were also observed in the previous examination and no significant changes were detected . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary aorta . millimetric lymph nodes were observed in the mediastinal upper-lower paratracheal aorticopulmonary and subcarinal areas . no lymph node was detected in pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . heart and great vessels heart size increased . as far as can be seen the diameter of the ascending aorta is 39 mm and shows slight dilatation . osseous structures the examination was considered suboptimal because of respiratory artifacts in the bones . no lytic-destructive lesion was detected in bone structures . abdomen it is stable . millimetric calculus was observed in the left kidney . calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . parapelvic cysts are observed on the left . in the upper abdominal sections within the examination area a cystic hypodense lesion with a diameter of 22 mm and 7 mm in diameter was observed in the liver segment 5 localization . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . the outlook includes findings for covid-19 pneumonia . when examined in the lung parenchyma window nodular ground-glass density increases were observed in the diffuse peripheral and peribronchovascular areas in both lungs . other viral pneumonias can be considered in the differential diagnosis . bilateral pleural effusion-thickening was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity . lung parenchyma clinical laboratory correlation monitoring is recommended . the findings were evaluated in favor of covid-19 viral pneumonia . when examined in the lung parenchyma window peripherally located patchy ground glass densities are observed in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . mediastinal main vascular structures heart contour size are normal . there are several lymph nodes in the mediastinum with a short axis measuring up to 8 mm . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . changes in favor of steatosis are observed in the liver parenchyma entering the section area . at the level of liver segment 4 13 mm hypodense which can hardly be distinguished from the parenchyma and the finding observed in fluid attenuation was initially evaluated in favor of a cyst . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no occlusive pathology was observed in the lumen . trachea and both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no active infiltration or mass lesion was detected . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . no pathological increase in wall thickness was observed in the esophagus . heart and great vessels the heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast and they have a natural appearance . osseous structures no lytic or destructive lesions were detected in bone structures . abdomen no pathology was detected in the sections passing through the upper part of the abdomen . lung parenchyma no mass-nodule and infiltration were detected in both lung parenchyma . when both lung parenchyma windows are evaluated there are bilateral peribronchial thickenings and mild bronchiectatic changes that become prominent in the center . airways as far as can be observed trachea both main bronchial lumens are open . no obstructive pathology was detected in the lumen of the trachea and both main bronchi . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . no significant pathological wall thickness increase was detected in the thoracic esophagus wall thickness in the non-contrast examination limits . heart and great vessels pericardial effusion - no thickening was detected . mediastinal main vascular structures heart contour size are normal . osseous structures no lytic-destructive lesions were detected in bone structures . no lymph node was detected in the bilateral supraclavicular region in pathological size and appearance . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma millimetric calcific nodules were observed in both lungs . segmentary bronchiectasis were observed in both lungs . correlation is recommended . findings may be compatible with pneumonic infiltration . when examined in the lung parenchyma window focal consolidation extending to the major fissure in the lateral segment of the right lung middle lobe and ground glass and accompanying infiltrates were observed around it . clinic and lab . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum lymph nodes with a size of mm some reaching pathological dimensions were observed at the prevascular right upper bilateral lower precarinal subcarinal aortopulmonary and bilateral hilar levels . placed stents were observed in the left superior and inferior pulmonary veins . although the mediastinum cannot be evaluated optimally in the patient who is not given contrast material mediastinal main vascular structures heart contour size are normal . metallic sutures secondary to the operation were observed in the sternum and anterior mediastinum . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . although the mediastinum cannot be evaluated optimally in the patient who is not given contrast material mediastinal main vascular structures heart contour size are normal . osseous structures there is minimal left-facing scoliosis at the level of the thoracic vertebrae . vertebral corpus heights are preserved . metallic sutures secondary to the operation were observed in the sternum and anterior mediastinum . bone structures in the study area are natural . no mass lesions were observed in the vertebrae . abdomen as far as can be seen in non-contrast sections liver gall bladder spleen pancreas are normal . the right adrenal gland locus is normal and no space-occupying lesion was detected . at the level of the lateral crus of the left adrenal gland a hypodense mass lesion compatible with an adenoma was observed measuring 13x11 mm in size with a density of 6 hu . nodular hypodense areas with a diameter of 2 cm were observed in both kidneys the largest on the right cyst . lung parenchyma density increases which are evaluated in favor of pleuroparenchymal sequela changes are observed in both lung apexes . there are several millimetric nonspecific nodules in both lungs . no mass or infiltrative lesion was detected in both lungs . there are minimal emphysematous changes in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . there is no pathological wall thickness increase in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma no mass or infiltrative lesion was detected in both lungs . there are minimal pleuroparachymal sequelae changes in both lung apexes . diffuse emphysematous changes are observed in both lungs . millimetric nonspecific nodules some of which are calcific are observed in both lungs . there is minimal bronchiectasis in the central parts of both lungs . there are sometimes linear atelectasis in both lungs . in addition minimal pleuroparenchymal sequelae changes are observed in the medial part of the anterior segment of the left lung upper lobe . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum the widths of the mediastinal main vascular structures are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . there are no enlarged lymph nodes in pathological dimensions . no pathologically enlarged lymph nodes were observed . there are millimetric lymph nodes in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . calcific atheroma plaques are observed in the aorta and coronary arteries . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . no appearance that can be evaluated in favor of metastasis was observed . abdomen in the previous examination of the patient hypodense lesions are observed . there is dilatation of the intra and extrahepatic bile ducts . therefore no evaluation can be made . calcific atheroma plaques are observed in the aorta and coronary arteries . however pathologies cannot be completely excluded with this examination . the lower end of the common bile duct was not included in the sections in this examination . no obstructive pathology was observed in the bile ducts . no upper abdominal free fluid-collection was detected within the sections . when the patient was evaluated together with the previous examination it was understood that they were simple cysts with the described appearance . the gallbladder was not observed operated . hypodense lesions are observed in both kidneys . lung parenchyma clinical and laboratory evaluation is recommended . no pleural or pericardial effusion or thickening was detected . multilobar peripheral subpleural areas of density increase consistent with consolidation are observed in both lungs and findings are frequently encountered in covid-19 pneumonia . airways trachea and both main bronchi are open and no obstructive pathology is detected . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . no pathological increase in wall thickness was observed in the thoracic esophagus . heart and great vessels calibration of bilateral main vascular structures heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdominal sections within the image no solid mass was detected as far as can be observed within the borders of non-contrast ct . lung parenchyma millimetric nonspecific nodules were observed in both lungs . when examined in the lung parenchyma window bronchovascular structures are evident . interlobular septal thickenings and reticular densities predomitly peripheral subpleural are observed in both lung parenchyma . airways the bronchial walls are thickened . trachea both main bronchi are open . mediastinum the main pulmonary artery is 32 mm and is ectatic . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels in the ascending aorta it is 51 mm at its widest point and wider than normal . calcific plaques are present in the coronary arteries . the heart is larger than normal . pericardial effusion-thickening was not observed . osseous structures sternum and surgical changes are observed . thoracic vertebrae have a degenerative appearance . abdomen on the right the diaphragm anteriorly and the abdominal structures herniate towards the hemithorax . an 8 mm stone in the calyx was observed in the middle part of the left kidney . a stone of 12 mm in size was observed in the gallbladder . at this level the hepatic flexure of the colon is located anterior to the liver and there is pressure on the liver . lung parenchyma when examined in the lung parenchyma window thickening of the bronchial wall peribronchial consolidation and reticulonodular densities are observed in the lower lobes of both lungs more prominent on the right . no significant difference or newly developed pathology was detected in parenchymal findings . apart from this no significant difference was found between the examinations . airways in the current examination there are densities in the trachea and bronchi . mediastinum no relevant findings . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma typical findings for covid 19 pneumonia were followed . in the evaluation of both lung parenchyma focal ground-glass densities-consolidations observed in the peribronchial area are observed widely in both lungs mostly peripherally located . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum right upper-bilateral lower paratracheal aortopulmonary millimetric lymph node is observed . no pathological lap was detected in the mediastinum . calcific plaques are observed in the aortic arch and coronary artery walls . heart and great vessels the left ventricle is enlarged . the cardiothoracic index increased in favor of the heart . calcific plaques are observed in the aortic arch and coronary artery walls . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . a hypodense solid lesion approximately cm in size partially entering the examination area in the middle part of the left kidney suggesting renal tumor is recommended to be evaluated with contrast-enhanced mri examination . calcific plaques are observed in the aortic arch and coronary artery walls . lung parenchyma evaluation with clinical and laboratory findings is recommended . ventilation of both lungs is natural . viral pneumonias are considered in the ethology of the findings . when examined in the lung parenchyma window no mass or nodular lesion is observed in both lungs . no pericardial pleural effusion or thickening was detected . in the right lung upper lobe posterior lower lobe superior posterobasal segments and left lung lower lobe superior posterobasal and upper lobe inferior lingular segment peripheral and subpleural areas of unclear suspicious ground glass density are observed in the anterior segment . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum there are no lymph nodes in pathological size and appearance in both axillary regions . in the mediastinum lymph nodes with a fatty hilus in fusiform configuration the largest of which is measured at the prevascular level with a short diameter of 11 mm are observed . mediastinal vascular structures and cardiac examination are not optimally evaluated due to the lack of iv contrast and the calibration of the vascular structures the contour and size of the heart are natural . no pathological increase in wall thickness was detected in the thoracic esophagus . heart and great vessels mediastinal vascular structures and cardiac examination are not optimally evaluated due to the lack of iv contrast and the calibration of the vascular structures the contour and size of the heart are natural . osseous structures simple cyst no lytic or destructive lesion is observed in the bone structures within the image and vertebral corpus heights are preserved . abdomen due to the lack of contrast of the examination it cannot be characterized clearly . in the upper abdominal sections within the image free fluid loculated collection was not detected as far as can be observed within the borders of non-contrast ct . in the lower pole of the right kidney a lesion of hypodense fluid density with a diameter of 50 mm and located cortical is observed . lung parenchyma millimetric spicular density whose size cannot be measured is observed in the anterior upper lobe of the left lung . in the right lung spiculated contoured masses with a long axis of approximately 39 mm sitting on the major fissure in the upper lobe posterior of the right lung and a long axis of approximately 48 mm in the lower lobe superiorly in the left lung are observed . when examined in the lung parenchyma window there is diffuse emphysematous appearance in both lungs . there is a 10 mm spiculated lesion in the anterior upper lobe on the right nodular lesion . a millimetric nodule was observed in the upper lobe of the right lung . near the mass in the left lower lobe fibrotic and atelectatic densities extending to the pleura are observed . airways trachea both main bronchi are open . mediastinum in addition multiple small lymph nodes are observed in the mediastinum . there are lymph nodes with a short axis reaching 17 mm in the left hilar region within the mediastinum . calcific plaques are observed in the aorta and coronary arteries . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures anterior osteophytes are seen in the thoracic vertebrae . abdomen series 2 section in the upper abdominal sections a mass reaching 75 mm is observed in the left adrenal gland . calcific plaques are observed in the aorta and coronary arteries . lung parenchyma aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma . clinical laboratory and usg are recommended for parenchymal disease . when examined in the lung parenchyma window there are a few millimetric nodules that do not show significant dimensional and numerical changes in both lungs . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are hypertrophic and osteophytic taperings in the vertebral corpus end plates . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma slightly reduced bronchiectasis in the lower lobe laterobasal segment and a budding tree appearance are observed around it . in addition the consolidation area observed on the basis of cystic bronchiectasis in the right lung lower lobe laterobasal segment was 4x3 cm in the current examination and was approximately cm in the previous examination and slightly regressed . in the current examination an increase is observed in diffuse air areas in both lungs which were also observed in previous examinations . bronchiectasis and peribronchial wall observed in the lower lobe mediobasal segment are stable . stable bronchiectasis are present in the middle lobe of the right lung . pleural effusion-thickening was not detected in both hemithorax . airways depandant secretion is observed in the trachea . trachea and main bronchi are open . mediastinum no pathological lap was detected in the mediastinum . the heart and mediastinal vascular structures have a natural appearance . heart and great vessels the heart and mediastinal vascular structures have a natural appearance . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen no relevant findings . lung parenchyma when examined in the lung parenchyma window ground glass and nodular consolidations are observed in almost all lobes . atelectasis in the form of subpleural bands are observed in the right middle lobe right lower lobe and left lower lobe . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma in the evaluation of both lung parenchyma no suspicious mass or infiltration was detected in both lungs . there are millimetric non-specific nodules in the bilateral lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum calcific atheroma plaques were observed in the main vascular structures . no pathological lymph node was detected in the mediastinum . esophagus is within normal limits . heart and great vessels the heart is in natural appearance . osseous structures there are degenerative changes in bone structures . abdomen no significant pathology was detected in the abdominal sections . calcific atheroma plaques were observed in the main vascular structures . in the sections passing through the upper part of the abdomen the bilateral adrenal glands appear natural . lung parenchyma a few millimetric nonspecific parenchymal nodules were observed in both lungs . diffuse linear atelectasis was observed in both lungs . mosaic attenuation was found to be secondary to small airway stenosis . there is a mosaic attenuation pattern in both lungs . the described finding is nonspecific . it may be compatible with viral infection or sequelae . when examined in the lung parenchyma window a smear-like effusion was observed between the pleural leaves in the right hemithorax . patchy ground-glass consolidations accompanied by interlobular septal thickenings in the peripheral subpleural areas were observed in the right lung middle lobe left lung upper lobe lingular and right lung lower lobe superior segment central part . no pleural effusion was observed on the left . airways thickening and luminal narrowing of the segmental-subsegmental bronchial walls were observed in both lungs . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the thoracic aorta-supraaortic branches . the mediastinum could not be evaluated optimally in the non-contrast examination . calcific atheroma calcific atheroma plaques were observed in the abdominal aorta and its visceral branches . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . as far as can be observed the thoracic aorta calibration is normal . the diameters of the pulmonary trunk and right-left pulmonary arteries were measured as 34 mm 29 mm and mm respectively and were above normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart size increased . it is calcified in the aortic and mitral valves . osseous structures an increase in trabeculation consistent with osteoporosis was observed in the thoracolumbar vertebrae . in the t11 vertebra a compression fracture that creates the appearance of the vertebra was observed . there are also minimal height losses in other thoracic vertebra superior end plates . abdomen as far as can be observed the thoracic aorta calibration is normal . calcified atherosclerotic changes were observed in the thoracic aorta-supraaortic branches . calcific atheroma calcific atheroma plaques were observed in the abdominal aorta and its visceral branches . as far as can be seen in the sections the spleen is full . lung parenchyma in lung parenchyma evaluation aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways no relevant findings . mediastinum calibrations of mediastinal main vascular structures were followed naturally . no lymph node in pathological pathological size and appearance was observed in the mediastinum . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance . no lytic-destructive lesions were detected in bone structures . abdomen no features were detected in the upper abdomen sections . lung parenchyma when examined in the lung parenchyma window nodular ground glass densities with small halo marks are observed in the lower lobe of the right lung and the upper lobe of the left lung . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass was detected in the left lung . the described manifestations were primarily evaluated in favor of infective pathology distal airway disease . the primary mass of the patient could not be followed up due to consolidation . in the described appearances they may be due to metastases or to an infective pathology . there are peribronchial thickenings in the left lung and aerated right lung and centriacinar nodules in the left lung especially in the lower lobe in places . in this examination consolidation with air bronchogram is observed in the central and peripheral parts of the right lung especially in the middle lobe . apart from the described consolidation soft tissue lesions that may be compatible with nodule-nodular consolidations are observed in the upper lobe of the right lung . this distinction was not made in this study . as far as can be observed when the first examination of the patient is examined the primary mass of the patient is observed in the lower lobe of the right lung . no pleural effusion was detected on the left . there is minimal pleural effusion on the right . airways no relevant findings . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . heart and great vessels no relevant findings . osseous structures no relevant findings . abdomen no relevant findings . lung parenchyma no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . there are several nodules in both lungs with a short diameter of less than 3 mm . no mass or infiltrative lesion was detected in both lungs . there are minimal emphysematous changes and tubular bronchiectasis in both lungs . no pleural-pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance . the widths of the mediastinal main vascular structures are normal . sliding type hiatal hernia is observed at the esophagogastric junction . heart and great vessels millimetric calcific atheroma plaques are observed in the anterior descending coronary artery . heart contour and size are normal . osseous structures no lytic-destructive lesions were observed in the bone structures within the sections . abdomen sliding type hiatal hernia is observed at the esophagogastric junction . several hyperdense stones with a diameter of 3 mm are observed in the gallbladder lumen . as far as it can be evaluated within the limits of non-contrast ct there is no discernible mass in the upper abdominal organs . lung parenchyma nonspecific nodules measuring approximately 5 mm in diameter were observed in both lungs the largest of which was in the upper lobe of the right lung . the manifestations described are primarily thought to be sequelae changes . apart from these there are sometimes linear atelectasis in both lungs . diffuse emphysematous changes were observed in both lungs . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . density increases and minimal structural distortion were observed in both lungs especially in the lower lobes and posterior parts . no pericardial or pleural effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . atheroma plaques are observed in the aorta and coronary arteries . there is no pathological increase in wall thickness in the esophagus within the sections . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contour and size are normal . atheroma plaques are observed in the aorta and coronary arteries . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen there is a view of the stent within the bile ducts . there is enlargement and air in the bile ducts . no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . according to the previous examination stable parenchymal nodules were observed two of which were 35 mm in diameter at the fissure level in the left lung lower lobe anterobasal segment . mild emphysematous changes were observed in both lungs . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . as far as can be seen calibration of mediastinal major vascular structures is natural . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures degenerative changes were observed in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . liver parenchyma density was slightly decreased in the upper abdominal sections in the study area in line with the adiposity . lung parenchyma there are sequela fibrotic structures in the right lung middle lobe lateral segment left lung inferior lingular segment and both lung apexes . post-treatment control is recommended . in the mediobasal laterobasal and posterobasal segments of the left lung lower lobe there is an defined ground glass density and consolidation area observed in air bronchograms and it is primarily considered in favor of infectious pathologies . in the examination made in the lung parenchyma window intrapulmonary nodules with a size of 2 mm are observed in the posterior segment of the right lung upper lobe and nodules with a size of mm the largest located in the subpleural region of the left lung lower lobe posterobasal segment . airways there is calcification in the walls of the major airways . trachea both main bronchi are open and no occlusive pathology is detected . there is a hypodense appearance in millimetric dimensions of the mucus plug on the left lateral wall proximal to the trachea . mediastinum diffuse calcified atheroma plaques are observed in the walls of the aortic arch descending aorta abdominal aorta and coronary arteries . the mediastinal main vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination . calibration of mediastinal vascular structures heart contour and size are natural . in mediastinal lymph node stations a fusiform lymph node with a fatty hilus the largest of which is at the subcarinal level with a short diameter of 8 mm is observed . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels the mediastinal main vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination . no pericardial effusion or increased thickness was detected . calibration of mediastinal vascular structures heart contour and size are natural . osseous structures in the bone structures within the image there are increases in reticular density secondary to osteopenia in the thoracic vertebral column in the scoliosis vertebral corpuscles whose opening is facing left and osteophytic degenerative changes that tend to coalesce in the vertebral corpus end plateaus from place to place . abdomen no mass lesions were detected in the upper abdominal organs within the image . diffuse calcified atheroma plaques are observed in the walls of the aortic arch descending aorta abdominal aorta and coronary arteries . lung parenchyma both lungs have a mosaic attenuation pattern small airway disease small vessel disease . there are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment . no mass or appearance compatible with pneumonic infiltration was detected in both lungs . there is no pleural or pericardial effusion . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways the trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . as far as can be seen mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . osseous structures there is also a contusion in the anterior part of the 6th rib . vertebral corpus heights were preserved in bone structures in the study area . fracture lines were observed in the anterior part of the right 1st 4th and 5th ribs and at the level of the 2nd and 3rd rib costochondral junction . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . accessory spleen with a diameter of 75 mm was observed in the anterior neighborhood of the upper pole of the spleen . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma there are occasional atelectasis in both lungs . no mass or infiltrative lesion was detected in both lungs . a mosaic attenuation pattern was observed in both lungs small airway disease small vessel disease . there is minimal pleural effusion on the right . airways there is no obstructive pathology in the trachea and both main bronchi . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . vena cava inferior and superior vena cava diameters have increased . there are atheromatous plaques in the aorta and coronary arteries . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels significant pericardial effusion is observed . as far as can be observed the heart is larger than normal . it is recommended that the patient be evaluated for cardiac . pericardial thickening was not detected . pericardial effusion was measured 65 mm at its thickest point adjacent to the left ventricle . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen there are atheromatous plaques in the aorta and coronary arteries . no upper abdominal free fluid-collection was detected in the sections . lung parenchyma when examined in the lung parenchyma window in both lungs there are ground-glass density increases in the upper lobes of the middle lobe and diffuse peripheral subpleural area in the lower lobes and focal consolidations in the lower lobes . bilateral pleural effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be observed trachea and both main bronchial lumens are open . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . sliding type hiatal hernia was observed . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma a subsegmental atelectatic change was observed in the medial segment of the right lung middle lobe . no mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma . when examined in the lung parenchyma window emphysematous changes were observed in both lungs . airways no occlusive pathology was observed in the trachea and lumen of both main bronchi . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries . as far as can be observed mediastinal main vascular structures heart contour size is normal . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial thickening was not observed . a catheter extending from the right internal jugular vein to the right atrium was observed . effusion reaching a thickness of 5 mm was observed in the pericardial space . as far as can be observed mediastinal main vascular structures heart contour size is normal . osseous structures diffuse density reduction and mild degenerative changes were observed in bone structures . there is an angulation compatible with sequelae in the right 4th rib . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries . upper abdominal organs are normal as far as can be seen in the sections . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma when examined in the lung parenchyma window in both lung lobes especially in the lower lobes posterior weighted subpleural nodular ground glass densities and consolidations are observed . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum the widths of the mediastinal main vascular structures are normal . no enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures no lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . thoracic vertebral corpus heights alignments and densities are normal . intervertebral disc distances are preserved . abdomen in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within its borders without contrast . no upper abdominal free fluid-collection was detected in the sections . no pathologically enlarged lymph nodes were observed . lung parenchyma it was evaluated as suboptimal within the limits of the study . when examined in the lung parenchyma window there is a subpleural 4 mm nonspecific nodule in the middle lobe of the right lung in serial 2 image . dependent mild atelectatic changes are observed in the basal segments of both lung lower lobes . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . other mediastinal main vascular structures heart contour size are normal . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . the ascending aorta measures 49 mm and is observed wider than normal . other mediastinal main vascular structures heart contour size are normal . osseous structures there is diffuse density reduction in bone structures and hemangiomatous changes are present in the vertebral bodies . thoracic kyphosis has increased . no height loss was found in the vertebral corpuscles . abdomen a few millimetric hyperdense findings are observed in the right lobe of the liver calcifications . lung parenchyma several nonspecific pulmonary nodules with a diameter of 35 mm were observed in both lungs the largest of which was in the lower lobe of the right lung . when examined in the lung parenchyma window there are pleuroparenchymal fibrotic sequelae bands in both lung apex . linear atelectasis is observed in the right lung lower lobe superior . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . there are calcific plaque formations in the aortic arch . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . there are calcific plaque formations in the aortic arch . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma no active infiltration or mass lesion was detected in both lungs . when examined in the lung parenchyma window sequela parenchymal changes were observed in the upper lobe of the right lung . pericardial pleural effusion was not detected . airways no obstructive pathology was detected . trachea left main bronchus is open . mediastinum in the proximal right main bronchus there is an appearance of soft tissue density which is evaluated primarily in favor of the lymph node the main bronchus whose borders cannot be clearly distinguished from the mediastinal vascular structures due to the lack of iv contrast in the examination . its size and appearance are stable in the comparative evaluation with the previous pet-ct examination . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . calcified atheroma plaques of thoracic aorta and coronary vascular structures are observed . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels calibration of vascular structures heart contour and size are natural . mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of iv contrast . osseous structures in the right and infraclavicular region round-shaped lymphadenopathies with a short diameter of 10 mm were observed . no lytic or destructive lesion was observed in the bone structures within the image . stable sclerotic foci were observed in the left posterior arch of the t12 vertebra and in the right anterolateral corner of the right anterolateral vertebral body . abdomen calcified atheroma plaques of thoracic aorta and coronary vascular structures are observed . the left adrenal gland in the image was considered normal . in the upper abdominal sections within the image there are metastatic masses in both lobes of the liver the borders of which cannot be clearly distinguished from each other and almost all of the parenchyma . no intraabdominal free fluid or loculated collection was detected . lung parenchyma apart from this no mass was detected in both lungs . the described manifestations were primarily evaluated in favor of infective pathology . a maligt mass is observed in the central part of the upper lobe of the left lung . there are also centriacinar nodules in the left lung more prominent in the lower lobe . the described appearance was also present in the previous examination of the patient and no difference was detected . there are emphysematous changes in both lungs . minimal bronchiectasis and minimal peribronchial thickening were observed in both lungs more prominently on the left . there is minimal uniform interlobular septal thickening in the upper lobe of the left lung . no pleural or pericardial effusion was detected . airways no relevant findings . mediastinum apart from this no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . the longest diameter of the mass was 73 mm at its widest point . there is lymphadenopathy measuring 20 mm in short diameter in the paratracheal region . atheroma plaques are observed in the aorta and coronary arteries . no pathological wall thickness increase was detected in the esophagus within the sections . heart and great vessels atheroma plaques are observed in the aorta and coronary arteries . heart contour and size are normal . osseous structures no fractures or lytic-destructive lesions were detected in the bone structures within the sections . abdomen no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections . atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma there are minimal emphysematous changes in both lungs . atelectasis is observed in the middle lobe of the right lung . no mass or infiltrative lesion was detected in both lungs . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . there are atheromatous plaques in the aorta and coronary arteries . mediastinal structures cannot be evaluated optimally because contrast material is not given . there is a sliding type hiatal hernia at the lower end of the esophagus . heart and great vessels as far as can be observed heart contours are normal . the left atrium is larger than normal . osseous structures thoracic vertebral corpus heights alignments and densities are normal . osteophytes are observed in the vertebral corpus corners . abdomen no upper abdominal free fluid-collection was observed in the sections . no pathologically enlarged lymph nodes were observed . it is recommended that the patient be evaluated for liver parenchymal disease . there is slight lobulation in the liver contours . there are atheromatous plaques in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window segmentary tubular bronchiectasis was observed in both lungs . passive atelectatic changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung . in terms of infection clinical and lab . apart from this no mass lesion with distinguishable borders was observed in both lungs . pleural effusion-thickening was not detected . nonspecific subpleural nodules were observed in both lungs the largest of which was 53 mm in diameter adjacent to the major fissure in the superior segment of the right lung lower lobe . airways trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen . mediastinum in both axillae benign lymph nodes with prominent fatty hiluses and thin cortex which are thought to be reactive were observed . although the mediastinum cannot be evaluated optimally in non-contrast examination mediastinal main vascular structures heart contour and size are normal . no pathologically enlarged lymph nodes were detected in mediastinal lymph node stations . thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected . sliding type hiatal hernia was observed in the distal esophagus . heart and great vessels pericardial effusion-thickening was not observed . although the mediastinum cannot be evaluated optimally in non-contrast examination mediastinal main vascular structures heart contour and size are normal . osseous structures vertebral corpus heights are preserved . osteophytes that tend to with each other at the mid-thoracic level are observed and are consistent with idiopathic diffuse bone hyperostosis . bone structures in the study area are natural . correlation is recommended . abdomen lab in terms of chronic liver disease . contours of the left lobe of the liver are slightly irregular as can be seen in non-contrast scans . linear density increases which may be compatible with edema-inflammation are observed in bilateral fatty planes . gallbladder both adrenal glands and spleen are normal . lung parenchyma consolidation in the posterobasal segment and mediobasal segment in the lower lobe of the right lung and a ground glass area around it are observed . the outlook was primarily evaluated in favor of a bacterial pneumonia . the described appearance is not typical for covid-19 pneumonia . no mass lesion was detected in both lungs . however it may cause similar appearance in other pathogens . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no enlarged lymph nodes in pathological dimensions were detected . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures intervertebral disc distances are preserved . thoracic vertebral corpus heights alignments and densities are normal . no fractures or lytic-destructive lesions were detected in the bone structures within the sections . the neural foramina are open . abdomen no upper abdominal free fluid-collection was detected in the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma bilateral mild peribronchial thickening was observed . ventilation of both lungs is normal . in the evaluation made in the lung parenchyma window no active infiltration mass or nodular lesion was detected in both lung parenchyma . no pericardial-pleural effusion or increased thickness was detected . airways trachea and both main bronchi were open and no obstructive pathology was detected . mediastinum in the mediastinum no lymph nodes are observed in pathological size and appearance in both axillary regions . no pathological increase in wall thickness is observed in the thoracic esophagus . heart and great vessels calibration of vascular structures heart contour and size are normal as far as can be observed . mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without iv contrast . osseous structures no lytic or destructive lesions were detected in the bone structures within the image . abdomen no pathology is observed in the upper abdominal sections within the image . lung parenchyma a mosaic attenuation pattern is observed in the lower lobes of both lungs small airway disease small vessel disease . sequelae atelectatic changes are observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment inferior subsegment . no mass was detected in both lungs . two nonspecific nodules with a diameter of 6 mm in the lateral segment of the right lung middle lobe and 5 mm in diameter in the posterobasal segment of the lower lobe of the right lung are observed . the consolidation area in the superior segment of the left lung lower lobe which was observed in the previous examination of the patient underwent total resolution in this examination . no pleural or pericardial effusion or thickening was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . mediastinum no enlarged lymph nodes in pathological size and appearance were observed in the mediastinum and hilar regions . the diameter of the pulmonary trunk is 36 mm and wider than normal . the ascending aorta is 51 mm and the aortic arch is 32 mm and it is wider than normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . there is a sliding type hiatal hernia at the esophagogastric junction . heart and great vessels as far as can be observed heart contour and size are normal . in the anterior descending coronary artery there is a dense appearance compatible with stent - calcific atheroma plaques . the ascending aorta is 51 mm and the aortic arch is 32 mm and it is wider than normal . osseous structures trabecular appearance compatible with vertebral hemangioma is observed in t6 t9 t1 vertebrae . abdomen no upper abdominal free fluid-collection was observed in the sections . in the upper abdominal organs within the sections no mass with discernible borders was detected within the limits of non-enhanced ct . there is a sliding type hiatal hernia at the esophagogastric junction . the ascending aorta is 51 mm and the aortic arch is 32 mm and it is wider than normal . lung parenchyma when examined in the lung parenchyma window ventilation of both lungs is normal . linear densities and minimal sequela calcific nodules are observed in favor of sequela changes at the level of the left lung hilus . no active infiltration consolidation or space-occupying lesion was observed in both lungs . a few sequelae calcific pulmonary nodules are observed in the perihilar area . no pleural or pericardial effusion-thickening was observed . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no lymphadenopathy was observed in both axillae and mediastinal areas in pathological size and appearance . calcific atheroma plaques are observed in the aorta and coronary arteries . other mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels other mediastinal main vascular structures heart contour size are normal . osseous structures degenerative changes are observed in the bones . abdomen the upper abdominal organs included in the examination have a natural appearance . thoracic aorta diameter is normal . calcific atheroma plaques are observed in the aorta and coronary arteries . lung parenchyma when examined in the lung parenchyma window ground glass density increases with diffuse septal thickening in both lungs especially in the left lung and crazy paving appearances were observed . it was evaluated in with the frequently reported imaging features of covid-19 pneumonia . millimetric sized nonspecific parenchymal nodules were observed in both lungs . other viral pneumonias can be considered in the differential diagnosis . bilateral pleural thickening-effusion was not detected . airways no occlusive pathology was detected in the trachea and lumen of both main bronchi . as far as can be seen trachea and lumen of both main bronchi are open . mediastinum calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . lymph nodes measuring 15 mm in the short axis of the largest were observed in the mediastinal upper-lower paratracheal aorticopulmonary and subcarinal areas . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma the patient with a primary fissure localization in the middle lobe of the right lung has a 6 mm diameter nodule suspicious for metastasis and more prominent linear pleuroparenchymal density increases are observed in the lower lobes of both lung parenchyma . nodules smaller than 5 mm are observed in the anterior segment of the upper lobe of the right lung and the apicoposterior segment of the upper lobe of the left lung . pleuroparenchymal nodular density with calcification is observed in the right lung apex . apart from this mosaic attenuation is observed in both lung parenchyma small airway disease small vessel disease . in the evaluation of both lung parenchyma linear pleuroparenchymal sequelae density is observed in the left lung apex . in the apex of the left lung a nodular lesion of approximately mm in size with irregular contours and a central more hypodense appearance is observed . in addition there is a subpleural nodule of approximately 45 mm in diameter at the apex of the right lung . pleural effusion-thickening was not detected in both hemithorax . airways trachea and main bronchi are open . mediastinum calcific plaques are observed in the aortic arch descending aorta abdominal aorta and coronary arteries . right upper-bilateral lower paratracheal aortopulmonary narrow lymph nodes less than 1 cm in diameter are observed . the ap diameter of the ascending aorta is 41 cm and wider than normal . right upper paratracheal right peribronchial few calcified lymph nodes are observed . no pathological lap was detected in the mediastinum . heart and great vessels the cardiothoracic index was slightly increased in favor of the heart . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen the ap diameter of the ascending aorta is 41 cm and wider than normal . calcific plaques are observed in the aortic arch descending aorta abdominal aorta and coronary arteries . lung parenchyma a cavitary appearance with an anterior-posterior diameter of approximately 45 mm is observed at the level of the left lung upper lobe lingular segment . minimal peribronchial thickening is also observed in the right lung . when evaluated together with the patients previous examinations it was understood that the described appearances were metastatic masses . the larger masses are observed in the medial vicinity of the lower lobe of the right lung and the apicoposterior segment of the upper lobe of the left lung and they measure 70 mm and 42 mm respectively in their widest parts series 2 section and series 2 section . when evaluated together with the patients other lung it was thought that the described appearance might belong to bulla formation . there are emphysematous changes in the right lung more prominent in the lower lobe and air cysts and bulla-bleb formations are observed in the lower lobe of the right lung . the described appearance is also present in the previous examination of the patient . consolidation with air bronchogram in the left lung especially in the central parts and significant volume loss in this localization are observed . the findings were evaluated in favor of stable disease . there are hyperdense appearances evaluated in favor of surgical suture material in the medial of the lower lobe of the right lung . in addition to these circumscribed well-contoured oval-shaped solid masses are observed in the medial side of the lower lobe of the right lung adjacent to the upper lobe of the left lung and at the level of the lower lobe of the left lung in the left hemithorax . in addition surgical suture materials are also observed in the left lung . no infiltrative lesion was detected in both lungs . less likely the described appearance was thought to be compatible with postoperative air . minimal pleural effusion is observed in both hemithorax . in addition linear density increases volume loss and structural distortion especially peripheral subpleural are observed in the middle lobe and lower lobe of the right lung and they are evaluated in favor of pleuroparenchymal sequelae changes . pleural thickening is observed more prominently at the level of the posterobasal segment of the lower lobe of the right lung and there is a lesion with solid-cystic components in the pleural space in this localization . in addition there is no significant difference in pleural thickening observed in both hemithorax . in addition pleural thickening is observed in both hemithorax especially at the lower lobes . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are normal . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . the widths of the mediastinal main vascular structures are normal . mediastinal structures cannot be evaluated optimally because contrast material is not given . no pathological wall thickness increase was observed in the esophagus within the sections . heart and great vessels as lung parenchyma apart from this no mass lesion-active infiltration with distinguishable borders was detected in both lungs . when examined in the lung parenchyma window passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment . dependent nonspecific ground glass densities are observed in both lungs . both lungs are emphysematous . airways no occlusive pathology was detected in the lumen . trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . the mediastinum could not be evaluated optimally in the non-contrast examination . calcified atheroma plaques are observed in the aortic arch supraaortic branches and coronary arteries . as far as can be seen mediastinal main vascular structures heart contour size are normal . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . as far as can be seen mediastinal main vascular structures heart contour size are normal . calcified atheroma plaques are observed in the aortic arch supraaortic branches and coronary arteries . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen accessory spleen with a diameter of 11 mm was observed in the upper abdominal organs included in the sections adjacent to the lower pole anterior to the spleen . calcified atheroma plaques are observed in the aortic arch supraaortic branches and coronary arteries . lung parenchyma sequela parenchymal changes and emphysematous changes are observed in both lungs . when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . no pericardial pleural effusion or thickness increase was observed . airways trachea both main bronchi are open and no obstructive pathology is observed . mediastinum no lymph nodes were detected in the mediastinum in both axillary regions and in the supraclavicular fossa in pathological size and appearance . there are calcified atheroma plaques on the walls of the thoracic aorta and coronary vascular structures . no pathological increase in wall thickness was detected in the thoracic esophagus . there is a slight sliding type hiatal hernia at the lower end . heart and great vessels mediastinal main vascular structures have not been evaluated optimally due to the lack of contrast in the heart examination and as far as can be observed the anterior-posterior diameter of the ascending aorta was 42 mm and increased . an increase in heart size is observed . osseous structures no lytic or destructive lesions were observed in the bone structures in the examination area and the height of the vertebral corpus was preserved . abdomen there are calcified atheroma plaques on the walls of the thoracic aorta and coronary vascular structures . in the upper abdominal sections within the image no solid mass was detected as far as it can be observed within the borders of non-contrast ct . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . a nonspecific parenchymal nodule with a diameter of 2 mm was observed in the laterobasal segment of the lower lobe of the right lung . when examined in the lung parenchyma window mild emphysematous changes were observed in both lungs . no mass nodule-infiltration was detected in both lung parenchyma . no pleural effusion was detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . in the upper abdominal sections that entered the examination area a 4 mm diameter calculus was observed in the upper pole of the left kidney . lung parenchyma no suspicious mass or nodular space-occupying lesion was detected . in lung parenchyma evaluation no area of pneumonic infiltration or consolidation was detected . airways no relevant findings . mediastinum no lymph node was observed in the supraclavicular fossa axilla and mediastinum in pathological size and appearance . calibrations of mediastinal major vascular structures are natural . esophageal calibration was followed naturally . heart and great vessels pericardial effusion was not detected . heart dimensions and compartments appear natural . osseous structures no lytic-destructive lesions were detected in bone structures . abdomen in the upper abdomen sections the right kidney size is asymmetrically smaller than the left and the parenchyma thickness is asymmetrically thin . lung parenchyma no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . when examined in the lung parenchyma window mild bronchiectatic changes were observed bilaterally centrally . no mass nodule-infiltration was detected in both lung parenchyma . bilateral pleural thickening-effusion was not detected . airways trachea and lumen of both main bronchi are open . no occlusive pathology was detected in the trachea and lumen of both main bronchi . mediastinum no dilatation was detected in the thoracic aorta . no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance . mediastinal structures were evaluated as suboptimal since the examination was unenhanced . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels heart contour size is natural . pericardial thickening-effusion was not detected . osseous structures no lytic-destructive lesion was detected in bone structures . abdomen no dilatation was detected in the thoracic aorta . bilateral adrenal gland calibration was normal and no space-occupying lesion was detected . upper abdominal sections entering the examination area are natural . lung parenchyma no pneumonic infiltration or consolidation area was detected in the lung parenchyma . linear atelectasis areas are observed in the right lung lower lobe superior segment . no suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma . no pleural effusion was observed . airways the air passages of the trachea both main bronchi lobar and segmental bronchi are open . mediastinum no lymph node was observed in the mediastinum in pathological size and appearance . the diameters of the main mediastinal vascular structures are of normal width . no space-occupying mass lesion was observed on the esophageal wall . heart and great vessels calcific atherosclerotic plaques are observed in the coronary arteries more prominently in lad . heart dimensions and compartments are of normal width . pericardial effusion was not detected . osseous structures no lytic-destructive space-occupying lesion was detected in bone structures . abdomen in the upper abdominal sections there is moderate fat in the right lobe parenchyma of the liver . lung parenchyma the described findings were evaluated in favor of atypical viral pneumonias . in the upper lobes of both lungs more diffuse irregularly circumscribed nodular consolidation areas with air bronchograms are observed on the right . peribronchial weighted patchy ground-glass consolidations were observed in both lungs . segmentary-subsegmental peribronchial thickening was observed in both lungs . there was no significant difference in the basal level of budding appearance in both lungs . airways no relevant findings . mediastinum the cystic lesion present in the anterior mediastinum is stable . there is a catheter placed from the right internal jugular vein at the superior-right atrium junction of the vena cava . heart and great vessels no relevant findings . osseous structures vertebral end plate changes are stable . abdomen diffuse hepatosteatosis is observed in the liver . it is recommended to be evaluated together with clinical and laboratory . apart from this no significant difference was found between the examinations . lung parenchyma when examined in the lung parenchyma window aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma . pleural effusion-thickening was not detected . airways trachea both main bronchi are open . mediastinum thoracic aorta diameter is normal . no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta diameter is normal . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma a few millimetric nonspecific nodules were observed in both lungs . no mass or infiltrative lesion was detected in both lungs . there is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment . no pleural or pericardial effusion was detected . airways no occlusive pathology was detected in the trachea and both main bronchi . trachea and both main bronchi are open . mediastinum mediastinal structures cannot be evaluated optimally because contrast material is not given . the widths of the mediastinal main vascular structures are normal . there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions . no enlarged lymph nodes in pathological dimensions were detected . no pathological increase in wall thickness was detected in the esophagus within the sections . heart and great vessels as far as can be observed heart contour and size are normal . osseous structures vertebral corpus heights alignments and densities within the sections are normal . the neural foramina are open . intervertebral disc distances are preserved . abdomen there is no upper abdominal within the sections . in the upper abdominal organs within the sections there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced ct . lung parenchyma clinic and lab . there are thickening of the peribronchovascular in both lungs areas of consolidation in the lower lobes centriacinar nodular infiltrates . the findings were evaluated in favor of pneumonic infiltration . it is recommended to be evaluated together with diffuse fibroatelectasis and emphysematous changes were observed in both lungs . when examined in the lung parenchyma window in the bilateral pleural space an effusion measuring 31 mm in the deepest part on the right and 14 mm in the deepest part on the left was observed . airways as far as can be seen no occlusive pathology was observed in the lumen of the trachea and both main bronchi . mediastinum pulmonary trunk diameter was 31 mm wider than normal . thoracic aorta calibration is natural . lymph nodes reaching pathological dimensions were observed at the right upper bilateral lower subcarinal level the largest of which was mm . the mediastinum could not be evaluated optimally in the non-contrast examination . sliding type hiatal hernia was observed at the lower end of the esophagus . thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . heart sizes are slightly increased . osseous structures there is height loss in t5 t6 and t7 vertebra superior end plateaus . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . thoracic aorta calibration is natural . no stones were observed in both kidneys . as far as can be seen in non-contrast sections liver gall bladder spleen pancreas are normal . lung parenchyma when examined in the lung parenchyma window a millimetric nonspecific nodule reaching 2 mm in diameter was observed in the anterior of the left lung upper lobe . airways trachea both main bronchi are open . mediastinum no enlarged lymph nodes in prevascular pre-paratracheal subcarinal or bilateral hilar-axillary pathological dimensions were detected . mediastinal main vascular structures heart contour size are normal . thoracic esophagus calibration was normal and no significant pathological wall thickening was detected . heart and great vessels pericardial effusion-thickening was not observed . mediastinal main vascular structures heart contour size are normal . osseous structures there are millimetric schmorl nodules in the thoracic vertebrae . bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . when the upper abdominal organs included in the sections were evaluated there is an appearance of sleeve in the stomach . no space-occupying lesion was detected in the liver that entered the cross-sectional area . lung parenchyma passive atelectatic changes are observed in the right lung middle lobe medial segment and left lung lower lobe lingular segment . no active infiltrative mass was detected in both lungs . when the lung parenchyma window is examined minimal emphysematous changes were observed in both lungs . nonspecific subpleural nodules were observed in the right lung with a diameter of 47 mm in the lower lobe laterobasal segment and with a diameter of 31 mm in the lower lobe segment in the left lung . airways trachea and both main bronchi are in the midline and no obstructive pathology was detected in the lumen . mediastinum no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions . in the non-contrast examination the mediastinal could not be evaluated optimally . mediastinal main vascular structures heart contour and size are normal . no pathological increase in wall thickness was detected in the esophagus within the sections . sliding type hiatal hernia was observed at the lower end of the esophagus . heart and great vessels mediastinal main vascular structures heart contour and size are normal . pericardial effusion and thickening were not observed . osseous structures bone structures in the study area are natural . vertebral corpus heights are preserved . abdomen bilateral adrenal glands were normal and no space-occupying lesion was detected . as far as can be seen in non-contrast sections calculus is present in the gallbladder lumen . upper abdominal organs included in the sections are normal . no space-occupying lesion was detected in the liver that entered the cross-sectional area .