exam_ID int64 2k 16.7k | raw_report stringlengths 56 10.9k | report_findings_positive stringlengths 9 6.27k | report_findings_negative stringlengths 9 6.27k |
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2,000 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat. Patient weigh... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No acute injury. No pneumothorax or pleural effusion. HEART / VESSELS: No significant abnormality. Coronary atherosclerotic calcifications. CABG with fracture of the inferior most sternal wire. MEDIASTINUM / ESOPHAGUS: Norma... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Left lower lobe solid spiculated pulmonary nodule measures 2.1 x 1.3 cm (series 2, image 40), previously 2.0 x 1.2 cm. Additional solid pulmonary... |
2,001 | RADIOLOGIC EXAM: CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Angio Neck, CT Cervical Spine From Reformat Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. 3-D CT MIP and vo... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | Findings: Lines and Tubes: None. Body Wall and Abdomen: No destructive osseous lesions. Small hiatal hernia. Previous cholecystectomy. Lymph Nodes, Mediastinum and Neck: No axillary adenopathy. No mediastinal adenopathy. Postoperative changes in the anterior mediastinum. Lungs and Pleura: No pleural effusion. Linear op... |
2,002 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat. Patient weigh... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No acute injury. No pneumothorax or pleural effusion. HEART / VESSELS: No significant abnormality. Coronary atherosclerotic calcifications. CABG with fracture of the inferior most sternal wire. MEDIASTINUM / ESOPHAGUS: Norma... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No ab... |
2,003 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat. Patient weigh... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No acute injury. No pneumothorax or pleural effusion. HEART / VESSELS: No significant abnormality. Coronary atherosclerotic calcifications. CABG with fracture of the inferior most sternal wire. MEDIASTINUM / ESOPHAGUS: Norma... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis Renal Transplant VASCULATURE: LOWER ABDOMINAL AORTA: Mild calcified atherosclerotic disease. RIGHT COMMON / INTERNAL ILIAC ARTERIES: Mild calcification of the right common iliac artery. No calcific... |
2,004 | RADIOLOGIC EXAM: CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Angio Neck, CT Cervical Spine From Reformat Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. 3-D CT MIP and vo... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Transgastric stent is again observed in stable position with on... |
2,005 | EXAM: CT Chest with contrast CLINICAL INFORMATION: History of hepatocellular carcinoma undergoing staging. COMPARISON: CT chest 6/29/2021, 3/23/2021 and 4/10/2019 TECHNIQUE: CT Chest with contrast. Patient weight: 205 lbs. IV contrast: Omnipaque 350, 180 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate... | FINDINGS: LOWER NECK: Unchanged subcentimeter right thyroid lobe nodule. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent secretions in the distal trachea. The central airways are otherwise patent. Noncalcified left upper lobe nodule measuring 5 mm (series 15, image 47), previously 4 mm. Left lower lobe peripheral groundglas... | FINDINGS: Intracranially there is no evidence of acute vascular territory ischemia, hemorrhage, mass or mass effect. The ventricles are normal in size and configuration. The cortical sulci and subarachnoid cisterns are symmetric and age-appropriate. There is no extra-axial pathology. The calvarium and skull base show n... |
2,006 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: Status post liver transplant, history of HCC COMPARISON: 9/28/2021 TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 205 lbs. IV contrast: Omnipaque 350, 180 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 3.50 ml per sec. Scan delay: Bolus Trac... | FINDINGS: STRUCTURED REPORT: CT Abdomen LOWER CHEST: Please see separately reported chest CT. ABDOMEN: LIVER: Postsurgical changes related to orthotopic liver transplant. No suspicious mass or lesion identified. Noncirrhotic morphology. No steatotic. Hepatic artery anastomosis is difficult to visualize given surroundin... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus. Pulmonary artery caliber is normal. LUNGS / AIRWAYS / PLEURA: Moderate left-sided pleural effusion has mildly increased in size with persistent at... |
2,007 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Lung nodule follow-up. Status post biopsy of right lower lobe subpleural nodule with pathology consistent with necrotizing granulomatous inflammation and cryptococcal fungal organisms. COMPARISON: CT chest 9/30/2021 and PET/CT 12/6/2020 TECHNIQUE: CT Chest wo contrast. S... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: The central airways are patent with unchanged mild bilateral lower lobe bronchiectasis. Redemonstration of right lower lobe paramediastinal subpleural nodule measuring 1.9 x... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Cirrhotic liver. Otherwise normal without focal lesion BILIARY TRACT: Normal. GALLBLADDER: Prior cholecystectomy. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BOWEL: No abnormali... |
2,008 | CLINICAL HISTORY: nph, G91.2 (Idiopathic) normal pressure hydrocephalus EXAM: CT Head wo contrast TECHNIQUE: 5 mm thick serial axial images were obtained throughout the head without intravenous contrast. Scan field of view: 230 mm. DLP: 889 mGy cm. FINDINGS: There is a right frontal approach ventricular catheter with t... | FINDINGS: There is a right frontal approach ventricular catheter with tip abutting the septum pellucidum. Visualized catheter tubing within the right scalp and neck soft tissues appears intact. The ventricles are stable in size with mild ventriculomegaly. There is no extra-axial collection. There is no acute intracrani... | FINDINGS: Head CT: The calvarium and skull base are intact. Intracranially there is no evidence of cerebral contusion, hemorrhage, edema or mass effect. No evidence of acute cerebral ischemic pathology is noted. The ventricles are proportionate to parenchymal volume loss. There is no extra-axial pathology. Visualized p... |
2,009 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Covid COMPARISON: None. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 226 lbs. IV contrast: Omnipaque 350, 61 ml, per protocol. IV contrast injection rate:... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Patchy and confluent peripheral predominant groundglass opacities throughout both lungs. HEART / OTHER VESSELS: No signif... | FINDINGS: Head CT: The calvarium and skull base are intact. Intracranially there is no evidence of cerebral contusion, hemorrhage, edema or mass effect. No evidence of acute cerebral ischemic pathology is noted. The ventricles are proportionate to parenchymal volume loss. There is no extra-axial pathology. Visualized p... |
2,010 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 63-year-old female with chronic cough. COMPARISON: CT chest dated 3/29/2005 TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 250 mm. DLP: 1748 mGy cm. High-resolution CT imaging of the chest was performed per protocol with inspiratory ... | FINDINGS: LOWER NECK: Subcentimeter lymph nodes. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent with areas of traction bronchiectasis, peripheral reticulations and scattered groundglass opacities. No definite honeycombing is identified. No suspicious nodule. No true expiratory mages are available. HEART / ... | FINDINGS: The contrast bolus is excellent and no pulmonary thromboembolus is identified. The pulmonary arteries are not dilated and there are no findings of right heart strain. The supraclavicular region is unremarkable. Central airways are patent. The thoracic aorta is nonaneurysmal. There is concentric apical predomi... |
2,011 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Shortness of breath, tachycardia. COMPARISON: US lower extremity 1/2/2022. CT abdomen and pelvis 12/27/2021. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: No significant abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus within the limitations of exam. LUNGS / AIRWAYS / PLEURA: No focal con... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis Renal Transplant VASCULATURE: LOWER ABDOMINAL AORTA: Mild calcified atherosclerotic disease. RIGHT COMMON / INTERNAL ILIAC ARTERIES: Mild calcified atherosclerotic disease. RIGHT EXTERNAL ILIAC ART... |
2,012 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Prostate cancer COMPARISON: CT 07/15/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 130 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2.60 ml per sec. Scan delay: 70 sec. Scan field ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Interval simple right upper pole renal cyst. No definite calculus, hydronephros... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Unchanged indeterminate hypoattenuating lesion in the lateral segment left hepatic lobe, which measures 1.0 x 0.7 cm (image 63 series 5), unchanged from prior image 37 series 601. No new liver... |
2,013 | CT Chest with contrast CLINICAL INFORMATION: 72-year-old male with prostate cancer, C61 Malignant neoplasm of prostate TECHNIQUE: Scout images were obtained for localization. Helical CT examination of the chest was then performed after IV injection of nonionic contrast. Axial, sagittal and Coronal reformatted images we... | FINDINGS: Scouts: No additional findings. Lower neck and Mediastinum: Partially visualized stenosis of the right common carotid artery is again noted. Tiny right thyroid lobe nodule measuring up to 6 mm similar to prior (series 2, image 19). No evidence of focal esophageal wall abnormalities. A small sliding hiatal her... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: Right IJ port catheter with tip at the mid SVC. Lung parenchyma and pleura: No consolidation. No suspicious pulmonary nodule. Mild centrilobular emphysema. No pleural effusion. Central airways are patent. Thoracic inlet, heart, and mediastinum: Stable appea... |
2,014 | CT Head wo contrast CLINICAL INFORMATION: pseudotumor, G93.2 Benign intracranial hypertension COMPARISON: CT head 10/18/2016, MRI brain 2/28/2017 TECHNIQUE: CT Head wo contrastScan field of view: 229 mm. DLP: 1122 mGy cm. STRUCTURED REPORT: CT Head FINDINGS: BRAIN PARENCHYMA: Right frontal approach ventriculostomy cath... | FINDINGS: BRAIN PARENCHYMA: Right frontal approach ventriculostomy catheter is unchanged in position with tip again terminating near the left caudate head. Brain parenchyma is normal in appearance. No intracranial hemorrhage, evidence of acute territorial infarct, mass effect, or midline shift. Small linear region of h... | Findings: Lines and Tubes: None. Body Wall and Abdomen: Mild focal expansion of the right lateral seventh rib around image 134 series 9 is similar. No destructive osseous lesions. CT of abdomen and pelvis will be reported separately. Lymph Nodes, Mediastinum and Neck: No axillary adenopathy. Previous right mastectomy. ... |
2,015 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: fall, agonal breathing COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 230 mm. DLP: 1434.30 mGy cm. (accession CT220002411), Scan field of view: 234 mm. DLP: 1071.30 mGy cm. (accession ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Diffuse mucosal thickening of left maxillary sinus and anterior ethmoid air cells. Mild mucosa... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: No suspicious hepatic lesion. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BOWEL: N... |
2,016 | Number RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: Fall, agonal breathing COMPARISON: None. TECHNIQUE: CT Cervical Spine wo contrast Scan field of view: 220 mm. DLP: 1494 mGy cm. STRUCTURED REPORT: CT Cervical Spine Trauma, FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visua... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis LOWER ABDOMEN: Visualized BOWEL: No abnormality. PERITONEUM: No ascites. OTHER: No other abnormality. PELVIS: VESSELS: No significant abnormality. LYMPH NODES: None enlarged. PERIRECTAL / PERIANAL ... |
2,017 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Leiomyosarcoma COMPARISON: CT 10/25/2021, CT 09/23/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 198 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.50 ml per sec. Scan delay: 72 s... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Stable left adrenal nodules.. KIDNEYS: Stable nonobstructing left renal calculus. No hydronephro... | FINDINGS: Scouts: No additional findings. A - Vascular structures: Thoracic aorta: Redemonstration of mild dilation of the ascending aorta and aortic root. No aortic dissection or intramural hematoma. Atherosclerotic calcifications and plaques involving the thoracic aorta, and aortic arch sidebranches with no high-grad... |
2,018 | CT Chest with contrast CLINICAL INFORMATION: 75-year-old male with leiomyosarcoma, C49.0 Malignant neoplasm of connective and soft tissue of head, face and neck TECHNIQUE: Scout images were obtained for localization. Helical CT examination of the chest was then performed after IV injection of nonionic contrast. Axial, ... | FINDINGS: Scouts: Sternotomy wires are intact. Lower neck and Mediastinum: Thyroid gland is unremarkable. Mildly patulous upper esophagus with retained small amount of fluid is similar to prior. Lymph nodes: Multiple prominent and mildly enlarged mediastinal and hilar lymph nodes appear unchanged when compared to prior... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Consolidation within the dependent right lower lobe. Additional few ground glass opacities scattered throughout both lower lungs. DISTAL ESOPHAGUS: Normal.... |
2,019 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: fall, agonal breathing COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 230 mm. DLP: 1434.30 mGy cm. (accession CT220002411), Scan field of view: 234 mm. DLP: 1071.30 mGy cm. (accession ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Diffuse mucosal thickening of left maxillary sinus and anterior ethmoid air cells. Mild mucosa... | Findings: There is moderate mucosal thickening of the maxillary sinuses, with mild improvement on the left. Persistent small volume fluid within the maxillary sinuses. Adjacent hyperostosis similar to prior. The retromaxillary fat is clear. There are aerated secretions within the frontal, sphenoid sinuses and ethmoid a... |
2,020 | CT Head wo contrast 1/5/2022 7:56 PM Clinical information: VPS placement Spec Inst: STEALTH PROTOCOL Comparison: CT head 1/5/2022 Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 239 mm. DLP: 1522 mGy cm. Findin... | Findings: There is been interval conversion to a right frontal approach ventricular shunt catheter with its tip in the frontal horn of right lateral ventricle, unchanged. Ventricular size is overall stable. Multifocal intraparenchymal hemorrhages remain unchanged. No new hemorrhage. | FINDINGS: Evaluation is slightly limited due to poor contrast enhancement, could be due to contrast timing and also due to motion artifact. SOFT TISSUES: Postsurgical appearance of the left mandible with reconstruction and left-sided neck dissection. Metallic hardware in the left mandible without evidence of hardware c... |
2,021 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Evaluate for PTE COMPARISON: None. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 90... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: ET tube tip terminates approximately 1.5 cm above the carina. There is patchy, nodular appearing consolidations and groun... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: A tiny 3 mm right middle lobe nodule (image 49, series 2) is unchanged. No new or enlarging suspicious pulmonary nodule. Redemonstrated right lower lobe calcified granuloma/broncholith and right basilar subsegmental atelect... |
2,022 | EXAM: CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: Breast cancer COMPARISON: CT 08/14/2021. TECHNIQUE: CT Abdomen and Pelvis wo+w contrast. Patient weight: 125 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 2.80 ml per sec. Scan delay: BOLUS TRACK, 70... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separate chest CT report. ABDOMEN and PELVIS: LIVER: Numerous hepatic metastatic lesions are redemonstrated, appear to have enlarged in size compared to prior CT from 08/14/2021. For example the larger dominant lesion in the posterior right hepatic ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Unchanged mild intrahepatic and extrahepatic biliary ductal dilation. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Indetermi... |
2,023 | CT Chest with contrast CLINICAL INFORMATION: 62-year-old female with Invasive breast cancer, stage IV, assess treatment response, C50.919 Malignant neoplasm of unspecified site of unspecified female breast Spec Inst: metastatic breast cancer, eval response to treatment TECHNIQUE: Scout images were obtained for localiza... | FINDINGS: Scouts: No additional findings. Lower neck and Mediastinum: The left Port-A-Cath tip terminates within the right atrium, in appropriate position. Thyroid gland is unremarkable. There is mild circumferential diffuse thickening of the esophagus, which could be seen with esophagitis. Lymph nodes: Multiple enlarg... | FINDINGS: Index lesions are measured on series 202: 1. 4 mm right upper lobe nodule adjacent to the minor fissure on image 140, measured 4 mm on 10/1/2021. 2. 5 mm superior segment right lower lobe nodule on image 142 measured 6 mm on 10/1/2021. Surgical changes of left lower lobectomy are noted with interval decrease ... |
2,024 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 252 mm. DLP: 1604.70 mGy cm. STRUCTURED REPORT: CT Head FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. EXTRA-AXIA... | FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. | Findings: Comparison: 5/17/2019 Lungs and Pleura: Patchy peripheral and peribronchovascular opacities are increased in the middle lobe associated with mild bronchiectasis. Linear opacities in the right lower lobe lateral segment are increased. Volume loss, parenchymal opacities, and mild bronchiectasis in the left lowe... |
2,025 | CT head without contrast Clinical Information: Catheter. Comparison: None. Technique: Axial helical images of the head were obtained. Coronal and sagittal reformatted images were obtained from the axial data set. DLP: 1399.70 mGy cm. Findings: The parenchyma appears normal with no mass, hemorrhage, visible infarct or e... | Findings: The parenchyma appears normal with no mass, hemorrhage, visible infarct or extracerebral collection. There is preservation of gray-white margins. No hypodensity seen in the white matter. The posterior fossa contents are unremarkable. There is mucosal thickening in the paranasal sinuses diffusely. The mastoids... | Findings: Cardiac and Vascular Measurements: Aortic annulus average diameter: 26.7 mm Aortic annulus diameter pair: 28.4 x 25.0 mm Aortic annulus area: 545.9 mm2 Sinus of Valsalva diameter: 34.8 x 30.0 (sinus to sinus x commissure to commissure) Sinotubular junction diameter: 35.5 x 35.2 mm Aortic annulus to left coron... |
2,026 | CT Angio Head wo+w contrast 1/5/2022 10:25 AM Clinical Information: Intracranial aneurysm. Cerebral aneurysm, follow-up, I67.1 Cerebral aneurysm, nonruptured Comparison: 12/22/2021 Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex. During the IV infusion of contrast, [... | Findings There is a right frontal approach VP shunt catheter, tip is in the right lateral ventricle. There is stable ventriculomegaly when compared to head CT dated 12/28/2021. There are also right frontal temporal craniotomy changes with decreasing size of underlying small mainly hypodense extra-axial fluid collection... | Findings: Thorax: Heart is normal is size without pericardial effusion. Visualized lungs are clear. Visualized portions of the descending aorta are normal. Abdomen/pelvis: There is no biliary dilatation. A small 9 mm hyperenhancing mass is seen in the periphery of the right lobe of the liver on image #145, series 11. T... |
2,027 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: 64-year-old male with cirrhosis and pancreatic cyst. COMPARISON: CT abdomen and pelvis 1/20/2021 TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per ... | FINDINGS: STRUCTURED REPORT: CT Abdomen LOWER CHEST: LUNG BASES / PLEURA: Redemonstration of extensive subpleural reticulations, right greater than left. DISTAL ESOPHAGUS: Large esophagogastric varices. Small hiatal hernia. HEART / VESSELS: Normal in size without pericardial effusion. Significant coronary artery athero... | FINDINGS: The study is moderately degraded due to motion artifact as well as metallic streak artifact from postsurgical clips and dental amalgam. CT angiogram of the neck: AORTIC ARCH and PROXIMAL GREAT VESSELS: Conventional three-vessel branching pattern. Mild aortic arch mixed-type calcified and noncalcified atherosc... |
2,028 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Rectal cancer restaging. COMPARISON: MR pelvis performed same day and prior performed 8/25/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 171 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 75 ml. IV contrast injection... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Multiple left renal cysts. Otherwise, bilateral kidneys are normal without hydronephrosis. LYMPH NODES: Multiple prominent su... | Findings: Redemonstration of shunt graft from the ascending aorta laterally coursing along the right atrium posterior laterally with somewhat increased kinking/angulation (series 7 image 85). Proximal graft limb and measures 19 mm in diameter as before (series 5 image 324). Communicates with the descending thoracic aor... |
2,029 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Rectal cancer, restaging. COMPARISON: MRI pelvis CT abdomen and pelvis same day. TECHNIQUE: CT Chest with contrast. Patient weight: 171 lbs. IV contrast: Omnipaque 350, 115 ml, per protoc5ol. Saline flush: 75 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No suspicious nodule or mass. Tiny pleural based nodule identified on image 82 series 302 in the left upper lobe. No focal consolidation, pleural effusion, or pneumothorax. HEART / VESSELS: Normal heart size. No pericardial effus... | FINDINGS: The left ICA endarterectomy maintains luminal patency. No intimal hyperplasia or stricture is noted. Calcified atherosclerotic disease with mild stenosis of the right ICA bulb shows no interval change. Severe luminal irregularity in the V3 segment of the hypoplastic left vertebral artery is again noted. Varia... |
2,030 | Radiologic Exam: CT Angio Head Code Stroke, CT Head wo contrast, CT Angio Neck Clinical Information: stroke Comparison: None. TECHNIQUE: CT Angio Head Code Stroke, CT Head wo contrast, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 262 lbs. IV contra... | FINDINGS: CT OF THE HEAD WITH AND WITHOUT CONTRAST: Gray-white matter differentiation is maintained. No intracranial hemorrhage. No brain edema or brain mass. No abnormal intracranial enhancement. No hydrocephalus. Orbits are unremarkable. No aggressive osseous lesion. Paranasal sinuses and ostiomeatal cells are clear.... | FINDINGS: The left ICA endarterectomy maintains luminal patency. No intimal hyperplasia or stricture is noted. Calcified atherosclerotic disease with mild stenosis of the right ICA bulb shows no interval change. Severe luminal irregularity in the V3 segment of the hypoplastic left vertebral artery is again noted. Varia... |
2,031 | Radiologic Exam: CT Angio Head Code Stroke, CT Head wo contrast, CT Angio Neck Clinical Information: stroke Comparison: None. TECHNIQUE: CT Angio Head Code Stroke, CT Head wo contrast, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 262 lbs. IV contra... | FINDINGS: CT OF THE HEAD WITH AND WITHOUT CONTRAST: Gray-white matter differentiation is maintained. No intracranial hemorrhage. No brain edema or brain mass. No abnormal intracranial enhancement. No hydrocephalus. Orbits are unremarkable. No aggressive osseous lesion. Paranasal sinuses and ostiomeatal cells are clear.... | FINDINGS: There are interval decompression of the bilateral ventricles and resolved left intraventricular hemorrhage. Periventricular interstitial edema is also significantly reduced. There is subsequently increased subdural hygroma over the frontoparietal convexity measuring 6 mm in thickness bilaterally. Bilateral in... |
2,032 | Radiologic Exam: CT Angio Head Code Stroke, CT Head wo contrast, CT Angio Neck Clinical Information: stroke Comparison: None. TECHNIQUE: CT Angio Head Code Stroke, CT Head wo contrast, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 262 lbs. IV contra... | FINDINGS: CT OF THE HEAD WITH AND WITHOUT CONTRAST: Gray-white matter differentiation is maintained. No intracranial hemorrhage. No brain edema or brain mass. No abnormal intracranial enhancement. No hydrocephalus. Orbits are unremarkable. No aggressive osseous lesion. Paranasal sinuses and ostiomeatal cells are clear.... | FINDINGS: Head CT: The calvarium and skull base are intact. Intracranially there is no evidence of cerebral contusion, hemorrhage, edema or mass effect. No evidence of acute cerebral ischemic pathology is noted. The ventricles are normal in size and configuration. The cortical sulci and subarachnoid cisterns are symmet... |
2,033 | CT Perfusion 1/5/2022 9:39 AM Clinical Information: stroke Comparison: No prior perfusion studies are available for comparison. Technique: A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves generated from this datase... | Findings: RAPID images demonstrate CBF less than 30% volume: 0 ml and T Max greater than 6 seconds volume: 0 ml . Mismatch volume is 0 ml. Bilateral areas of increased Tmax > 4 seconds. There is no significant abnormal MTT, T max, CBV and CBF to suggest significant ischemia or infarction at the territory of the major i... | FINDINGS: Head CT: The calvarium and skull base are intact. Intracranially there is no evidence of cerebral contusion, hemorrhage, edema or mass effect. No evidence of acute cerebral ischemic pathology is noted. The ventricles are normal in size and configuration. The cortical sulci and subarachnoid cisterns are symmet... |
2,034 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 230 mm. DLP: 1507.70 mGy cm. STRUCTURED REPORT: CT Head FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Diffuse ce... | FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Diffuse cerebral volume loss most prominent within the parietal lobe. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. | FINDINGS/CONCLUSION: Comminuted, nondisplaced fracture of the lateral patella. The distal femur and proximal tibia and fibula are intact and unremarkable. Decreased bone mineralization. There is a small lipohemarthrosis. No pneumarthrosis is seen to suggest traumatic arthrotomy. Soft tissue defect overlies the patella.... |
2,035 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Fall COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 215 mm. DLP: 1218 mGy cm. STRUCTURED REPORT: CT Head FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Mild chronic whi... | FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Mild chronic white matter microangiopathic changes and cerebral volume loss. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: See separate chest CT report. ABDOMEN and PELVIS: LIVER: Cirrhosis without focal lesion, unchanged. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. Small accessory spleen. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: No... |
2,036 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 200 mm. DLP: 942 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. STRUCT... | FINDINGS: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | Findings: Lines and Tubes: Left-sided port tip terminates in the right atrium, similar. Body Wall and Abdomen: No destructive osseous lesions. Abdomen and pelvis will be reported separately. Lymph Nodes, Mediastinum and Neck: No axillary adenopathy. No mediastinal adenopathy. Small mediastinal lymph nodes have a simila... |
2,037 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 64-year-old male with renal cell carcinoma follow-up. COMPARISON: CT abdomen and pelvis 10/22/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 446 mm. DLP: 675 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Noncalcified pulmonary nodule at the left lung base measuring approximately 11 mm (series 303 image 61), unchanged. DISTAL ESOPHAGUS: Normal. HEART / VESSE... | FINDINGS: Interval dilatation of the bilateral ventricles, left greater than right, is noted. The left-sided hydrocephalus shows colpocephalic configuration. The right posterior temporal access shunt catheter appears stable in course and tip terminus. The posterior fossa metallic wires and occipital craniectomy changes... |
2,038 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Renal cell carcinoma followup, C64.9 Malignant neoplasm of unspecified kidney, except renal pelvis COMPARISON: Multiple priors most recently 9/22/2021. TECHNIQUE: Helical multidetector noncontrast CT of the chest was performed. Axial, sagittal, and coronal multiplanar re... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LINES AND TUBES: None. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Previously identified focal groundglass opacity has resolved. Several pulmonary nodules including a 9 mm left lower lobe nodule best seen on image #10... | FINDINGS: The supraclavicular region is grossly unremarkable. Central airways are widely patent. The thoracic aorta is not aneurysmal. The pulmonary arteries are normal caliber. The heart is not enlarged. No pericardial effusion. No enlarged supraclavicular, axillary or mediastinal lymph nodes are identified. Assessmen... |
2,039 | EXAM: CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: RCC. COMPARISON: 10/13/2021. TECHNIQUE: CT Abdomen and Pelvis wo+w contrast. Patient weight: 181 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. IV contrast injection rate: 4 ml per sec. Scan delay: bt sec. Scan field of view: 438 mm. DLP: 2131 mGy ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Hyperenhancing lesion within the anterior segment is unchanged compared to prior exam (series 305, image 72). Hypoenhancing lesion within the inferior right hepatic lobe measures 1.1 x 0.7 cm (series 305,... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Right upper lobectomy postsurgical changes with some residual soft tissue density along the margin of the anterior staple lines which may represe... |
2,040 | CT Chest with contrast CLINICAL INFORMATION: 59-year-old female with rcc staging, C64.9 Malignant neoplasm of unspecified kidney, except renal pelvis TECHNIQUE: Scout images were obtained for localization. Helical CT examination of the chest was then performed after IV injection of nonionic contrast. Axial, sagittal an... | FINDINGS: Scouts: No additional findings. Lower neck and Mediastinum: No significant lower neck abnormality. No new focal esophageal wall abnormalities. Lymph nodes: No new pathologically enlarged supraclavicular, axillary, mediastinal or hilar lymph nodes. Heart and great arteries: Cardiac chambers are normal in size.... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: ABDOMINAL AORTA: Stable size and appearance of the thoracoabdominal aortic dissection. The abdominal aorta measures approximately 2.7 x 2.4 cm near the level of the celiac artery origin on axial series 4, image 184. Caudally, the abdominal aorta measures appr... |
2,041 | RADIOLOGIC EXAM: CT Thoracic Spine with contrast CLINICAL INFORMATION: Back pain in setting of cancer COMPARISON: None. TECHNIQUE: CT Thoracic Spine with contrastPatient weight: 180 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 300sec ... | FINDINGS: T-SPINE: VERTEBRA: No aggressive osseous lesion. There are a few scattered sclerotic foci in T7, T8 and T11 vertebral bodies, which are stable at least dating back to 1/7/2021, nonspecific. DISC SPACES AND FACET JOINTS: Minimal multilevel degenerative changes without significant canal stenosis or neuroforamin... | Findings: Comparison: 5/17/2021 Vascular Findings: Interval aortic valve replacement. Graft extending from the sinotubular junction to the distal ascending aorta has a similar appearance. Dissection flap begins just distal to this containing a similar fenestration. The dissection flap extends into the abdominal aorta, ... |
2,042 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Cholangiocarcinoma. COMPARISON: 9/13/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 135 lbs. IV contrast: Omnipaque 350, 135 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: Bolus Tracked. Scan f... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Hepatic cyst is redemonstrated within the right lobe. Hypoattenuating lesion along the inferior margin of the right hepatic lobe meas... | FINDINGS: Intracranially there is no evidence of acute vascular territory ischemia, hemorrhage, mass or mass effect. The ventricles are normal in size and configuration. The cortical sulci and subarachnoid cisterns are symmetric and age-appropriate. There is no extra-axial pathology. The calvarium and skull base show n... |
2,043 | CLINICAL HISTORY: Syncope, simple, normal neuro exam, R55 Syncope and collapse EXAM: CT Head wo contrast TECHNIQUE: 5 mm thick serial axial images were obtained throughout the head without intravenous contrast. Scan field of view: 220 mm. DLP: 898.35 mGy cm. FINDINGS: There is no acute intracranial hemorrhage. There ar... | FINDINGS: There is no acute intracranial hemorrhage. There are no abnormal areas of hypoattenuation to suggest acute infarction. There are mild periventricular hypodensities reflecting microangiopathic changes. There is mild generalized atrophy with proportionate enlargement of the ventricles. There is no mass effect. ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis Renal Transplant VASCULATURE: LOWER ABDOMINAL AORTA: Not included on the images. RIGHT COMMON / INTERNAL ILIAC ARTERIES: Common iliac artery and proximal portion of the internal iliac artery exclud... |
2,044 | RADIOLOGIC EXAM: CT Thoracic Spine with contrast CLINICAL INFORMATION: Back pain in setting of cancer COMPARISON: None. TECHNIQUE: CT Thoracic Spine with contrastPatient weight: 180 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 300sec ... | FINDINGS: T-SPINE: VERTEBRA: No aggressive osseous lesion. There are a few scattered sclerotic foci in T7, T8 and T11 vertebral bodies, which are stable at least dating back to 1/7/2021, nonspecific. DISC SPACES AND FACET JOINTS: Minimal multilevel degenerative changes without significant canal stenosis or neuroforamin... | FINDINGS: The frontal penetrating brain injury shows interval resolution of contusional edema and intraparenchymal/subdural hemorrhages with evolved encephalomalacia. Interval healing of the frontal cranioplasty related scalp hematoma and edema is also noted. Multiple bone fragments embedded within the left frontal lob... |
2,045 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 40-year-old male with evaluation for diaphragmatic injury. COMPARISON: CT chest and abdomen dated 1/3/2020. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast. Patient weight: 195 lbs. IV contrast: Omnipaque 350, 115 m... | FINDINGS: Motion artifact limits partial evaluation of the diaphragm. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small left pneumothorax is similar. Left greater than right consolidations with air mammograms, slightly increased from prior. New consolidation in the lingula. Small left... | FINDINGS: Right central venous catheter is present with its tip extending to the lower superior vena cava. The supraclavicular region is unremarkable. Central airways are patent. The thoracic aorta is nonaneurysmal. The pulmonary arteries are normal caliber. The heart is nonenlarged. No pericardial effusion. No enlarge... |
2,046 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 40-year-old male with evaluation for diaphragmatic injury. COMPARISON: CT chest and abdomen dated 1/3/2020. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast. Patient weight: 195 lbs. IV contrast: Omnipaque 350, 115 m... | FINDINGS: Motion artifact limits partial evaluation of the diaphragm. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small left pneumothorax is similar. Left greater than right consolidations with air mammograms, slightly increased from prior. New consolidation in the lingula. Small left... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Limitations: None. Chest: Lines, tubes, and devices: Right IJ port catheter with tip at the lower SVC. Lung parenchyma and pleura: Right upper lobe 4 mm nodule (image 17, series 2) is stable. No new or enlarging suspicious pul... |
2,047 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: 29-year-old female with history of malignancy and liver lesion greater than 1 cm. COMPARISON: Ultrasound abdomen 8/25/2021 and CT abdomen and pelvis 1/24/2020 TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 128 lbs. IV contrast: Omnipaque 350, 99 ml, per protoco... | FINDINGS: STRUCTURED REPORT: CT HCC Screening IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Calcified granuloma in the inferior left lung. Mild bibasilar atelectasis. HEART / VESSELS: No significant abnormality. Central venous catheter is seen terminating in the right atrium. ABDOMEN: LIVER: Cirrhotic. ... | FINDINGS/CONCLUSION: Status post sideplate and screw fixation of the posterior wall of the left acetabulum. There are persistent nonunited fractures of the acetabular roof and anterior acetabular wall and column. Healed fracture of the left femoral neck. Comminuted fracture of the mid femoral diaphysis status post intr... |
2,048 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: Cirrhosis. COMPARISON: 12/9/2020. TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 270 lbs. IV contrast: Omnipaque 350, 180 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: Bolus Tracked. Scan field of view: 480 mm. DLP... | FINDINGS: STRUCTURED REPORT: CT HCC Screening IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Cirrhotic. Mild steatosis. No suspicious arterial hyperenhancement or regions of delayed washout are visualized. LIVER VASCULATURE AND COLLATER... | FINDINGS/CONCLUSION: Status post sideplate and screw fixation of the posterior wall of the left acetabulum. There are persistent nonunited fractures of the acetabular roof and anterior acetabular wall and column. Healed fracture of the left femoral neck. Comminuted fracture of the mid femoral diaphysis status post intr... |
2,049 | CT Chest wo contrast CLINICAL INFORMATION: 50-year-old male with Aortic Dissection, I71.00 Dissection of unspecified site of aorta TECHNIQUE: Scout images were obtained for localization. Helical CT examination of the chest was performed without IV contrast administration. Axial, sagittal and Coronal reformatted images ... | FINDINGS: Scouts: Interval placement of multiple descending thoracic aortic endovascular stents, as well as interval surgical clips seen overlying the left lung apex. Lower neck and Mediastinum: Evaluation of the mediastinal structures is limited in such a noncontrast study. Partially visualized thyroid gland is unrema... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Left upper pole nono... |
2,050 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: History of aortic dissection COMPARISON: 11/30/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 444 mm. DLP: 386 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPO... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately reported chest CT. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Norm... | Findings: A 2.4 mm calcific density is seen in the dermis layer of the right paramedian glabella. The bilateral temple and preauricular skin shows incisional scar. Forehead skin dimples are also noted. No soft tissue mass lesion is identified. The preseptal orbit is unremarkable. Chronic sinusitis with total opacificat... |
2,051 | EXAM: CT Rsh Chest with contrast METRIC CLINICAL INFORMATION: History of bladder cancer undergoing restaging. COMPARISON: CT chest 9/8/2021 TECHNIQUE: CT Rsh Chest with contrast METRIC. Patient weight: 226 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 175 ml. IV contrast injection rate: 3 ml per ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: The central airways are patent. Small nodules in the right major and minor fissures (series 302, images 116 and 117) are unchanged, probably intrafissural lymph nodes. Calcified right upper lobe granuloma is again seen. Mild bila... | Findings: Lines and Tubes: Right-sided port tip terminates in the upper SVC, similar, after looping into the neck. Body Wall and Abdomen: No destructive osseous lesions. CT of the abdomen and pelvis will be reported separately. Lymph Nodes, Mediastinum and Neck: No axillary or mediastinal adenopathy. Lungs and Pleura: ... |
2,052 | EXAM: CT Rsh Body with contrast METRIC CLINICAL INFORMATION: Bladder cancer COMPARISON: 9/8/2021. TECHNIQUE: CT Rsh Body with contrast METRIC. Patient weight: 226 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 175 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 60/300/600 sec. Scan field... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis The chest portion of the exam will be reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: The kidneys enhance and excrete contrast symmetrically. Mild perin... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Unchanged small liver cysts. BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BOWEL: No abnormality. COLON / APPENDIX: No abnormality. PER... |
2,053 | CTA Coronary Artery CLINICAL INFORMATION: 40-year-old female with history of chest pain, abnormal stress test, and peripheral T-cell lymphoma status post whole body radiation. TECHNIQUE: Precontrast axial images through the heart were acquired for calcium score evaluation. Postcontrast images were helically acquired in... | FINDINGS: CALCIUM SCORE: Using a modified Agatston scoring method, the coronary artery calcification score is 0. CORONARY ARTERIES: * Dominance: Right dominant coronary arterial circulation, with both PDA and posterolateral branches are seen arising from the distal RCA. * LM: Normal origin at the left coronary cusp. No... | FINDINGS: The left PCA territory acute infarction shows interval evolution of edema. An 1.4 cm focal hemorrhage within the left hippocampal formation is again noted. There is no interval progression of hemorrhagic transformation, new ischemic insult or mass effect. Right pterional craniotomy approach MCA aneurysm clipp... |
2,054 | EXAM: CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: Hematuria COMPARISON: CT 01/05/2022. TECHNIQUE: CT Abdomen and Pelvis wo+w contrast. Patient weight: 134 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 60. 300. sec. Scan field of view: 330 mm. ... | FINDINGS: STRUCTURED REPORT: CT Urogram LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN AND PELVIS: KIDNEYS: No enhancing renal mass. UPPER URINARY TRACTS: - Calculi: No urothelial calculi. - Urothelium: No abnormal urothelial enhancement, thicken... | Findings: Mediastinal lymph nodes are smaller compared to the previous . Right hilar node to evaluate on this noncontrast exam but is still approximately 12 mm in short axis. Right paratracheal node on series 2 image 87 is 11 mm in short axis. No additional enlarged intrathoracic lymph nodes. Moderate-advanced destruct... |
2,055 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Lymph node surveillance COMPARISON: CT 06/30/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 185 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec Scan f... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Postsurgical changes in the medial segment of left hepatic lobe. Resolving small post surgical seroma adjacent to surgical staples. S... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: There is a new lobular right lower lobe nodule partially imaged on image 1 series 2. No other focal lung lesions within the lung bases. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Pacer wires are unchanged. No new abnormality. ABDOMEN and P... |
2,056 | CT angiograms of the neck and head.. Clinical Information: Left-sided weakness. New jerking of left arm. Comparison: CT angiograms on 6/22/2016 Technique: During the injection of Omnipaque 350, 125 ml, per protocol, 0.67 mm mm axial scans were obtained from the aortic arch to the vertex. Sagittal, axial and coronal MIP... | Findings: CTA neck: There are calcified plaques but otherwise expected appearance of the top of the aortic arch and the brachiocephalic arteries. There are calcified plaques at the right carotid bifurcation extending into the bulb with approximately 50% stenosis. There is calcified plaques in the left proximal ECA but ... | Findings: Image detail is degraded by motion. There are hypodensities in the posterior parietal cortices and subcortical white matter, right more prominent on the right. There may be cortical laminar necrosis on the left. Compared to the prior CT scan on 1/20/2022 the hypodensities are unchanged. The remainder of the c... |
2,057 | CT angiograms of the neck and head.. Clinical Information: Left-sided weakness. New jerking of left arm. Comparison: CT angiograms on 6/22/2016 Technique: During the injection of Omnipaque 350, 125 ml, per protocol, 0.67 mm mm axial scans were obtained from the aortic arch to the vertex. Sagittal, axial and coronal MIP... | Findings: CTA neck: There are calcified plaques but otherwise expected appearance of the top of the aortic arch and the brachiocephalic arteries. There are calcified plaques at the right carotid bifurcation extending into the bulb with approximately 50% stenosis. There is calcified plaques in the left proximal ECA but ... | FINDINGS: There is an intra-arterial thrombus lodging at the left MCA bifurcation measuring 5.5 mm in length resulting abrupt cut-off of the distal M1 segment of the left MCA. Tenuous left anterior M2 branches are reconstituted from the ipsilateral anterior temporal artery. The left posterior M2 is not visualized. Mini... |
2,058 | EXAM: CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: 55-year-old male with septic shock. COMPARISON: Radiographs 1/5/2022. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Chest with contrast. Patient weight: 192 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 60 ml. ... | FINDINGS: STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Multifocal airspace consolidation most prominent right lower lobe with surrounding groundglass opacities. HEART / VESSELS: Cardiomegaly. Right IJ approach and the left subclavian approach central venous catheters with the tips term... | FINDINGS: There is an intra-arterial thrombus lodging at the left MCA bifurcation measuring 5.5 mm in length resulting abrupt cut-off of the distal M1 segment of the left MCA. Tenuous left anterior M2 branches are reconstituted from the ipsilateral anterior temporal artery. The left posterior M2 is not visualized. Mini... |
2,059 | RADIOLOGIC EXAM: CT Head wo contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: mvc COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. Scan field of view... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. The head is tilted towards the right and upwards. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. SOFT TISSUES: Normal. C-SPINE:... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Arterial enhancing lesion in the posterior right lobe on series 4 image 71 measuring 5.1 x 4.4 cm, previously 4.1 x 4.1 cm. A left lobe lesion on image 73 measures 3.2 x 3.1 cm, previously 2.9 x 2.7 cm. A central lesion however on image 65 appear... |
2,060 | RADIOLOGIC EXAM: CT Head wo contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: mvc COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. Scan field of view... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. The head is tilted towards the right and upwards. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. SOFT TISSUES: Normal. C-SPINE:... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Small subcentimeter low-attenuation lesion in the right lobe of the thyroid and a tiny focus of calcification in the right lobe of the thyroid not significantly changed in comparison wit... |
2,061 | EXAM: CT Angio Abdomen and or Pelvis w Runoff CLINICAL INFORMATION: 80-year-old male with chronic aortic dissection and left internal iliac artery aneurysm with clinical concern for embolic event to the right lower extremity. COMPARISON: None available. TECHNIQUE: CT Angio Abdomen and or Pelvis w Runoff. Additional 3D ... | FINDINGS: STRUCTURED REPORT: CTA Aorta Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: Chronic appearing aortic dissection. ABDOMINAL AORTA: Chronic aortic dissection with circumferential atherosclerotic calcification. No aneurysm. CELIAC AXIS: Likely arises from true lumen without significant stenosis. SMA: Like... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Dependent atelectasis. Bilateral lower lobe calcified granulomata. DISTAL ESOPHAGUS: Unremarkable. HEART / VESSELS: The visualized heart is normal in size. ABDOMEN and PELVIS: LIVER: No suspicious lesion. BILIARY TRACT: Normal. GALLBLADDER... |
2,062 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Transplant hydronephrosis. COMPARISON: 12/18/2013. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 436.90 mm. DLP: 975.80 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALL... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Electric lead is in the right ventricle. Heart size is normal. ABDOMEN and PELVIS: LIVER: Small cyst in ... |
2,063 | EXAM: CT Neck Soft Tissue w contrast CLINICAL INFORMATION: Male patient 72 years with history of parotid cancer, Z85.818 Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx, Z92.3 Personal history of irradiation Spec Inst: staging exam - ho surgery and XRT with multiple skin cancers T... | FINDINGS: There are multiple surgical clips within the right neck. The right parotid gland has been resected. The nasopharynx appears unremarkable the oropharynx and oral cavity appear within normal limits. No mass lesion is identified within the hypopharynx or larynx. Thyroid gland is small in size without focal lesio... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: A 12 x 8 mm right middle lobe nodule adjacent to the major fissure (image 131, series 2), previously measured 13 x 10 mm. A 3 mm left upper... |
2,064 | Radiologic Exam: CT Head wo No Charge, CT Angio Neck, CT Angio Head Code Stroke Clinical Information:COVID Confirmed Other- Spec Inst: CODE STROKE: Acute Symptoms Comparison: None. TECHNIQUE: CT Head wo No Charge, CT Angio Neck, CT Angio Head Code Stroke. 3-D CT MIP and volume rendered angiographic images were generate... | Findings: CT head: There is a small (1 x 1.1 cm cortical hematoma in the left frontal lobe with slight surrounding edema having the appearance of hemorrhagic contusion. This is a new finding compared to prior scan on 1/2/2022. The parenchyma is otherwise unremarkable with no visible infarct or extracerebral collection.... | Findings: Lines and Tubes: None. Body Wall and Abdomen: Advanced disc degenerative disease at C6-C7. No destructive osseous lesions. Included portions of the upper abdomen have an unremarkable appearance. Lymph Nodes, Mediastinum and Neck: No axillary adenopathy. A few shotty bronchial lymph nodes are present bilateral... |
2,065 | Radiologic Exam: CT Head wo No Charge, CT Angio Neck, CT Angio Head Code Stroke Clinical Information:COVID Confirmed Other- Spec Inst: CODE STROKE: Acute Symptoms Comparison: None. TECHNIQUE: CT Head wo No Charge, CT Angio Neck, CT Angio Head Code Stroke. 3-D CT MIP and volume rendered angiographic images were generate... | Findings: CT head: There is a small (1 x 1.1 cm cortical hematoma in the left frontal lobe with slight surrounding edema having the appearance of hemorrhagic contusion. This is a new finding compared to prior scan on 1/2/2022. The parenchyma is otherwise unremarkable with no visible infarct or extracerebral collection.... | Findings: There is markedly decreased CBV and CBF in the left frontal and parietal lobes with predicted infarction. Color parametric maps show predicted infarction in the left frontal and parietal cortices, left MCA territory. --------------- |
2,066 | Radiologic Exam: CT Head wo No Charge, CT Angio Neck, CT Angio Head Code Stroke Clinical Information:COVID Confirmed Other- Spec Inst: CODE STROKE: Acute Symptoms Comparison: None. TECHNIQUE: CT Head wo No Charge, CT Angio Neck, CT Angio Head Code Stroke. 3-D CT MIP and volume rendered angiographic images were generate... | Findings: CT head: There is a small (1 x 1.1 cm cortical hematoma in the left frontal lobe with slight surrounding edema having the appearance of hemorrhagic contusion. This is a new finding compared to prior scan on 1/2/2022. The parenchyma is otherwise unremarkable with no visible infarct or extracerebral collection.... | FINDINGS: STRUCTURED REPORT: CT Urogram LOWER CHEST: LUNG BASES / PLEURA: Mild atelectasis in the lung bases. There is calcified granuloma in the right lung base. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Heart size is normal. Moderate coronary calcified atherosclerosis. ABDOMEN AND PELVIS: KIDNEYS: No enhancing renal... |
2,067 | CT Perfusion 1/5/2022 10:23 AM Clinical Information: COVID Confirmed stroke rule out Comparison: No prior perfusion studies are available for comparison. Technique: A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves ... | Findings: RAPID images demonstrate CBF less than 30% volume: 0 ml and T Max greater than 6 seconds volume: 0 ml . Mismatch volume is 0 ml. There is no abnormal MTT, T max, CBV and CBF to suggest significant ischemia or infarction at the territory of the major intracranial arteries. | FINDINGS: There is severe motion artifact. SINOCRANIAL AND SINOORBITAL JUNCTIONS: The bones adjacent to the sinuses, including the lamina papyracea, cribriform plates and fovea ethmoidalis, are intact. NASAL SEPTUM/NASAL CAVITY: There is severe left-sided nasal septal deviation with a spur formation and mucosal contact... |
2,068 | CT Thoracic Spine wo contrast 1/5/2022 7:15 PM Clinical information: vertebra plana of T10 with spinal stenosis Comparison: CT thoracic spine 12/29/2021 Technique: Unenhanced axial CT of the thoracic spine coronal and sagittal reformats. Scan field of view: 216 mm. DLP: 1090 mGy cm. Findings: Redemonstration of changes... | Findings: Redemonstration of changes of renal osteodystrophy and vertebra plana of T10 with minimal retropulsion and spinal canal narrowing, not significantly changed compared to prior thoracic spine CT from 12/29/2021. Mild kyphosis centered at T10. Partially visualized multiple blastic changes at L2. Remaining thorac... | FINDINGS: STRUCTURED REPORT: CTA Aorta Runoff VASCULATURE: Scattered aortic and pelvic branch arterial wall calcifications are present. DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. Replaced left hepatic artery from th... |
2,069 | CT Coronary Calcium Scoring CT CORONARY ARTERY CALCIFICATION SCORING CLINICAL INFORMATION: 56-year-old male, presenting for screening CT scan for coronary artery calcification scoring. PALPITATIONS, R00.2 Palpitations COMPARISON: Chest radiograph 12/14/2021 TECHNIQUE: Noncontrast helical examination of the heart was pe... | FINDINGS: Using a modified Agatston scoring method, the coronary artery calcification score is 95 (LM = 0, LCx = 0, LAD = 2, RCA = 93), which corresponds to the 76th percentile for the patient's age, gender and ethnicity, using the online available MESA calcium score calculator . Cardiac chambers are normal in size. No... | Findings: Sinuses and drainage pathways: Frontal sinus: Clear on both sides. Frontoethmoidal recess: Patent. Maxillary sinus: Clear. Ostiomeatal complex: Patent. Ethmoid sinus: Clear. Sphenoid sinus: Clear. Sphenoethmoidal recess: Patent. Nasal cavity: No polyp or mass. No significant variation of the nasal septum and ... |
2,070 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 71-year-old female follow-up lymphoma COMPARISON: December 16, 2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 350 mm. DLP: 424 mGy cm. FINDINGS: The large confluent nodal mass in the left anterior mediastinum in image 25, series 3 measures approximately 34 x 3... | FINDINGS: The large confluent nodal mass in the left anterior mediastinum in image 25, series 3 measures approximately 34 x 33 mm, it was 49 x 45 mm before in image 35, series 601. Other more well-defined nodes in the mediastinum also have decreased in size including bilateral cardiophrenic angle confluent adenopathy. ... | FINDINGS: Head: Distal internal carotid artery (ICA) : Patent. Petrous carotid artery : Patent. Cavernous carotid artery : Patent. Supraclinoid ICA : Patent. Normal visualization of ophthalmic arteries. Circle of Willis: No evidence of aneurysm. Middle cerebral artery (MCA) : Normal. Anterior cerebral artery (ACA) : No... |
2,071 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Lymphoma COMPARISON: PET/CT 11/15/2021. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 350 mm. Oral contrast Omnipaque: 16.9 oz. DLP: 424 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic acc... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT reported separately. ABDOMEN and PELVIS: LIVER: Normal unenhanced appearance of liver.. BILIARY TRACT: Normal. GALLBLADDER: Contracted gallbladder PANCREAS: Normal. SP... | FINDINGS: Head: Distal internal carotid artery (ICA) : Patent. Petrous carotid artery : Patent. Cavernous carotid artery : Patent. Supraclinoid ICA : Patent. Normal visualization of ophthalmic arteries. Circle of Willis: No evidence of aneurysm. Middle cerebral artery (MCA) : Normal. Anterior cerebral artery (ACA) : No... |
2,072 | CT angiogram of the head with contrast CT angiogram of the neck with contrast Indication: R arm sensation changes Comparison: Concurrent noncontrast CT of the head. No prior exams for comparison Technique: After the administration of IV contrast bolus, thin slice axial images were obtained from the thoracic inlet to th... | Findings: CT angiogram of the head: There is no flow-limiting stenosis involving the intracranial segments of the internal carotid, basilar artery, arteries of the circle of Willis and proximal branches of anterior, middle and posterior cerebral arteries. The left A1 segment is hypoplastic. There is no evidence of aneu... | FINDINGS: Scouts: No additional findings. A - Vascular structures: Cardiovascular: Postsurgical changes from prior d-TGA repair with dilated and trabeculated right atrium and ventricle with mild bowing of the interventricular septum. Borderline dilated left ventricle. Postsurgical changes from prior membranous VSD repa... |
2,073 | CT angiogram of the head with contrast CT angiogram of the neck with contrast Indication: R arm sensation changes Comparison: Concurrent noncontrast CT of the head. No prior exams for comparison Technique: After the administration of IV contrast bolus, thin slice axial images were obtained from the thoracic inlet to th... | Findings: CT angiogram of the head: There is no flow-limiting stenosis involving the intracranial segments of the internal carotid, basilar artery, arteries of the circle of Willis and proximal branches of anterior, middle and posterior cerebral arteries. The left A1 segment is hypoplastic. There is no evidence of aneu... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: Minimal noncalcified atherosclerotic disease of the infrarenal abdominal aorta, which is normal in caliber. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality... |
2,074 | CT Head wo contrast CLINICAL INFORMATION: R arm sensation changes COMPARISON: None TECHNIQUE: CT Head wo contrastScan field of view: 237 mm. DLP: 1219 mGy cm. STRUCTURED REPORT: CT Head FINDINGS: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation mai... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation maintained. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. No aggressive osseous lesion. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. | FINDINGS: SINOCRANIAL AND SINOORBITAL JUNCTIONS: The bones adjacent to the sinuses, including the lamina papyracea, cribriform plates and fovea ethmoidalis, are intact. There is Keros anatomy type II bilaterally. NASAL SEPTUM/NASAL CAVITY: There is moderate right-sided deviation involving the anterior portion of the na... |
2,075 | CT perfusion Indication: Stroke. Comparison: Technique: A CT perfusion study was acquired during single pass of 40 cc contrast bolus. Axial images were generated through the cerebrum only at 16 axial locations and time-attenuation curves generated from this dataset were utilized to calculate cerebral blood flow, mean t... | Findings: The perfusion scan is essentially negative with no increased CBV or CBF. There is 7 mm of Tmax greater than 4 seconds, likely artifactual. --------------- | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Tip of the left-sided port catheter is in the mid SVC. Tip of the right IJ line is at the SVC atrial junction. The hila are difficult to evaluate without contrast. No enlarged intrathoracic lymph nodes are identified. Minimal ... |
2,076 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: new seizure activity COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 249 mm. DLP: 1252.70 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-A... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. Mega cisterna magna incidentally noted. ORBITS: Normal. SINUSES: Normal. SOFT TISSUES: Normal. | Findings: There are interval postsurgical changes from removal of previous L4-5 posterior fixation hardware with placement of new L5-S1 hardware. Prior left L4-5 laminectomy changes are noted. The hardware is intact. Bilateral S1 screws extend beyond the cortex with the left-sided screw appearing to extend beyond the p... |
2,077 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Follow Up Aortic Injury. COMPARISON: None. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 177 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline f... | FINDINGS: STRUCTURED REPORT: CTA Chest VASCULATURE: As follows. CORONARY ARTERIES: There are no atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. ASCENDING THORACIC AORTA: No significant abnormality. AORTIC ARCH: No significant abnormality. ARCH VESSELS: N... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. LOWER NECK: Foci of gas within the proximal right internal jugular vein, likely iatrogenic. CHEST: PULMONARY ARTERIES: Positive for pulmonary embolus.... |
2,078 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: History of HCC status post TACE and ablation. COMPARISON: 10/27/2021. TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 160 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.50 ml per sec. Scan delay: bt/80 s... | FINDINGS: STRUCTURED REPORT: CT HCC Follow-up IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Cirrhotic. No steatosis. TREATED LIVER LESIONS: - Lesion Number: 1 - Description: Post TACE changes redemonstrated. - Location: Segment(s) 7 - ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is requested separately. ABDOMEN and PELVIS: LIVER: Stable subcentimeter hypodensity in the medial segment of left lobe, too small to characterize, probably simple cyst. Liver is otherwise unremarkable. BILIARY TRACT: Normal. GALLBLADDER: Stable gallb... |
2,079 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 64-year-old female, with history of COPD, evaluation for interstitial lung disease. COMPARISON: Lung cancer screening CT dated 2/20/2017. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 302 mm. DLP: 122 mGy cm. High-resolution CT imag... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. Moderate predominantly centrilobular emphysema. Mild bronchial wall thickening and bilateral lower lobe bronchiectasis again seen with some of the peripheral bronchi with mucous plugging. A 3 mm right lung base nodule on axial im... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Interval postsurgical changes of left hemithyroidectomy. Unremarkable appearance of the right lobe of the thyroid. CHEST: LUNGS / AIRWAYS / PLEURA: Redemonstration of a heterogenous soft tissue mass in the left lower lobe, currently measuring about 11.0 x 9.6 cm (series... |
2,080 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 64-year-old male with head and neck malignancy. COMPARISON: MR thoracic spine dated 9/16/2021, FDG PET/CT dated 9/8/2021. CT chest with contrast dated 4/25/2019.. TECHNIQUE: CT Chest with contrast. Patient weight: 269 lbs. IV contrast: Omnipaque 350, 150 ml, per protoc... | FINDINGS: LOWER NECK: No significant soft tissue abnormality. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. A few noncalcified pulmonary nodules in the right middle lobe, superior segment right lower lobe, unchanged from April 2019. A few mixed attenuation opacities in the lung bases, likely infectious/i... | FINDINGS: The study is mildly degraded by metallic streak artifact from posterior spinal fixation hardware. STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No signi... |
2,081 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: History of head and neck squamous cell carcinoma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 269 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2 ml per sec. Scan dela... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately reported chest CT ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Surgically absent. PANCREAS: Diffuse fatty atrophy. SPLEEN: Borderline splenomegaly. ADRENALS: There is a left adrenal nodule that measures 1.7 x 1.3... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Trace right basilar atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Contracted around gas-containing choleliths. PANCREAS: Normal. S... |
2,082 | CLINICAL HISTORY: NPH, G91.2 (Idiopathic) normal pressure hydrocephalus Spec Inst: stealth EXAM: CT Head wo contrast TECHNIQUE: 5 mm thick serial axial images were obtained throughout the head without intravenous contrast. Scan field of view: 220 mm. DLP: 798.53 mGy cm. COMPARISON: 12/15/2020 FINDINGS: Right frontal ap... | FINDINGS: Right frontal approach VP shunt catheter again terminates in the right lateral ventricle. There is stable moderate ventriculomegaly. There is also stable hypoattenuation along the catheter tract within the right frontal lobe representing gliosis. There is no extra-axial collection. There is no acute intracran... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Trace left pleural effusion HEART / OTHER VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. LYMPH NOD... |
2,083 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Hydronephrosis COMPARISON: CT 11/17/2021. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 294 mm. DLP: 272 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abd... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: Somewhat limited abdominal soft tissue evaluation due to... | FINDINGS: STRUCTURED REPORT: CT Urogram LOWER CHEST: LUNG BASES / PLEURA: Mild right lung base atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN AND PELVIS: KIDNEYS: No enhancing renal mass. Small exophytic simple cyst in the interpolar region of the left kidney. UPPER URINARY ... |
2,084 | CT scan of the cervical spine. Clinical: Sensory changes right arm Technical: CT C-spine protocol DLP: 908 mGy cm. Findings: No C-spine fracture or subluxation is seen. There is contrast from prior studies. There is incomplete fusion of the posterior arch of C1 and there is a closed suture in the anterior arch midline.... | Findings: No C-spine fracture or subluxation is seen. There is contrast from prior studies. There is incomplete fusion of the posterior arch of C1 and there is a closed suture in the anterior arch midline. The paraspinal soft tissues are unremarkable. --------------- | Findings: Surgical clips are seen at the level the right thyroid lobe. No enlarged intrathoracic nodes are present. Small hiatal hernia is noted. Mild calcific atherosclerosis is seen in the aorta and coronary arteries. Small pericardial effusion is noted. The heart size and mediastinum are otherwise normal. Tiny nodul... |
2,085 | CT Head wo contrast 1/6/2022 4:19 AM Clinical Information: Sp skull base repair Spec Inst: stealth protocol Comparison: Sinus CT 12/9/2021 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 223 mm. DLP: 1711 mGy cm. Findings: There are postsurgical changes in the nasal e... | Findings: There are postsurgical changes in the nasal ethmoid/sphenoid region from skull base encephalocele repair with packing material and secretions. There is a moderate fluid level in the left maxillary sinus with hyperdensity, likely intermixed hemorrhage. Intracranially, there is no acute hemorrhage, evidence of ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Tiny low attenuation lesion in the left lobe of the thyroid. CHEST: LUNGS / AIRWAYS / PLEURA: Hazy peripheral groundlass opacities are nonspecific, but may represent infectious or inflammatory changes. A couple of peripheral subcentimeter noncalcified nodules in the rig... |
2,086 | CT head with and without contrast Indication: evd w cf ventriculitis Spec Inst: stealth. Comparison: Multiple prior CT head examinations, most recently from 1/4/2022. Technique: Multiple contiguous axial images of the brain were obtained from base to the vertex pre- and post the administration of intravenous contrast. ... | Findings: There is no evidence of acute intra- or extra-axial hemorrhage, mass effect, or other space-occupying lesion. Gray-white differentiation appears maintained. No evidence of acute territorial infarction. Stable positioning of bifrontal ventriculostomy catheters with tips terminating in the anterior horns of the... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: See separate chest CT report. ABDOMEN and PELVIS: LIVER: Focal mass in the inferior aspect of the right hepatic lobe is larger. Focal lesion in segment VIII is also larger and has bilobed lobular appearance . Both lesions have wedge shaped associated hyperemia... |
2,087 | CT Head wo contrast 1/5/2022 5:46 PM Clinical information: monitor edema, mildly sedated Comparison: CT head 1/2/2022 Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 213 mm. DLP: 1032 mGy cm. Findings: Redemons... | Findings: Redemonstration of evolving right frontal parenchymal hematoma with surrounding vasogenic edema and leftward midline shift by 10 mm, overall unchanged. No new hemorrhage. Stable minimal layering of hemorrhage in the left occipital horn. | FINDINGS: Minimal scarring is seen posteriorly in both upper lobes. No significant subpleural reticulation is identified. Mild bilateral bronchiectasis is noted. No honeycombing. A few scattered calcified granuloma are seen with an area of focal calcified plaque in the right lung on series 2 image 131. The lungs are ot... |
2,088 | RADIOLOGIC EXAM: CT Maxillofacial wo contrast, CT Head wo contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 200 mm. DLP: 345 mGy cm. (accession CT220002497), Scan field of view: 250 mm. DLP: 1096 mGy cm. (accessio... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Advanced white matter microangiopathic changes and generalized cerebral atrophy. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Ex vacuo ventriculomegaly. ORBITS: Pseudophakia bilaterally. SKULL AND SKULL BASE... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis Renal Transplant VASCULATURE: LOWER ABDOMINAL AORTA: Severe calcified atherosclerotic disease. RIGHT COMMON / INTERNAL ILIAC ARTERIES: Severe calcified atherosclerotic disease. RIGHT EXTERNAL ILIAC... |
2,089 | RADIOLOGIC EXAM: CT Maxillofacial wo contrast, CT Head wo contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 200 mm. DLP: 345 mGy cm. (accession CT220002497), Scan field of view: 250 mm. DLP: 1096 mGy cm. (accessio... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Advanced white matter microangiopathic changes and generalized cerebral atrophy. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Ex vacuo ventriculomegaly. ORBITS: Pseudophakia bilaterally. SKULL AND SKULL BASE... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Please see same-day CT neck for neck findings. CHEST: LUNGS / AIRWAYS / PLEURA: Overall similar appearance of calcified and noncalcified pulmonary nodules. There are new scattered bilateral areas of focal groundglass opacity in the right upper lobe on series 3 image 45 ... |
2,090 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: Cirrhosis COMPARISON: None. TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 190 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2.20 ml per sec. Scan delay: BOLUS TRACK, 105 SEC., 180 SEC. sec. Scan field o... | FINDINGS: STRUCTURED REPORT: CT HCC Screening IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Cirrhotic. Mild steatosis. LIVER VASCULATURE AND COLLATERALS: - Hepatic artery patency and anatomy: Patent with conventional anatomy. - Portal ... | FINDINGS: SOFT TISSUES: Dental hardware streak artifact limits evaluation of oral cavity. Within these limits, no enhancing masslike lesion is seen. Postsurgical appearance consistent with patient's known for mouth resection, bilateral lymph node dissection, partial mandibulectomy and anterior mandibular implants. Mild... |
2,091 | EXAM: CT Angio Upper Ext Right wo+w contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Angio Upper Ext Right wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast ... | FINDINGS: STRUCTURED REPORT: CTA Upper Extremity FINDINGS: VASCULATURE: RIGHT SUBCLAVIAN ARTERY: No significant abnormality. RIGHT AXILLARY ARTERY: No significant abnormality. RIGHT BRACHIAL ARTERY: No significant abnormality. RIGHT RADIAL ARTERY: No significant abnormality. RIGHT ULNAR ARTERY: No significant abnormali... | Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation maintained. Mild calcification of the carotid artery siphons bilaterally. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No acute fracture. No aggressive osseous lesion. VENTRIC... |
2,092 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 67-year-old male status post endobronchial valve placement, for follow-up. COMPARISON: CT chest without contrast dated 11/30/2021. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 360 mm. DLP: 185.36 mGy cm. High-resolution CT imaging ... | FINDINGS: LOWER NECK: No significant abnormality in the soft tissues. CHEST: LUNGS / AIRWAYS / PLEURA: Trachea is patent with small volume tracheal secretions. Redemonstrated endobronchial valves in the left upper lobes, total four in number with near complete atelectasis of the left upper lobe. Interval resolution of ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries due to motion artifacts. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Positive for pulmonary embolus. - Pulmonary Embolus Distribution: Pulmonary emboli seen w... |
2,093 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Right upper quadrant pain, history of HCC COMPARISON: 12/23/21 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 363 mm. DLP: 567 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRU... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Cirrhotic. Ill-defined hypoattenuating lesion in ... | FINDINGS: The right frontoparietal convexity shows 0.9 cm thickness hypodense subdural collection containing 1 cm hyperdense blood clot. Chronic subdural collections are also present over the left frontal convexity and left posterior fossa. There is advanced cerebral cortical atrophy prominently seen around the bilater... |
2,094 | CT Chest wo contrast CLINICAL INFORMATION: 65-year-old male with prostate cancer, C61 Malignant neoplasm of prostate TECHNIQUE: Scout images were obtained for localization. Helical CT examination of the chest was performed without IV contrast administration. Axial, sagittal and Coronal reformatted images were reconstru... | FINDINGS: Scouts: No additional findings. Lower neck and Mediastinum: Thyroid gland is unremarkable. No new focal esophageal wall abnormalities. Lymph nodes: There are calcified subcarinal and right hilar lymph nodes are again noted, likely related to healed granulomatous lung disease. No evidence of new pathologically... | Findings: No enlarged intrathoracic nodes are present. Small hiatal hernia is noted. Calcific atherosclerosis is seen in the aorta and coronary arteries. The main pulmonary artery is dilated at 40 mm similar to the previous exam. The heart size and mediastinum are otherwise normal. No pleural effusions. Predominantly p... |
2,095 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Prostate cancer COMPARISON: CT 11/04/2021. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 500 mm. Oral contrast Omnipaque: 16.9 oz. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTU... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately ABDOMEN and PELVIS: LIVER: Small hypoattenuating lesion in the medial segment of left hepatic lobe measuring about 2.1 cm, unchanged since prior... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Small bilateral pleural effusions. Worsening pulmonary opacities in the right lung base with bibasilar atelectasis DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Stable cardiomegaly and unchanged calcification of the aortic valve, mitral annul... |
2,096 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Colorectal staging. COMPARISON: 3/10/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan field of... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Mild splenomegaly. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BOWEL: No abnormalit... | FINDINGS: The supraclavicular region is unremarkable. Central airways are patent. The thoracic aorta is nonaneurysmal. The pulmonary arteries are normal caliber. The heart is not enlarged. There is a small pericardial effusion, similar to prior. No enlarged supraclavicular, axillary, mediastinal or hilar lymph nodes ar... |
2,097 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 51-year-old male follow-up colon cancer COMPARISON: March 10, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan fiel... | FINDINGS: The previously noted tiny right lower lobe nodule is not identified on today's scan. Similarly the left lower lobe nodule along the major fissure is decreased in size and is barely seen in image 121, series 2. No new nodule or mass is seen. Bilateral apical pleural and parenchymal scarring. Tiny subcentimeter... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis LOWER ABDOMEN: BOWEL: Colonic diverticulosis. The visualized bowel is otherwise unremarkable for technique. PERITONEUM: Small volume ascites. OTHER: No other abnormality. PELVIS: KIDNEY: Visualized... |
2,098 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Right lower quadrant pain COMPARISON: 10/27/2014 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 190 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 70 sec. Scan field of view: 404 mm. ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: There is a s... | FINDINGS: The ventricles appear adequately decompressed through the right frontal access shunt, which remains stable in position. No extra-axial fluid collection or hemorrhage is noted. The right frontal pericatheter edema is unchanged. No intra-axial acute findings are noted. The suboccipital craniectomy shows decreas... |
2,099 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 55-year-old female follow-up colon cancer COMPARISON: No prior chest CT for comparison TECHNIQUE: CT Chest with contrast. Patient weight: 140 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2 ml per sec. Scan dela... | FINDINGS: No mediastinal, hilar or axillary adenopathy seen. Asymmetric mild enlargement of the thyroid gland without airway compression or retrosternal extension. A somewhat elongated noncalcified 4 mm nodule is present in the lateral basal segment of right lower lobe in image 94, series 3. No other discrete lung nodu... | Findings: CT head: BRAIN PARENCHYMA: No acute intracranial hemorrhage, mass, large territory infarct, or edema. Gray-white matter differentiation maintained. Subcortical and periventricular low-attenuation lesions likely represent advanced microangiopathic changes. Diffuse cortical atrophy with associated ex vacuo dila... |
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