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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2,200 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate chronic white matter microangiopathic change and volume loss EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mand... | FINDINGS: LOWER NECK: Heterogeneous thyroid with dominant right lobe nodule measuring 1.8 x 1.2 cm (series 501 image 64), not seen previously. CHEST: LUNGS / AIRWAYS / PLEURA: Unchanged noncalcified right lower lobe nodule measuring 5 mm (series 501 image 175). Subsegmental left basilar atelectasis. No pneumothorax or ... |
2,201 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate chronic white matter microangiopathic change and volume loss EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mand... | 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 ( |
2,202 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate chronic white matter microangiopathic change and volume loss EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mand... | FINDINGS: LOWER NECK: Heterogeneous thyroid with dominant right lobe nodule measuring 1.8 x 1.2 cm (series 501 image 64), not seen previously. CHEST: LUNGS / AIRWAYS / PLEURA: Unchanged noncalcified right lower lobe nodule measuring 5 mm (series 501 image 175). Subsegmental left basilar atelectasis. No pneumothorax or ... |
2,203 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate chronic white matter microangiopathic change and volume loss EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mand... | FINDINGS: LOWER NECK: Heterogeneous thyroid with dominant right lobe nodule measuring 1.8 x 1.2 cm (series 501 image 64), not seen previously. CHEST: LUNGS / AIRWAYS / PLEURA: Unchanged noncalcified right lower lobe nodule measuring 5 mm (series 501 image 175). Subsegmental left basilar atelectasis. No pneumothorax or ... |
2,204 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate chronic white matter microangiopathic change and volume loss EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mand... | FINDINGS: Soft tissues: No soft tissue swelling or lacerations identified. Bones: No acute facial bone fractures are identified. No suspicious osseous lesions are seen. The visualized mandible is intact and the bilateral TMJs are congruent. Orbits: The bilateral globes and optic nerves are intact. The retrobulbar soft ... |
2,205 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate chronic white matter microangiopathic change and volume loss EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mand... | FINDINGS: VASCULAR FINDINGS: Aortic arch: Patent with no hemodynamically significant stenosis. Three normal vessel aortic arch is noted. Common carotid arteries: Nonflow limiting atherosclerotic calcifications of the bilateral carotid bifurcations. Patent with no hemodynamically significant stenosis. Internal carotid a... |
2,206 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 45-year-old female with declining PFTs. COMPARISON: Chest CT 10/2/2020 TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 360 mm. DLP: 109.64 mGy cm. High-resolution CT imaging of the chest was performed per protocol with inspiratory tec... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: Redemonstrated multiple scattered (less than 10 mm) pulmonary nodules are unchanged. For reference, an 8 mm left lung base groundglass nodule (image 202, series 2), and a 6 mm right upper lobe nodule (image 50). Redemonstra... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest findings to be dictated separately; please see separate chest CT report same day. ABDOMEN and PELVIS: LIVER: Cirrhotic morphology. No focal hepatic lesion BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Normal. SPLEEN: Mildly enlarged ADRENALS: Nor... |
2,207 | EXAM: CT Angio Abdomen and Pelvis, CT Chest with contrast CLINICAL INFORMATION: 62-year-old male with dyspnea and concern for splenic infarct. Patient is status post open exploration and ligation of proximal splenic artery aneurysm. COMPARISON: Ultrasound of the abdomen dated 1/4/2022. TECHNIQUE: CT Angio Abdomen and P... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: Scattered mild atherosclerosis. DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: Suspected splenic artery aneurysm aneurysm is seen measuring 5.3 x 5.1 cm (series 11, image 134) containing... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pleural effusion, or pneumothorax. RUL calcified granuloma. Scattered bilateral pulmonary nodules, largest measuring 5 mm on series 3 image 119. Central airways are patent. HEART / VESSELS: Heart size is n... |
2,208 | CT Angio Head wo+w contrast, CT Angio Neck 1/6/2022 3:10 AM Indication: acute CVA w LE weakness. Comparison: CT head, CTA head and neck dated 6/29/2021.. Technique: Axial noncontrast images from the level of the skull base to the vertex. After the administration of IV contrast bolus, helical axial images were obtained ... | Findings: Conventional CT of the brain: Focal old lacunar infarcts versus prominent VR spaces in the left basal ganglia. Old lacunar infarct in the left caudate head/body. Encephalomalacia change in the left parieto-occipital region. Old lacunar infarct in the right hemipons. Mild to moderate periventricular white matt... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal dependent atelectasis. HEART / VESSELS: Calcification of the LAD as well as the aortic and mitral valve annulus. MEDIASTINUM / ESOPHAGUS:... |
2,209 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 65-year-old male with unintended weight loss and diarrhea, suspected chronic pancreatitis. COMPARISON: None available. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 135 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Water: 16 oz. Saline... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Emphysematous changes of the lower lungs. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Hepatic steatosis. BILIARY TRACT: Normal. GALLBLADDER: Surgically absent. PANCREAS: Normal. SPLEEN:... | FINDINGS: Mild frontotemporal age-appropriate brain parenchymal volume loss is again seen. Again noted lobulated iso-to hyper-attenuating suprasellar lesion, measuring approximately 2.5 x 2.0 cm (series 7 image 25), previously 2.5 x 2.0 cm on the prior MR brain, resulting in unchanged supratentorial obstructive hydroce... |
2,210 | CT Angio Head wo+w contrast, CT Angio Neck 1/6/2022 3:10 AM Indication: acute CVA w LE weakness. Comparison: CT head, CTA head and neck dated 6/29/2021.. Technique: Axial noncontrast images from the level of the skull base to the vertex. After the administration of IV contrast bolus, helical axial images were obtained ... | Findings: Conventional CT of the brain: Focal old lacunar infarcts versus prominent VR spaces in the left basal ganglia. Old lacunar infarct in the left caudate head/body. Encephalomalacia change in the left parieto-occipital region. Old lacunar infarct in the right hemipons. Mild to moderate periventricular white matt... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: There is a 0.8 x 0.7 cm indeterminate hypodensity in the dome of the liver (image 40 series 301). A similar 0.8 x 0.7 cm hypodensity ... |
2,211 | EXAM: CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: 36-year-old male with indeterminate lesions seen on prior ultrasound. COMPARISON: Abdominal ultrasound 1/4/2022 TECHNIQUE: CT Abdomen and Pelvis wo+w contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Saline flush: 100 ml.... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Trace bilateral pleural effusions. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Approximately 1.7 x 1.2 cm lesion in the right hepatic lobe which demonstrates arterial discontinuous nodu... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Moderate-sized mixed type hiatal hernia. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: The pancreatic head and neck a... |
2,212 | CLINICAL HISTORY: CSF leak TECHNIQUE: Thin unenhanced axial images were obtained through the temporal bones and reformatted in multiple planes. Scan field of view: 184 mm. DLP: 434.79 mGy cm. COMPARISON: None available FINDINGS: Right: There are postsurgical changes of prior canal wall up right mastoidectomy. There are... | FINDINGS: Right: There are postsurgical changes of prior canal wall up right mastoidectomy. There are multiple osseous defect involving the right tegmen mastoideum and tympanicum. There is partial opacification of the middle ear cleft. There are also secretions and gas in the mastoidectomy bowl. Ossicles remain relativ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Low-attenuation lesion in the right lobe of the thyroid measuring about 1.3 x 0.9 cm (series 2; image 19), not significantly changed from prior. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered, subcentimeter pulmonary nodules are overall stable in appearance, largest in the ... |
2,213 | CLINICAL HISTORY: Chronic lower back pain COMPARISON: CT 11/6/2013l TECHNIQUE: Helical CT images of the lumbar spine were acquired in axial planes. Images were reformatted in coronal and sagittal planes. Images were presented in soft tissue and bone windows. Scan field of view: 140 mm. DLP: 987 mGy cm. FINDINGS: Verteb... | FINDINGS: Vertebral segmentation anomaly with right greater than left partial sacralization at L5 with pseudoarticulations (series 11 image 191, series 8 image 198). There is grade 1 anterolisthesis of L4 over L5. The vertebral body heights are maintained without compression deformity. No evidence of acute vertebral fr... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Low-attenuation lesion in the right lobe of the thyroid measuring about 2.6 x 2.1 cm (series 2; image 10). CHEST: LUNGS / AIRWAYS / PLEURA: Moderate bilateral upper lung predominant cent... |
2,214 | CLINICAL HISTORY: Mid back pain COMPARISON: Limited MRI thoracic spine 12/20/2021 TECHNIQUE: Helical CT images of the thoracic spine were acquired in the axial planes. Images were presented in bone and standard windows and reformatted in the coronal and sagittal planes. Scan field of view: 150 mm. DLP: 722 mGy cm. FIND... | FINDINGS: The alignment is anatomic. The vertebral body heights are maintained without compression deformity. No evidence of acute vertebral fracture is identified within the thoracic spine. The intervertebral disc spaces are relatively well-maintained without significant degenerative change identified. The bony centra... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis Renal Transplant VASCULATURE: LOWER ABDOMINAL AORTA: Moderate arterial wall calcifications. RIGHT COMMON / INTERNAL ILIAC ARTERIES: Mild calcified atherosclerotic disease. RIGHT EXTERNAL ILIAC ARTE... |
2,215 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: Interstitial lung disease COMPARISON: Compared to 11/18/2021.. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 320 mm. DLP: 170 mGy cm. High-resolution CT imaging of the chest was performed per protocol with inspiratory and expiratory... | FINDINGS: Bilateral interstitial lung disease with traction bronchiectasis and areas of honeycombing is redemonstrated and unchanged. Again this is the worst in the left lower lobe. Peripheral areas of nodular consolidation are also unchanged. The spiculated nodular density in the left upper lobe measures 10 x 16 mm on... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: A polygonal nodule measuring up to 0.7 cm in the lingula (series 2; image 162) is not significantly changed and may represent an intrapulmonary l... |
2,216 | RADIOLOGIC EXAM: CT Angio Head Code Stroke, CT Angio Neck CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck 3-D CT MIP images were generated in post processing. Patient weight: 181 lbs. IV contrast: Omnipaque 350, 125 ml, per protocol. Saline flush: 65 ml. IV contrast i... | FINDINGS: NECK: AORTIC ARCH and PROXIMAL GREAT VESSELS: Unremarkable. RIGHT CAROTID: There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. LEFT CAROTID: There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or d... | Findings: The left submandibular gland appears asymmetrically prominent. There is no evidence of sialadenitis or mass lesion. The submandibular space is normal in appearance. Prominent left level IIA lymph node measures 1.6 cm in long axial diameter. The styloid process is not elongated. No discrete mass or lymphadenop... |
2,217 | RADIOLOGIC EXAM: CT Angio Head Code Stroke, CT Angio Neck CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck 3-D CT MIP images were generated in post processing. Patient weight: 181 lbs. IV contrast: Omnipaque 350, 125 ml, per protocol. Saline flush: 65 ml. IV contrast i... | FINDINGS: NECK: AORTIC ARCH and PROXIMAL GREAT VESSELS: Unremarkable. RIGHT CAROTID: There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. LEFT CAROTID: There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or d... | FINDINGS: STRUCTURED REPORT: CTA Chest VASCULATURE: CORONARY ARTERIES: There are no atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING THORACIC AORTA: No significant abnormality. AORTIC ARCH: Trace atherosclerotic calcifications. ARCH... |
2,218 | CT head without contrast Clinical Information: Code stroke.. Dizziness and vertigo. Comparison: None. Technique: Axial helical images of the head were obtained. Coronal and sagittal reformatted images were obtained from the axial data set. DLP: 1395.50 mGy cm. Findings: The parenchyma has normal appearance with no mass... | Findings: The parenchyma has normal appearance with no mass, hemorrhage, visible infarct or extracerebral collection. There is preservation of gray-white borders. There is no hypodensity in the white matter. Posterior fossa contents appear normal. There is paranasal sinus disease; see the maxillofacial CT scan. No defe... | FINDINGS: Interval removal of the right frontal skull fracture fragments and wound washout/debridement changes are noted. Trace of epidural hemorrhage measuring 2 mm in thickness remains visualized superiorly. Mild right orbitofrontal edema is also noted. There is no interval change in the left occipital subcortical co... |
2,219 | 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: There is no diminished CBF or CBV. No significant increased Tmax is seen. There is 36 mL of Tmax greater than four seconds, possibly artifactual. --------------- | FINDINGS: SOFT TISSUES: Stable prior posttreatment changes involving the right tongue base/tonsillar pillar and anterior right neck soft tissues. The masticator, parapharyngeal, retropharyngeal, carotid, sublingual, and submandibular spaces are otherwise unremarkable, without abnormal enhancement or residual discrete m... |
2,220 | EXAM: CT Abdomen with contrast CLINICAL INFORMATION: Abdominal swelling. COMPARISON: 9/5/2018. TECHNIQUE: CT Abdomen with contrast. Patient weight: 137 lbs. IV contrast: Omnipaque 350, 137 ml, per protocol. Water: 16 oz. Saline flush: 20 ml. IV contrast injection rate: 3.50 ml per sec. Scan delay: Bolus Tracked. Scan f... | FINDINGS: STRUCTURED REPORT: CT Abdomen LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Focal fat is seen along the falciform ligament. Cyst is seen within the inferior right hepatic lobe. No suspicious lesions. BILIARY TRACT: Normal. GALL... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Please see same-day CT neck for neck findings. CHEST: LUNGS / AIRWAYS / PLEURA: There is no focal consolidation, pleural effusion, or pneumothorax. Biapical pleural parenchymal fibrosis is unchanged. Central airways are patent. Tiny lingular nodule on series 3 image 159... |
2,221 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Prior CT abdomen. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 120 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 67 sec. Scan field of view: 350 mm. DLP: 372 mGy c... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Postoperative changes in the right middle lobe and right pleural thickening are unchanged as compared to the CT chest dated 8/23/10. Left lower lobe bilobed nodule has increased in size and measures 9 mm, previously 4 mm. Few additional sm... | FINDINGS: There are enlarged left supraclavicular lymph node which are not well assessed. These measure up to 8 mm in short axis. Multiple enlarged mediastinal lymph nodes are also noted including enlarged AP window lymph nodes which measure up to 19 x 25 mm. No enlarged axillary lymph nodes. The hilar lymph nodes are ... |
2,222 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: 54-year-old female with Covid confirmed and acute hypoxia worsening, rule out 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: 240 lbs. ... | 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: There are patchy consolidative and extensive groundglass opacities in bilateral lungs. No pleural effusion or pneumothora... | FINDINGS: The supraclavicular region is unremarkable. The central airways are patent. The thoracic aorta is nonaneurysmal. The pulmonary arteries are normal in caliber. The heart is not enlarged. No pericardial effusion. No enlarged supraclavicular, axillary, mediastinal or hilar lymph nodes. The esophagus is not dilat... |
2,223 | CT Cardiac with contrast CLINICAL INFORMATION: 71 year old female, is being evaluated for potential percutaneous aortic valve replacement procedure. TR, I07.1 Rheumatic tricuspid insufficiency Spec Inst: TAVR protocol per Dr. Singh COMPARISON: No other relevant studies available for comparison. TECHNIQUE: Pre contrast ... | FINDINGS: The quality of study is excellent for evaluation of aortic root and was not tailored for coronary artery evaluation. There is mild calcification of the tricuspid aortic leaflets with restricted opening during systole. The aortic root measurements done in systolic phase 30% are as follows (all using double obl... | 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... |
2,224 | EXAM: CT Angio Abdomen and Pelvis CLINICAL INFORMATION: 71-year-old female presenting for evaluation prior to TAVR. TR, I07.1 Rheumatic tricuspid insufficiency Spec Inst: TAVR protocol per Dr. Singh COMPARISON: None. TECHNIQUE: CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate M... | FINDINGS: STRUCTURED REPORT: CTA TAVR Protocol VASCULATURE: ABDOMINAL AORTA: Scattered atherosclerotic calcification without aneurysm. CELIAC AXIS: No significant abnormality. There is an accessory left hepatic artery arising from the left gastric artery. SMA: Replaced right hepatic artery. No significant abnormality. ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: Remarkable CHEST: PULMONARY ARTERIES: No acute pulmonary embolus is identified. LUNGS / AIRWAYS / PLEURA: Moderate to large right and small left effusions w... |
2,225 | CT Cardiac with contrast CLINICAL INFORMATION: 86-year-old female with aortic valve stenosis undergoing evaluation for transcatheter aortic valve replacement. COMPARISON: Echocardiogram on 1/5/2022 TECHNIQUE: Pre contrast images were obtained to assess aortic valve and mitral annular calcifications. The postcontrast CT... | FINDINGS: The quality of study is excellent for evaluation of aortic root and was not tailored for coronary artery evaluation. There is severe calcification of the tricuspid aortic leaflets with restricted opening during systole. The aortic root measurements done in systolic phase 30% are as follows (all using double o... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: There is a moderate right pleural effusion. There is a small left pleural effusion. DISTAL ESOPHAGUS: Unremarkable. HEART / VESSELS: Cardiomegaly and moderate pericardial effusion. ABDOMEN and PELVIS: LIVER: The liver is diffusely heteroge... |
2,226 | EXAM: CT Angio Abdomen and Pelvis CLINICAL INFORMATION: 86-year-old female presenting for evaluation prior to TAVR tavr eval, I35.0 Nonrheumatic aortic (valve) stenosis Spec Inst: TAVR protocol per Dr. Singh COMPARISON: None. TECHNIQUE: CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to g... | FINDINGS: STRUCTURED REPORT: CTA TAVR Protocol VASCULATURE: ABDOMINAL AORTA: Circumferential atherosclerotic calcification with ectasia/aneurysmal dilatation of the infrarenal aorta measuring up to 2.9 cm. Noncalcified mural plaques are seen at the infrarenal abdominal aorta with mild aortic narrowing. CELIAC AXIS: Ost... | 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 ( |
2,227 | CT Head wo contrast 1/6/2022 3:25 AM Clinical Information: Status post skull base repair Spec Inst: stealth protocol Comparison: Brain MRI 12/13/2021 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 239 mm. DLP: 1534 mGy cm. Findings: There are postsurgical changes wit... | Findings: There are postsurgical changes with surgical material, secretions and gas in the left nasal ethmoid region from skull base repair. There is mild mucosal thickening and secretions in the left maxillary sinus with an air-fluid level in the left sphenoid sinus with some hyperdense secretions. Intracranially, the... | FINDINGS: CT of the head with and without contrast: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral cortical volume is appropriate for patient's age. EXTRA-AXIAL SPACES: There is slight hyperdensity within the sulci overlying the right pa... |
2,228 | CT Cardiac with contrast CLINICAL INFORMATION: 87 year old female, is being evaluated for potential percutaneous aortic valve replacement procedure. TAVR eval, I35.0 Nonrheumatic aortic (valve) stenosis Spec Inst: TAVR protocol per Dr. Singh COMPARISON: Outside chest CT dated 11/10/2021. TECHNIQUE: Pre contrast images ... | FINDINGS: The quality of study is excellent for evaluation of aortic root and was not tailored for coronary artery evaluation. There is mild calcification of the tricuspid aortic leaflets with restricted opening during systole. The aortic root measurements done in systolic phase 30% are as follows (all using double obl... | FINDINGS: Left rim mandibulectomy with floor-of-mouth resection, left neck dissection, and total thyroidectomy changes are again noted. Medialized right true vocal cord may indicate recurrent laryngeal nerve palsy. There is severe carotid bulb calcified atherosclerotic disease with severe postbulbar stenosis bilaterall... |
2,229 | EXAM: CT Angio Abdomen and Pelvis CLINICAL INFORMATION: 87-year-old female presenting for preoperative evaluation. tavr eval, I35.0 Nonrheumatic aortic (valve) stenosis Spec Inst: TAVR protocol per Dr. Singh COMPARISON: None. TECHNIQUE: CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to g... | FINDINGS: STRUCTURED REPORT: CTA TAVR Protocol VASCULATURE: ABDOMINAL AORTA: Infrarenal right aortoiliac stent graft is in place. CELIAC AXIS: No significant abnormality. SMA: Mild ostial stenosis. Moderate atherosclerotic stenosis is seen in the mid SMA which appears patent distally. RIGHT RENAL: Mild ostial stenosis ... | FINDINGS/CONCLUSION: No acute fracture or dislocation. Advanced tricompartmental osteoarthritis, most severe in the lateral femorotibial compartment with complete joint space loss and associated subchondral sclerosis and cystic changes of the lateral tibial plateau. Chondrocalcinosis is also noted. Multiple osteochondr... |
2,230 | CLINICAL HISTORY: TVAR protocol, assess cervical and intracranial stenosis COMPARISON: None. TECHNIQUE: Helical CT angiography of the neck was performed using the TVAR protocol. Images were acquired in contiguous axial sections using a standard algorithm. These images were reformatted in the coronal and sagittal planes... | FINDINGS: There is a three-vessel arch. There is mild plaque at the origin of the major arteries, without significant stenosis. There are mild atherosclerotic calcifications at the bilateral carotid bifurcations, without flow-limiting stenosis in either cervical internal carotid arteries. Scattered calcified plaque in ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus within the limitations of this study. LUNGS / AIRWAYS / PLEURA: ... |
2,231 | EXAM: CT Angio Chest wo+w contrast, CT Angio Upper Ext Right wo+w contrast CLINICAL INFORMATION: Right axillary pain. Right upper extremity redness, swelling and discoloration. COMPARISON: None. TECHNIQUE: CT Angio Chest wo+w contrast, CT Angio Upper Ext Right wo+w contrast. Additional 3D image post-processing was perf... | FINDINGS: VASCULATURE: CORONARY ARTERIES: There are no atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING THORACIC AORTA: No significant abnormality. AORTIC ARCH: No significant abnormality. ARCH VESSELS: No significant abnormality. T... | Findings: Brain parenchyma: The brain has normal morphology and volume. The brain parenchyma has a normal appearance. The white-gray matter differentiation is preserved. Ventricular system: Normal configuration. No hydrocephalus. Basal cisterns: There is no significant effacement of the basilar cisterns. Extra-axial sp... |
2,232 | EXAM: CT Angio Chest wo+w contrast, CT Angio Upper Ext Right wo+w contrast CLINICAL INFORMATION: Right axillary pain. Right upper extremity redness, swelling and discoloration. COMPARISON: None. TECHNIQUE: CT Angio Chest wo+w contrast, CT Angio Upper Ext Right wo+w contrast. Additional 3D image post-processing was perf... | FINDINGS: VASCULATURE: CORONARY ARTERIES: There are no atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING THORACIC AORTA: No significant abnormality. AORTIC ARCH: No significant abnormality. ARCH VESSELS: No significant abnormality. T... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral volume is normal. Prominent perivascular space in the left basal ganglia is noted. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal... |
2,233 | CT angiograms of the head Clinical Information: Possible right paraclinoid ICA aneurysm on prior MRA head. 205-325-8508 Comparison: MRA head dated July 30, 2021. Technique: 2.5 mm axial images were obtained without contrast from the skull base to the vertex. During the IV infusion of contrast, 0.6 mm images were obtain... | Findings: CT Head: There is no evidence of an acute infarct and no intracranial hemorrhage. Gray-white differentiation is maintained throughout. The ventricular system has normal size and configuration. No midline shift or mass effect. The basal cisterns are clear. No abnormal parenchymal or meningeal enhancement is id... | 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. There is mucosal thickening in the bilateral maxillary, ethmoid and sphenoid sinuses. ATLANTODENTAL INTERVAL: Normal ( |
2,234 | EXAM: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis CLINICAL INFORMATION: 71-year-old male with palpitations and dyspnea with history of aortic repair. COMPARISON: 11/29/2021. TECHNIQUE: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate ... | FINDINGS: STRUCTURED REPORT: CTA CAP VASCULATURE: CORONARY ARTERIES: There are severe atherosclerotic calcifications of the native coronary arteries. Aberrant left coronary artery arising from the right coronary sinus and possibly behind the aortic root PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASC... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral volume is normal. Prominent perivascular space in the left basal ganglia is noted. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal... |
2,235 | EXAM: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis CLINICAL INFORMATION: 71-year-old male with palpitations and dyspnea with history of aortic repair. COMPARISON: 11/29/2021. TECHNIQUE: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate ... | FINDINGS: STRUCTURED REPORT: CTA CAP VASCULATURE: CORONARY ARTERIES: There are severe atherosclerotic calcifications of the native coronary arteries. Aberrant left coronary artery arising from the right coronary sinus and possibly behind the aortic root PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASC... | 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. There is mucosal thickening in the bilateral maxillary, ethmoid and sphenoid sinuses. ATLANTODENTAL INTERVAL: Normal ( |
2,236 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrast, CT Cervical Spine From ReformatScan field of view: 230 mm. DLP: 1440.90 mGy cm. (accession CT220002690), Scan ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Small amount of mucosal thickening is seen in the left maxillary sinus.. CT maxillofacial: Displaced fractures of the left nasal bones are ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: The bladder is enlarged and steatotic. Ill-defined hypoattenuation along the porta hepatis region likely represents focal fatty infil... |
2,237 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weig... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Thyroid goiter. CHEST: LUNGS / AIRWAYS / PLEURA: Normal there is respiratory motion artifact. There are bilateral lower lobe dependent atelectatic changes with areas of wedge-shaped consolidation and volume loss. The lungs are otherwise clear apart from mild biapic... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Age-appropriate cerebral volume. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. Prominent calcifications of the choroid plexus bilaterall... |
2,238 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weig... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Thyroid goiter. CHEST: LUNGS / AIRWAYS / PLEURA: Normal there is respiratory motion artifact. There are bilateral lower lobe dependent atelectatic changes with areas of wedge-shaped consolidation and volume loss. The lungs are otherwise clear apart from mild biapic... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis w/ Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality. LEFT RENAL: No significant ... |
2,239 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrast, CT Cervical Spine From ReformatScan field of view: 230 mm. DLP: 1440.90 mGy cm. (accession CT220002690), Scan ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Small amount of mucosal thickening is seen in the left maxillary sinus.. CT maxillofacial: Displaced fractures of the left nasal bones are ... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis w/ Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality. LEFT RENAL: No significant ... |
2,240 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weig... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Thyroid goiter. CHEST: LUNGS / AIRWAYS / PLEURA: Normal there is respiratory motion artifact. There are bilateral lower lobe dependent atelectatic changes with areas of wedge-shaped consolidation and volume loss. The lungs are otherwise clear apart from mild biapic... | FINDINGS: VERTEBRA: Vertebral heights are well-maintained without acute fracture. DISC SPACES AND FACET JOINTS: No acute fracture or disc space loss. Early anterior syndesmophyte at C4-C5. Mild intervertebral disc space loss at C6-C7, without significant spinal canal stenosis or neuroforaminal narrowing. PREVERTEBRAL S... |
2,241 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weig... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Thyroid goiter. CHEST: LUNGS / AIRWAYS / PLEURA: Normal there is respiratory motion artifact. There are bilateral lower lobe dependent atelectatic changes with areas of wedge-shaped consolidation and volume loss. The lungs are otherwise clear apart from mild biapic... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis w/ Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality. LEFT RENAL: No significant ... |
2,242 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrast, CT Cervical Spine From ReformatScan field of view: 230 mm. DLP: 1440.90 mGy cm. (accession CT220002690), Scan ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Small amount of mucosal thickening is seen in the left maxillary sinus.. CT maxillofacial: Displaced fractures of the left nasal bones are ... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis w/ Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality. LEFT RENAL: No significant ... |
2,243 | RADIOLOGIC EXAM: CT Angio Neck CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Neck 3-D CT MIP and Volume rendered angiographic images were generated in post processing. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 120 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 4 ml ... | FINDINGS: AORTIC ARCH and PROXIMAL GREAT VESSELS: Unremarkable apart from aortic arch atherosclerotic calcifications and normal variant ductus diverticulum of the proximal descending thoracic aorta. RIGHT CAROTID: There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or di... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Age-appropriate cerebral volume. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. Prominent calcifications of the choroid plexus bilaterall... |
2,244 | CT Head wo contrast 1/5/2022 6:27 PM Clinical information: shunt placement Spec Inst: please page 9228 once CTH is done so a resident may look at scan Comparison: MR brain 12/9/2021 Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. ... | Findings: There has been interval placement of a right parietal approach ventricular shunt catheter which terminates in the left frontal horn. Small right convexity pneumocephalus. Ventricular size is overall stable compared to prior MRI. Overall stable appearance of fourth ventricular mass with calcification. Prominen... | FINDINGS: VASCULAR FINDINGS: Aortic arch: Patent with no hemodynamically significant stenosis. Three normal vessel aortic arch is noted. Common carotid arteries: Patent with no hemodynamically significant stenosis. Internal carotid arteries: Patent with no hemodynamically significant stenosis. Vertebral arteries: Domin... |
2,245 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: COVID confirmed, convalesced. Dyspnea, evaluate for PE. History of SLE. COMPARISON: CT chest 12/18/2015. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 110 ... | FINDINGS: OVERALL DIAGNOSTIC QUALITY: Contrast bolus timing is optimal for evaluation of PTE. Examination is limited by mild motion artifact. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus. Normal caliber pulmonary artery. LUNGS / AIRWAYS / PLEURA: There are bilateral, upper lobe ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. LOWER NECK: Unremarkable. CHEST: PULMONARY ARTERIES: The pulmonary artery is enlarged measuring 3.5 cm in diameter. No central pulmonary embolus is id... |
2,246 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 67-year-old female with provided history of lichen planus and malignant neoplasm of mouth. COMPARISON: None. TECHNIQUE: CT Chest with contrast. Patient weight: 145 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2 ... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lower neck: Reported separately. Lung parenchyma and pleura: No consolidation. No suspicious pulmonary nodule. No pleural effusion. Central airways are patent. Thoracic inlet, heart, and mediastinum: No lymphadenopathy in the axillary, mediastinal, or... | Findings: The brain parenchyma volume appears normal. The white-gray matter differentiation is preserved. Scattered periventricular and subcortical white matter hypoattenuation is noted, suggestive of moderate chronic microvascular ischemic disease. Remote left basal ganglia lacunar infarcts. There is no intra- or extr... |
2,247 | CT scan of the soft tissues of the neck with contrast Clinical Information: Lichen planus, status post biopsy of right lateral tongue. Glossitis. Malignant neoplasm of mouth, unspecified, C02.9 Malignant neoplasm of tongue, unspecified Comparison: None available. Technique: Axial images of the neck were obtained follow... | Findings: The included portions of the brain and skull base appear normal. The nasopharynx and oropharynx are normal in appearance. Specifically, no suspicious soft tissue lesion is seen on the puffed cheek view of the oral cavity. The base of the tongue and lymphoid tissue in Waldeyer's ring are unremarkable. Motion a... | FINDINGS: SOFT tissues: Small left preseptal/periorbital hematoma is noted. FACIAL BONES: No acute fractures are present. MANDIBLE: No fractures are present. Patient is edentulous. REMAINING VISUALIZED BONES: Normal. SINONASAL CAVITIES: Mucus retention cysts are noted in the bilateral maxillary sinuses, with associated... |
2,248 | NECK CT WITH IV CONTRAST CLINICAL INDICATION: Assess parapharyngeal mass. PROCEDURE: 1.25 mm images were obtained from the lower orbits through the thoracic inlet. Patient weight: 212 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 2 ml per sec. Scan delay: 45 sec... | FINDINGS: When measured in similar fashion, there has been no significant change in 3.9 x 2.3 x 4.3 cm hypoenhancing left carotid space mass. This continues to splay the left internal and external carotid arteries. There is partial effacement of the left nasal and oropharynx, unchanged. There are no enlarged, or morpho... | Findings: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. There are periventricular low-attenuation white matter changes, likely small vessel ischemic disease. The ventricular system and extra-axial spaces appear normal. The there is a mucous atte... |
2,249 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: Liver transplant evaluation COMPARISON: None. TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 195 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/82 sec. Scan field of view: ... | FINDINGS: STRUCTURED REPORT: CT HCC Screening FINDINGS: IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Small left pleural effusion with mild adjacent passive subsegmental atelectasis of the left lower lobe. No suspicious nodule or mass identified. HEART / VESSELS: Coronary artery calcifications versus st... | 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. Partial dependent opacification of the right mastoid air cells. ATLANTODENTAL INTERVAL: Normal ( |
2,250 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Cavitary lesion. COMPARISON: CT abdomen 1/3/22, chest radiograph 1/1/22 TECHNIQUE: CT Chest with contrast. Patient weight: 125 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 35 sec Scan ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small effusions, similar to prior. Trace paraseptal emphysema. Patchy bilateral groundglass and consolidative opacities, with nodular opacity in the right upper lobe measuring 1.3 x 1.1 cm (series 2 image 28). Scattered subsegmen... | 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: Large 5.5 x 4.7 cm cavitary lesion with thick rind in the peripheral right upper lobe (series 2, image 32). Subjacent c... |
2,251 | CT orbits without contrast CLINICAL INFORMATION: Right orbital contusion. COMPARISON: None. TECHNIQUE: Thin unenhanced axial images were obtained through the orbits and reformatted in multiple planes. DLP: 748.70 mGy cm. FINDINGS: Minimal right periorbital swelling. No post septal hemorrhage or any acute changes. Remot... | FINDINGS: Minimal right periorbital swelling. No post septal hemorrhage or any acute changes. Remote appearing healed blowout fracture of the left lamina papyracea. No sign new maxillofacial fracture. No orbital fracture. Temporomandibular joints are intact. No nasal bone fracture. Paranasal sinuses are clear. --------... | 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 aside from focal fat, BILIARY TRACT: Ductal dilation dilation is similar to prior. Few foci of pneumobilia. GALLBLADDER: Prior... |
2,252 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Rectal cancer COMPARISON: CT 04/23/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 163 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 vi... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Tiny calcified hepatic granulomas.. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Stable small simple right renal cysts. No definite ... | Findings: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. There is a mucous retention cyst/polyp in the right maxillary sinus. The mastoid air cells are aerated. No calvarial fracture is... |
2,253 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 72-year-old male with provided history of colon cancer. COMPARISON: Chest CT 4/23/2021 TECHNIQUE: CT Chest with contrast. Patient weight: 163 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan dela... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: A right IJ port catheter with tip at the cavoatrial junction. Lung parenchyma and pleura: Moderate upper lobe predominant centrilobular emphysema. Scattered small subcentimeter pulmonary nodules in both lungs, unchanged for example in the left lower lobe (i... | FINDINGS: LOWER NECK: Partially visualized left parasymphyseal mandibular fracture. CHEST: LUNGS / AIRWAYS / PLEURA: Mild centrilobular and paraseptal emphysema. Patchy groundglass and consolidative opacities throughout the right lung. Suspected laceration along the right heart border (series 601 image 175). No pneumot... |
2,254 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: shortness of breath, J61 Pneumoconiosis due to asbestos and other mineral fibers Spec Inst: Please schedule with appointment 16 COMPARISON: None. TECHNIQUE: Helical multidetector noncontrast CT of the chest was performed. Axial, sagittal, and coronal multiplanar reformat... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LINES AND TUBES: None. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Similar appearance of partially calcified pleural plaque along the right diaphragm. Additional partially calcified pleural thickening involving the ri... | FINDINGS: LOWER NECK: Partially visualized left parasymphyseal mandibular fracture. CHEST: LUNGS / AIRWAYS / PLEURA: Mild centrilobular and paraseptal emphysema. Patchy groundglass and consolidative opacities throughout the right lung. Suspected laceration along the right heart border (series 601 image 175). No pneumot... |
2,255 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Assess for fluid collection COMPARISON: CT 12/29/2021. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 440 mm. Oral contrast Omnipaque: 16.9 oz. DLP: 656 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: No pleural effusion. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Mildly increased small volume pericardial effusion. Heart is normal in size. Severe mitral ... | 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 ( |
2,256 | CT Head wo contrast 1/6/2022 1:20 AM Clinical Information: tSAH Spec Inst: scan per NSGY Comparison: CT head 1/5/2022. Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 225 mm. DLP: 1032 mGy cm. Findings:... | Findings: Expected interval evolutionary changes and multifocal right frontal lobe hemorrhagic contusions with interval decrease in attenuation of central high density component. Stable appearance of perifocal edema. Areas of frontoparietal subarachnoid hemorrhage hemorrhage are stable. No new acute intracranial abnorm... | FINDINGS: LOWER NECK: Partially visualized left parasymphyseal mandibular fracture. CHEST: LUNGS / AIRWAYS / PLEURA: Mild centrilobular and paraseptal emphysema. Patchy groundglass and consolidative opacities throughout the right lung. Suspected laceration along the right heart border (series 601 image 175). No pneumot... |
2,257 | EXAM: CT Pelvis wo IV contrast CLINICAL INFORMATION: 55-year-old female with end-stage renal disease; renal transplant evaluation. COMPARISON: None. TECHNIQUE: CT Pelvis wo IV contrast. Scan delay: 0 sec. Scan field of view: 500 mm. DLP: 687 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can redu... | 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... | FINDINGS: LOWER NECK: Partially visualized left parasymphyseal mandibular fracture. CHEST: LUNGS / AIRWAYS / PLEURA: Mild centrilobular and paraseptal emphysema. Patchy groundglass and consolidative opacities throughout the right lung. Suspected laceration along the right heart border (series 601 image 175). No pneumot... |
2,258 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Lung nodules. COMPARISON: None available. TECHNIQUE: CT Chest with contrast. Patient weight: 144 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 55 sec. Scan field of view: 305 mm. DLP: 23... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Slightly spiculated noncalcified nodule in the right middle lobe measuring 6 mm (image 142, series #201). Additional tiny noncalcified nodules in the right upper and left lower lobes (image 29 and 70, series #201). Small fissure-... | FINDINGS: Soft tissues: Perimandibular and submental hematoma with associated packing material and subcutaneous emphysema. Bones: Acute displaced fracture of the left mandibular parasymphysis, extending through the alveolar ridge of the left lateral incisor and left canine, with 8 mm diastases between fracture fragment... |
2,259 | CARDIA - LUNG Research study Technique: Scan field of view: 299 mm. DLP: 102.91 mGy cm. 0.63 mm images were obtained through the chest; abdominal CT will be reported separately. Comparison: None No enlarged hilar or mediastinal nodes are present. The mediastinum is normal. The lungs are normal without noncalcified nodu... | No enlarged hilar or mediastinal nodes are present. The mediastinum is normal. The lungs are normal without noncalcified nodules or masses. There is no significant pleural disease. Coronary arterial calcification: None Visualized thoracic skeleton is unremarkable. Noncontrast views of the upper abdomen are unremarkable... | 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 ( |
2,260 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Abdominal mass and pain COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 201 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan field of ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Numerous hypoattenuating liver lesions of varying size such as a lesion within the caudate lobe measuring up to 3.0 cm on image 75, s... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: There are a few scattered hazy groundglass opacities most prominent in the lung bases. Subsegmental atelectasis in both lower lobes, lingula, and r... |
2,261 | CT Head wo contrast, CT Maxillofacial wo contrast 1/5/2022 3:23 PM Clinical Information: PUI for COVID Trauma Comparison: None Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 230 mm. DLP: 1413.90 mGy cm. (accession CT220002716), Scan field of view: 200 mm. DLP: 1021.6... | Findings: There is no evidence of acute infarction, hemorrhage or hydrocephalus. There is no vasogenic edema or mass effect. There is age-related atrophy with proportionate enlargement ventricles and subarachnoid CSF spaces. There is moderate periventricular white matter hypodensities which are nonspecific but likely r... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: There are a few scattered hazy groundglass opacities most prominent in the lung bases. Subsegmental atelectasis in both lower lobes, lingula, and r... |
2,262 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weight: 125 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Heterogeneous thyroid with multiple nodules, indeterminate.. CHEST: LUNGS / AIRWAYS / PLEURA: There is a patchy airspace consolidation seen within the periphery of the right upper lobe adjacent to rib fractures, likely representing pulmonary contusion. There is str... | Findings: Please note evaluation is mildly limited due to patient's positioning. Brain parenchyma: Diffuse age-appropriate brain parenchymal volume loss is again seen, resulting in ex vacuo dilatation of the ventricular system. Persistent periventricular and scattered subcortical white matter hypoattenuation, suggestiv... |
2,263 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weight: 125 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Heterogeneous thyroid with multiple nodules, indeterminate.. CHEST: LUNGS / AIRWAYS / PLEURA: There is a patchy airspace consolidation seen within the periphery of the right upper lobe adjacent to rib fractures, likely representing pulmonary contusion. There is str... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis w/ Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality. LEFT RENAL: No significant ... |
2,264 | RADIOLOGIC EXAM: CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: 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. STRUCTURED REPORT: CT Cervical Spine Trauma FI... | FINDINGS: Right mastoid effusion. Trace left mastoid tip effusion. 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: The sagittal images demonstrate mild levocurvature of the cervical spine, with persistent accentuation of the cervical lordosis, without subluxations. The vertebral bodies maintain normal height, without acute fractures or suspicious osseous lesions. Prominent bridging anterior osteophytes/syndesmophytes are ... |
2,265 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weight: 125 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Heterogeneous thyroid with multiple nodules, indeterminate.. CHEST: LUNGS / AIRWAYS / PLEURA: There is a patchy airspace consolidation seen within the periphery of the right upper lobe adjacent to rib fractures, likely representing pulmonary contusion. There is str... | FINDINGS: VERTEBRA: Slight anterior wedging of the T2 vertebral body, with approximately 30% loss of height. No retropulsion. DISC SPACES AND FACET JOINTS: No acute injury. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Minimal anterolisthesis of T1 over T2. Mild dextroconvex curvature centered in the upper thoracic spi... |
2,266 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weight: 125 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Heterogeneous thyroid with multiple nodules, indeterminate.. CHEST: LUNGS / AIRWAYS / PLEURA: There is a patchy airspace consolidation seen within the periphery of the right upper lobe adjacent to rib fractures, likely representing pulmonary contusion. There is str... | Findings: Brain parenchyma: Diffuse age-appropriate brain parenchymal volume loss is again seen, resulting in ex vacuo dilatation of the ventricular system. Scattered periventricular and subcortical white matter hypoattenuation is unchanged, suggestive of mild chronic microvascular ischemic disease. The white-gray matt... |
2,267 | CT Head wo contrast, CT Maxillofacial wo contrast 1/5/2022 3:23 PM Clinical Information: PUI for COVID Trauma Comparison: None Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 230 mm. DLP: 1413.90 mGy cm. (accession CT220002716), Scan field of view: 200 mm. DLP: 1021.6... | Findings: There is no evidence of acute infarction, hemorrhage or hydrocephalus. There is no vasogenic edema or mass effect. There is age-related atrophy with proportionate enlargement ventricles and subarachnoid CSF spaces. There is moderate periventricular white matter hypodensities which are nonspecific but likely r... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: A few small vague nodular areas are seen, the largest measuring 6 mm on image 13 series 3, similar to prior. Bilateral pleural effusions, right greater tha... |
2,268 | RADIOLOGIC EXAM: CT Angio Neck CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Neck 3-D CT MIP and Volume rendered angiographic images were generated in post processing. Patient weight: 125 lbs. IV contrast: Omnipaque 350, 120 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 4 ml p... | FINDINGS: AORTIC ARCH and PROXIMAL GREAT VESSELS: Aortic arch is patent with mild vascular calcification. RIGHT CAROTID: There is a beaded appearance of the mid right cervical ICA. The cervical ICA is otherwise unremarkable. The common carotid artery is unremarkable. Incidentally there is a fetal communication of the r... | FINDINGS: LOWER NECK: No significant abnormality. CHEST: LUNGS / AIRWAYS: Multifocal groundglass opacities and consolidations with a subtle peripheral predominance. PLEURA: No effusion or pneumothorax. HEART / PERICARDIUM: Heart is normal in size. No pericardial effusion. PULMONARY ARTERIES: No central pulmonary embolu... |
2,269 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Shortness of breath, breast cancer COMPARISON: 12/17/2021. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 170 lbs. IV contrast: Omnipaque 350, 100 ml, per p... | FINDINGS: ANGIOGRAM: The quality of examination for detection of pulmonary thromboembolism is is suboptimal for detection of pulmonary embolus as the region of interest was in the proximal descending aorta rather than the pulmonary artery. No central or proximal segmental pulmonary thromboemboli are identified with str... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Unremarkable CHEST: LUNGS / AIRWAYS / PLEURA: There is subtle bilateral patchy groundglass opacity. There is bilateral dependent atelectasis. 6 mm right lower lobe pulmonary nodule (seri... |
2,270 | CLINICAL HISTORY: Frequent falls, metastatic breast cancer COMPARISON: CT head 4/30/2020, MRI head 11/20/2021 TECHNIQUE: CT of the head was performed before and after intravenous contrast demonstration. Patient weight: 170 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 20 ml. IV contrast injection... | FINDINGS: There has been interval progression in the confluent white matter hypodensities involving the bilateral cerebral hemispheres since CT head performed on April 2020. Again seen chronic lacunar infarcts in the periventricular frontal lobes. There is no intracranial hemorrhage or extra-axial collection. There is ... | Findings: The brain parenchyma volume appears normal. The white-gray matter differentiation is preserved. There is no intra- or extra-axial hemorrhage. There is no midline shift, mass effect, or other space-occupying lesion. Mild colpocephaly, without hydrocephalus. The basal cisterns are clear. Incidental partially em... |
2,271 | EXAM: CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: Renal cell carcinoma COMPARISON: CT 09/15/2021. TECHNIQUE: CT Abdomen and Pelvis wo+w contrast. Patient weight: 111 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. IV contrast injection rate: 4 ml per sec. Scan delay: bt sec. Scan field of view: 350 ... | 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: Status post partial right nephrectomy with residual surgical scarring. No suspi... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Periventricular white matter hypoattenuation consistent with chronic microangiopathy. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute f... |
2,272 | EXAM: CT Chest with contrast CLINICAL INFORMATION: History of renal cell carcinoma. COMPARISON: CT chest 9/15/2021 TECHNIQUE: CT Chest with contrast. Patient weight: 111 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. IV contrast injection rate: 4 ml per sec. Scan delay: bt sec. Scan field of view: 350 mm. DLP: 8... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: The central airways are patent with trace secretions in the left main bronchus. Mild peribronchial thickening. Moderate centrilobular emphysema with upper lung predominance and hyperinflation of the lungs. Interval resolution of ... | Findings: Mildly limited evaluation due to motion artifacts. Brain parenchyma: Mild frontal age-appropriate brain parenchymal volume loss is again seen. The brain parenchyma has a normal appearance. The white-gray matter differentiation is preserved. Ventricular system: Normal configuration. No hydrocephalus. Basal cis... |
2,273 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 69-year-old female with provided history of renal mass. COMPARISON: No prior CT chest for comparison. Prior outside CT abdomen 9/3/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 318 mm. DLP: 153 mGy cm. FINDINGS: CT imaging was performed without IV contrast, ... | 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: Few small (less than 5 mm) pulmonary nodules are unchanged. For reference, a 4 mm right lower lobe partially calcified nodule (image 105, s... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Scattered atelectasis. No pleural effusions are seen. DISTAL ESOPHAGUS: Small hiatal hernia. HEART / VESSELS: The patient appears anemic. ABDOMEN and PELVI... |
2,274 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Colon cancer restaging. COMPARISON: Multiple priors most recently 11/26/2021 TECHNIQUE: Helical multidetector CT of the chest was performed after the administration of intravenous contrast. Axial, sagittal, and coronal multiplanar reformats were subsequently obtained. ... | FINDINGS: LINES AND TUBES: Right-sided Mediport tip terminates in the cavoatrial junction. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Similar appearing bandlike density in the left lower lobe. Similar soft tissue prominence within the superior lingula measuring 31 x 25 x 4 mm best seen on series #2 a two imag... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis w/ Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality. LEFT RENAL: No significant ... |
2,275 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Restaging colon cancer COMPARISON: CT 12/23/2020. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 161 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan f... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Stable changes of partial hepatectomy. No suspicious hepatic lesions. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NOD... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: Unremarkable. CHEST: PULMONARY ARTERIES: No acute pulmonary embolus is identified. The pulmonary artery is borderline enlarged measuring 3.1 cm. LUNGS / AIR... |
2,276 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: Liver transplant evaluation, history of cirrhosis COMPARISON: None. TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 177 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.20 ml per sec. Scan delay: 90 sec. S... | FINDINGS: STRUCTURED REPORT: CT HCC Screening IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: There is a small lung nodule within the left lower lobe that measures less than 5 mm, indeterminate. No pleural effusion. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Cirrhotic. No steatosis. LIVE... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Borderline steatosis. Multifocal regions of geographic hyperenhancement on arterial phase, resolved on portal venous phase. Mild peri... |
2,277 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 65-year-old female with colon cancer, restaging. COMPARISON: CT abdomen and pelvis 2/10/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 309 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rat... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated same-day CT chest. ABDOMEN and PELVIS: LIVER: Subcentimeter hypodensity within the inferior right hepatic lobe is too small to characterize; however, likely representing a small cyst. No suspicious lesions visualized. BILIARY TRA... | FINDINGS: Aortic arch: Patent without flow-limiting stenosis. Normal three vessel aortic arch is noted. Dense atherosclerotic calcifications of the bilateral carotid bifurcations, resulting in mild luminal narrowing of the proximal left ICA. Right carotid: Otherwise, remains patent without flow-limiting stenosis. Left ... |
2,278 | CT Chest with contrast Clinical Information: 65-year-old female Colon cancer, restaging, C20 Malignant neoplasm of rectum Comparison: 4/12/2016. Technique: Following injection of non-ionic contrast 2.5 mm images were obtained through the chest. Abdominal findings will be reported separately. Patient weight: 309 lbs. IV... | Findings: Index lesions: Measured on series 2. 1. The left upper lobe nodule is measures 7 x 7 mm on image 112 unchanged from the previous exam. 2. The right lower lobe nodule measures 20 x 21 mm on series 2 image 118 and was 16 x 20 mm on the prior exam. Fiducial clip is now seen adjacent to this nodule. Mild bilatera... | FINDINGS: Aortic arch: Patent without flow-limiting stenosis. Normal three vessel aortic arch is noted. Dense atherosclerotic calcifications of the bilateral carotid bifurcations, resulting in mild luminal narrowing of the proximal left ICA. Right carotid: Otherwise, remains patent without flow-limiting stenosis. Left ... |
2,279 | EXAM: CT Angio Abdomen and Pelvis CLINICAL INFORMATION: Concern for bowel ischemia. COMPARISON: Same day radiograph, CT 10/13/2021. TECHNIQUE: CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 154 lbs. IV contrast: Omnipaque 350... | FINDINGS: 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 significant abnormality. No thrombus adjacent to the pneumatosis noted below. RIGHT RENAL: No significa... | Findings: Brain parenchyma: Mild frontal age-appropriate brain parenchymal volume loss is seen.. The brain parenchyma has a normal appearance. The white-gray matter differentiation is preserved. Ventricular system: Normal configuration. No hydrocephalus. Basal cisterns: There is no significant effacement of the basilar... |
2,280 | EXAM: CT Head wo contrast, CT Cervical Spine wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma. Fall with injury to the occipital region during the fall, brief loss of consciousness. Patient reports pain in the posterior head, dizziness, blurry vision and neck pain. COMPARISON: None. TECHNIQUE: CT ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: There is a nondisplaced left occipital bone fracture extending towards the left occipital condyle but not involving the occipital condyle. No additional calvarial fracture evident. VENTRICULAR SYSTEM: Norm... | Findings: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. There are periventricular low-attenuation white matter changes, similar to the prior exam. There is focal low-attenuation in the left frontal white matter, similar to the prior. There is bi... |
2,281 | EXAM: CT Head wo contrast, CT Cervical Spine wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma. Fall with injury to the occipital region during the fall, brief loss of consciousness. Patient reports pain in the posterior head, dizziness, blurry vision and neck pain. COMPARISON: None. TECHNIQUE: CT ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: There is a nondisplaced left occipital bone fracture extending towards the left occipital condyle but not involving the occipital condyle. No additional calvarial fracture evident. VENTRICULAR SYSTEM: Norm... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Moderate left and small right effusions, increased on the right, with associated atelectasis. Effusions are moderate in density suspicious for hemothorax. Right basilar calcified granuloma and pleural calcifications. HEART/ VESSELS: Partia... |
2,282 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: History of renal cell carcinoma. COMPARISON: PET/CT performed 9/9/2021. CT abdomen and pelvis performed 3/27/2020. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 420 mm. Oral contrast Omnipaque: 16 oz. DLP: 351.38 mGy cm. FINDINGS: C... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal for technique. SPLEEN: Normal... | Findings: Brain parenchyma: Mild frontal age-appropriate brain parenchymal volume loss is seen. The brain parenchyma has a normal appearance. The white-gray matter differentiation is preserved. Ventricular system: Normal configuration. No hydrocephalus. Basal cisterns: There is no significant effacement of the basilar ... |
2,283 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 81-year-old male with provided history of RCC. COMPARISON: PET/CT 9/9/2021 and Chest CT 1/15/2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 380 mm. DLP: 307.59 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy... | 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: There has been interval increase in size of right upper lobe peribronchial nodule, measures on the current exam 1.4 x 0.9 cm (image 42, ser... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Diffuse bilateral patchy and groundglass and consolidati... |
2,284 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: History of nephrolithiasis. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 395.50 mm. DLP: 732.20 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: LUNG BASES / PLEURA: Tiny 6 mm pleural-based nodule within the right lower lobe (series 201 image 41) DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Marked aortic valve calcificati... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bilateral dependent atelectasis. No pleural effusions are seen. DISTAL ESOPHAGUS: There is thickening of the distal esophagus. HEART / VESSELS: The results... |
2,285 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: History of HCC and hepatic abscess. COMPARISON: 12/14/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 131 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Oral contrast Omnipaque: 16.9 oz. Saline flush: 20 ml. IV contrast injection ra... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Interval increase in small right pleural effusion. New trace left pleural effusion. Bilateral lower lobe atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Normal in size without pericardial effusion. Severe coronary artery atheroscle... | FINDINGS/CONCLUSION: Femur: Comminuted, periprosthetic fracture of the proximal left femur. Status post left hip arthroplasty. The femoral head component is well-seated within the acetabular cup. Hematoma is noted within the anterior compartment of the thigh. Knee: Comminuted fracture of the proximal tibial metadiaphys... |
2,286 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Right lower quadrant abdominal pain COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 205 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.50 ml per sec. Scan delay: 90 sec.... | 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: Normal. LYMP... | FINDINGS/CONCLUSION: Femur: Comminuted, periprosthetic fracture of the proximal left femur. Status post left hip arthroplasty. The femoral head component is well-seated within the acetabular cup. Hematoma is noted within the anterior compartment of the thigh. Knee: Comminuted fracture of the proximal tibial metadiaphys... |
2,287 | CT Maxillofacial wo contrast, CT 3D Neuro Requiring Indep Wkst 1/6/2022 9:09 AM Clinical Information: sp ORIF multiple facial fractures Comparison: Maxillofacial CT 1/2/2022. Technique: Axial helical CT images were obtained through the maxillofacial region. 2-D coronal reconstructions were generated from the axial data... | Findings: Interval postsurgical changes of plate and screw fixations involving fractures bilateral maxillary alveoli, bilateral zygomatic maxillary regions, left lateral orbital wall, inferior left orbital rim and bilateral medial maxillary sinus walls. Metallic mesh repair involving the fractures inferior and medial l... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Mild diffuse age-appropriate brain parenchymal volume loss is again seen. Small remote lacunar infarcts within the bilateral subinsular cortex are again seen. Stable mild periventricular wh... |
2,288 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: head injury, COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 212 mm. DLP: 1315.50 mGy cm. STRUCTURED REPORT: CT Head Trauma FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Chronic lacunar infarct in right thalamus. Diffuse b... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Chronic lacunar infarct in right thalamus. Diffuse brain volume loss with ex vacuo ventricular dilatation. Mild white matter microangiopathy. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Or fracture of right lamina papyracea. VENTRICULAR... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Mild diffuse age-appropriate brain parenchymal volume loss is again seen. Small remote lacunar infarcts within the bilateral subinsular cortex are again seen. Stable mild periventricular wh... |
2,289 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: CT C-spine 9/25/2007 COMPARISON: None. TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 200 mm. DLP: 366.60 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervic... | 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: The sagittal images demonstrate persistent mild dextrocurvature of the cervical spine, reversal of the cervical lordosis, with grade 1 anterolisthesis of C2 on C3, C3 on C4, and grade 1/2 anterolisthesis of C4 on C5. The vertebral bodies maintain normal height, without acute fractures or suspicious osseous le... |
2,290 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Left lower quadrant abdominal pain. COMPARISON: 3/6/2020. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 165 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan field of view:... | 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: Horseshoe ki... | FINDINGS: STRUCTURED REPORT: CTA Lower Extremities VASCULATURE: ABDOMINAL AORTA: Not included. RIGHT ILIAC ARTERIES: Right external iliac artery is unremarkable.. RIGHT FEMORAL \T\ POPLITEAL ARTERIES: Focal calcific plaque at the right common femoral artery origin without significant narrowing. No active contrast extra... |
2,291 | EXAM: CT Head wo contrast, CT Cervical Spine wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma. Fall with injury to the occipital region during the fall, brief loss of consciousness. Patient reports pain in the posterior head, dizziness, blurry vision and neck pain. COMPARISON: None. TECHNIQUE: CT ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: There is a nondisplaced left occipital bone fracture extending towards the left occipital condyle but not involving the occipital condyle. No additional calvarial fracture evident. VENTRICULAR SYSTEM: Norm... | Findings: Brain parenchyma: The brain has normal morphology and volume. The brain parenchyma has a normal appearance. The white-gray matter differentiation is preserved. Ventricular system: Normal configuration. No hydrocephalus. Basal cisterns: There is no significant effacement of the basilar cisterns. Extra-axial sp... |
2,292 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Newly diagnosed lung cancer. COMPARISON: Multiple prior CT chest, most recently 10/28/2021. CT-guided lung biopsy 11/10/2021. TECHNIQUE: CT Chest with contrast. Patient weight: 125 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 75 ml. IV contrast i... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Heterogenous thyroid with multiple hypodense nodules. CHEST: LUNGS / AIRWAYS / PLEURA: The large cavitary mass in the left upper lobe is stable size measuring 4.9 x 4.6 cm (image 48, series #202), previously 5.0 x 4.4 cm. There has been interval accumulation of fluid wi... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Bilateral ground glass and consolidative opacities, most prominent in the posterior lower lobes. Endotracheal tube tip 3.4 cm above carina. HEART /... |
2,293 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Lung cancer COMPARISON: CT 12/15/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 125 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan field of view... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Small hypoattenuating hepatic lesion in the hepatic dome as seen on recent MRI 10/25/2021. No additional hepatic lesions. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Bilateral ground glass and consolidative opacities, most prominent in the posterior lower lobes. Endotracheal tube tip 3.4 cm above carina. HEART /... |
2,294 | CT Neck Soft Tissue w contrast Clinical Information: 54-year-old female with history of papillary thyroid carcinoma, evaluate for lymph node/recurrence. Papillary thyroid carcinoma, staging, C73 Malignant neoplasm of thyroid gland Spec Inst: ho thyroid cancer, evaluate for lymph noderecurrence Comparison: No prior CT i... | Findings: Included portions of the brain and skull base appear normal. The nasopharynx and oropharynx are normal in appearance. The base of the tongue and lymphoid tissue within Waldeyer's ring is unremarkable. There are postsurgical changes of prior total thyroidectomy. No CT evidence of residual thyroid tissue or loc... | FINDINGS: CT angiogram of the neck: AORTIC ARCH and PROXIMAL GREAT VESSELS: Normal three vessel branching pattern. RIGHT CAROTID: Punctate nonflow limiting atherosclerotic calcification of the proximal right ICA. There is no evidence of stenosis, occlusion, or aneurysmal dilation. LEFT CAROTID: There is no evidence of ... |
2,295 | EXAM: CT Elbow Left wo contrast CLINICAL INFORMATION: Fracture follow-up COMPARISON: 11/22/2021 TECHNIQUE: CT Elbow Left wo contrast Scan field of view: 260 mm. DLP: 344.02 mGy cm. FINDINGS/CONCLUSION: Decreased bone mineralization. Unchanged appearance of the indwelling distal humeral fixation hardware. There is persi... | FINDINGS/CONCLUSION: Decreased bone mineralization. Unchanged appearance of the indwelling distal humeral fixation hardware. There is persistent fracture lucency involving the distal humerus without significant osseous callus formation. Multiple well-corticated osseous fragments are present adjacent to the lateral hume... | FINDINGS: CT angiogram of the neck: AORTIC ARCH and PROXIMAL GREAT VESSELS: Normal three vessel branching pattern. RIGHT CAROTID: Punctate nonflow limiting atherosclerotic calcification of the proximal right ICA. There is no evidence of stenosis, occlusion, or aneurysmal dilation. LEFT CAROTID: There is no evidence of ... |
2,296 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Colon cancer. COMPARISON: 10/7/2021. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 500 mm. Oral contrast Omnipaque: 16.9 oz. DLP: 1436.15 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic ac... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Heterogenous attenuation throughout which may be secondary to diffuse steatosis. Evaluation for parenchymal lesion is limited by noncontrast technique. BILIARY TR... | Findings: Brain parenchyma: Ill-defined hypoattenuation is noted involving the right corona radiata, which may represent developing infarct, without evidence of hemorrhagic transformation. Diffuse age-appropriate brain parenchymal volume loss is seen. Mild periventricular white matter hypoattenuation is noted, suggesti... |
2,297 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 56-year-old female with provided history of rectal cancer. COMPARISON: Chest CT 10/7/2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 500 mm. DLP: 1436.15 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Limit... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Limitations: None. Chest: Lines, tubes, and devices: A right IJ port catheter with tip at the right atrium. Lung parenchyma and pleura: There has been interval increase in size of multiple scattered pulmonary nodules in both l... | Findings: Color parametric maps using the RAPID technique demonstrate no regional abnormalities in CBV, cerebral blood flow, mean transit time, or time to peak. Probability/prognostic maps demonstrate no areas of ischemia or high probability for cortical infarction. |
2,298 | EXAM: CT Foot Left wo contrast CLINICAL INFORMATION: Minimally displaced fractures COMPARISON: 1/5/2022 TECHNIQUE: CT Foot Left wo contrast Scan field of view: 240 mm. DLP: 284.90 mGy cm. FINDINGS/CONCLUSION: Mildly displaced fracture of the lateral malleolus below the syndesmosis. Os trigonum is seen with probable fra... | FINDINGS/CONCLUSION: Mildly displaced fracture of the lateral malleolus below the syndesmosis. Os trigonum is seen with probable fracture of the medial aspect. Comminuted fracture of the lateral talar process. Intra-articular fracture of the plantar aspect of the talar head. Comminuted, intra-articular fracture of the ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Right lower lobe dependent atelectatic changes. Pleural spaces are clear. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Diffusely hypodense as seen with steatosis. BILIARY TRACT: Normal. ... |
2,299 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 62-year-old male with provided history of allergic bronchopulmonary aspergillosis. COMPARISON: Chest CT 9/29/2021 TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 325 mm. DLP: 551 mGy cm. High-resolution CT imaging of the chest was per... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: Subpleural nodularity, similar to prior. There has been interval aeration of the right middle lobe with subcentimeter nodular densities along the right minor fissure, likely representing lymph nodes. Mild bronchial wall thi... | Findings: Brain parenchyma: Mild predominantly frontoparietal brain parenchymal volume loss is seen. The brain parenchyma has a normal appearance. The white-gray matter differentiation is preserved. Ventricular system: Normal configuration. No hydrocephalus. Basal cisterns: There is no significant effacement of the bas... |
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