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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2,300 | CT Head wo contrast 1/6/2022 12:26 AM Clinical Information: COVID Confirmed AMS Comparison: None. 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: 230 mm. DLP: 1177 mGy cm. Findings:Study limited by stre... | Findings:Study limited by streak artifacts from extraneous material resulting in suboptimal visualization at the level of skull base. No large vascular territory stroke, brain edema, intracranial hemorrhage, intracranial mass, mass effect or midline shift. No hydrocephalus. Bilateral eye proptosis. Otherwise, bilateral... | FINDINGS: There is slightly increased left supracerebellar subdural hygroma measuring 3 mm in thickness. Small subdural hygroma over the right frontal convexity remains unchanged, again measures 4 mm in thickness. There are new 6 mm focal cortical hemorrhage in the left inferior parietal lobule and small subdural hemor... |
2,301 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 339 mm. DLP: 346 mGy cm. High-resolution CT imaging of the chest was performed per protocol with inspiratory and expiratory technique in prone position. FINDINGS: STRUC... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Focal reticulation with traction bronchiectasis and fibrotic changes involving the anterior apical segment of the right upper lobe. Additional reticulation with fibrotic changes along the anterior periphery of the right lung. Add... | FINDINGS: STRUCTURED REPORT: CT Chest Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Mild dependent atelectasis in the lung bases. No focal consolidation, pleural effusion, or pneumothorax. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: Promine... |
2,302 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Right chest pain, shortness of breath. COMPARISON: Chest radiograph from the same day. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 145 lbs. IV contrast: ... | 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: Multifocal posterior right upper lobe groundglass opacities. Mild bilateral dependent atelectasis. No pleural effusion o... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Decreased cerebral cortical volume. Periventricular hypoattenuation consistent with chronic microangiopathy. EXTRA-AXIAL SPACES: Similar appearance of approximately 1 cm thick chronic subdural hematoma with stable small acute hemorrhage. ... |
2,303 | CLINICAL HISTORY: Assess for sinusitis TECHNIQUE: Thin unenhanced axial images were obtained through the paranasal sinuses using the Stealth protocol reformatted in multiple planes. Scan field of view: 180 mm. DLP: 1197 mGy cm. COMPARISON: None available FINDINGS: There is severe opacification of the left frontal sinus... | FINDINGS: There is severe opacification of the left frontal sinus and frontoethmoidal recess with hyperdense contents. There is mild mucosal thickening involving the right frontal sinus with opacified right frontoethmoidal recess. There is moderate opacification of left greater than right ethmoid air cells. There are p... | FINDINGS: BRAIN PARENCHYMA: Encephalomalacia of the bilateral cerebellar lobes appears similar reflecting evolving postsurgical changes. No intraparenchymal hemorrhage. Gray-white matter differentiation is maintained. Cerebral cortical volume is appropriate for patient's age. EXTRA-AXIAL SPACES: No epidural, subdural, ... |
2,304 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 89-year-old male with evaluation for possible volume loss. COMPARISON: CT abdomen dated 1/1/2020. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 248 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Oral contrast Omnipaque: 16.9 oz. Saline ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Small pleural effusions and associated atelectasis. DISTAL ESOPHAGUS: Esophogastric tube tip is seen in the stomach body with the sidehole near the gastric esophageal junction. HEART / VESSELS: Dilated main pulmonary artery measuring 3.5 c... | Findings: Brain parenchyma: Mild diffuse age-appropriate brain parenchymal volume loss is seen. Mild frontal periventricular white matter hypoattenuation is noted, suggestive of early chronic microvascular scheme disease. The white-gray matter differentiation is preserved. Tiny cavum septum pellucidum. Ventricular syst... |
2,305 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Left upper quadrant pain, nausea and vomiting COMPARISON: 2/19/2016 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 115 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 67 sec. Scan field... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Unremarkable DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Mild hepatomegaly, unchanged. Focal fat adjacent to the falciform ligament is unchanged. No concerning mass or lesion identified... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Right IJ approach central venous catheter with tip at the brachiocephalic vein. Two enteric tubes. CHEST: LUNGS / AIRWAYS / PLEURA: The right-sided chest tube courses anteroposteriorly through the major fissure and is kinked on itself posteriorly. There is a small ... |
2,306 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Covid confirmed, history of PTE, chest pain, dyspnea COMPARISON: 6/3/2021 TECHNIQUE: CT Angio Chest wo+w contrast Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 220 lbs. IV contrast: Omnipaque 350,... | 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: Normal. HEART / OTHER VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. LYMPH NODES: None enlarged. C... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Right IJ approach central venous catheter with tip at the brachiocephalic vein. Two enteric tubes. CHEST: LUNGS / AIRWAYS / PLEURA: The right-sided chest tube courses anteroposteriorly through the major fissure and is kinked on itself posteriorly. There is a small ... |
2,307 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Head wo 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 co... | FINDINGS: BRAIN PARENCHYMA111: No hemorrhage, mass effect or edema. There is an empty sella. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No acute fracture. There is postsurgical craniotomy changes to the left occipital region.. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: There is a small mucus retention ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Right IJ approach central venous catheter with tip at the brachiocephalic vein. Two enteric tubes. CHEST: LUNGS / AIRWAYS / PLEURA: The right-sided chest tube courses anteroposteriorly through the major fissure and is kinked on itself posteriorly. There is a small ... |
2,308 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Head wo 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 co... | FINDINGS: BRAIN PARENCHYMA111: No hemorrhage, mass effect or edema. There is an empty sella. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No acute fracture. There is postsurgical craniotomy changes to the left occipital region.. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: There is a small mucus retention ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Right IJ approach central venous catheter with tip at the brachiocephalic vein. Two enteric tubes. CHEST: LUNGS / AIRWAYS / PLEURA: The right-sided chest tube courses anteroposteriorly through the major fissure and is kinked on itself posteriorly. There is a small ... |
2,309 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Head wo 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 co... | FINDINGS: BRAIN PARENCHYMA111: No hemorrhage, mass effect or edema. There is an empty sella. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No acute fracture. There is postsurgical craniotomy changes to the left occipital region.. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: There is a small mucus retention ... | 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. The visualized paranasal sinuses and mastoid air cells are aerated. No calvarial fracture is identified. |
2,310 | RADIOLOGIC EXAM: CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. Pedestrian versus car. 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 C... | 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: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: The lungs are clear. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: Residual thymic tissue in anterior superior... |
2,311 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Head wo 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 co... | FINDINGS: BRAIN PARENCHYMA111: No hemorrhage, mass effect or edema. There is an empty sella. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No acute fracture. There is postsurgical craniotomy changes to the left occipital region.. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: There is a small mucus retention ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: The lungs are clear. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: Residual thymic tissue in anterior superior... |
2,312 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast, CT Head wo 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 co... | FINDINGS: BRAIN PARENCHYMA111: No hemorrhage, mass effect or edema. There is an empty sella. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No acute fracture. There is postsurgical craniotomy changes to the left occipital region.. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: There is a small mucus retention ... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,313 | 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: 220 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 4 ml ... | FINDINGS: 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. There is fetal communication with the right PCA incidentally noted. LEFT CAROTID: There is no evidence of irregularity, narro... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: The lungs are clear. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: Residual thymic tissue in anterior superior... |
2,314 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 43-year-old female with provided history of cough and shortness of breath. COMPARISON: Chest CT 5/12/2018 TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 350 mm. DLP: 667 mGy cm. High-resolution CT imaging of the chest was performed p... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: Mild upper lobe predominant mixed emphysema with mild diffuse bronchial wall thickening. Hazy opacity in the posterior right lower lobe (image 118, series 3), likely atelectasis. Few small (less than six) pulmonary nodules ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: The lungs are clear. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: Residual thymic tissue in anterior superior... |
2,315 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Status post surgery or and RT for nasolabial squamous cell carcinoma with PA and evaluate for metastatic disease COMPARISON: None. TECHNIQUE: CT Chest wo contrast. Scan field of view: 350 mm. DLP: 271 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Small calcified nodes are seen in the mediastinum. No enlarged intrathoracic lymph nodes are identified. Small hiatal hernia is seen. Minimal coronary artery calcification is seen. The ascending aorta is mildly ectatic at 41 m... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,316 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 54-year-old female status post abscess drainage of the right axilla. COMPARISON: Ultrasound of the right upper extremity dated 1/5/2022. TECHNIQUE: CT Chest with contrast. Patient weight: 142 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 100 ml. ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: Trace pericardial effusion. No central pulmonary embolism. Heart is normal in size. MEDIASTINUM / ESOPHAGUS: Normal. LYMPH NODES: Prominent right axillary lymph nodes are likely reactive. CHEST WALL: Inta... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Slightly degraded by motion. LOWER NECK: Left PICC terminates at the cavoatrial junction. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: There are patchy peripheral alveolar opacities concerning for atypical pneumonia bi... |
2,317 | EXAM: CT Shoulder Right with contrast CLINICAL INFORMATION: S/P right axilla abscess drainage. COMPARISON: None. TECHNIQUE: CT Shoulder Right with contrast Patient weight: 142 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 210 sec Scan ... | FINDINGS: BONES/JOINTS: No acute fracture or malalignment. No signs of osteomyelitis. SOFT TISSUES: Fat stranding and subcutaneous emphysema within the right axilla without discrete rim-enhancing fluid collection. Reactive lymphadenopathy within the axilla. | FINDINGS: Aortic arch: Patent without flow-limiting stenosis. Normal three vessel aortic arch is noted. Right carotid: Fibrofatty plaques and atherosclerotic calcifications are noted resulting in mild luminal narrowing of the proximal right ICA. Otherwise, remains patent without flow-limiting stenosis. Left carotid: No... |
2,318 | RADIOLOGIC EXAM: CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio NeckScan field o... | 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: Normal. AORTIC ARCH and PROXIMAL GREAT VESSELS: Unremarkable. RIGHT CAROTID: There is no evidence of irregularity, narrowing, occlusion or ... | FINDINGS: Aortic arch: Patent without flow-limiting stenosis. Normal three vessel aortic arch is noted. Right carotid: Fibrofatty plaques and atherosclerotic calcifications are noted resulting in mild luminal narrowing of the proximal right ICA. Otherwise, remains patent without flow-limiting stenosis. Left carotid: No... |
2,319 | EXAM: CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat. Patient weig... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis. There is trace pneumothorax on the left with adjacent subtle pulmonary contusive changes in the lingula. There are subtle pulmonary contusive changes in the anterior medial right upper lobe. No effusio... | Findings: Unchanged diffuse brain parenchymal volume loss, resulting in and ex vacuo dilatation of the ventricular system. Confluent periventricular, deep and subcortical white matter hypoattenuation is stable, suggestive of severe chronic microangiopathic changes. Small unchanged bilateral occipital encephalomalacia a... |
2,320 | EXAM: CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat. Patient weig... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis. There is trace pneumothorax on the left with adjacent subtle pulmonary contusive changes in the lingula. There are subtle pulmonary contusive changes in the anterior medial right upper lobe. No effusio... | A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves generated from this dataset were utilized to calculate cerebral blood flow, mean transit time, time to peak, and cerebral blood volume maps as well as region of inte... |
2,321 | RADIOLOGIC EXAM: CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio NeckScan field o... | 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: Normal. AORTIC ARCH and PROXIMAL GREAT VESSELS: Unremarkable. RIGHT CAROTID: There is no evidence of irregularity, narrowing, occlusion or ... | FINDINGS: 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: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute fracture. VENTRICULAR SYSTEM... |
2,322 | EXAM: CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat. Patient weig... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis. There is trace pneumothorax on the left with adjacent subtle pulmonary contusive changes in the lingula. There are subtle pulmonary contusive changes in the anterior medial right upper lobe. No effusio... | FINDINGS: STRUCTURED REPORT: CTA CAP VASCULATURE: CORONARY ARTERIES: There are mild atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING THORACIC AORTA/AORTIC ARCH: Similar postsurgical changes of the ascending aorta and hemiarch replac... |
2,323 | EXAM: CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat. Patient weig... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis. There is trace pneumothorax on the left with adjacent subtle pulmonary contusive changes in the lingula. There are subtle pulmonary contusive changes in the anterior medial right upper lobe. No effusio... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: The visualized lung bases are clear. No pleural effusions are seen. DISTAL ESOPHAGUS: Unremarkable. HEART / VESSELS: The visualized heart is normal in size. ABDOMEN and PELVIS: LIVER: Subcentimeter low-attenuation lesion in the right lobe ... |
2,324 | RADIOLOGIC EXAM: CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio NeckScan field o... | 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: Normal. AORTIC ARCH and PROXIMAL GREAT VESSELS: Unremarkable. RIGHT CAROTID: There is no evidence of irregularity, narrowing, occlusion or ... | FINDINGS: 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: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute fracture. VENTRICULAR SYSTEM... |
2,325 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Right flank pain radiating to right testicle. COMPARISON: None available. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 399 mm. DLP: 725.20 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Decom... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There is bilateral dependent atelectasis. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: No significant mediast... |
2,326 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: lung nodules, E27.8 Other specified disorders of adrenal gland, R91.8 Other nonspecific abnormal finding of lung field COMPARISON: None. TECHNIQUE: Helical multidetector noncontrast CT of the chest was performed. Axial, sagittal, and coronal multiplanar reformats were su... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LINES AND TUBES: None. LOWER NECK: Heterogeneous thyroid goiter. CHEST: LUNGS / AIRWAYS / PLEURA: Multiple stable to slightly less pronounced nodules are identified throughout the lungs which measures less than 6 mm. The most ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There is bilateral dependent atelectasis. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: No significant mediast... |
2,327 | EXAM: CT Abdomen wo IV contrast CLINICAL INFORMATION: 76-year-old female with adrenal mass less than 4 cm COMPARISON: CT abdomen and pelvis 9/14/2021 TECHNIQUE: CT Abdomen wo IV contrast. Scan field of view: 375 mm. DLP: 185 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic acc... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen LOWER CHEST: Please see separately dictated same-day CT chest. ABDOMEN: LIVER: Heterogenous hypoattenuation around the gallbladder fossa is less apparent on the current examination likely secondar... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,328 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: septic shock, sp cardiac arrest, anemia. COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 229 mm. DLP: 1219.50 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Prominent perivascular spaces in the basal ganglia. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Small right maxillary mucous retention cys... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There is bilateral dependent atelectasis. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: No significant mediast... |
2,329 | EXAM: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: septic shock, sp cardiac arrest, anemia. COMPARISON: CT 11/17/2021, chest radiograph 1/4/2022. TECHNIQUE: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast. Scan field of view: 394 mm. Oral contrast Omnipaque: 16.9 oz. (acce... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Patchy diffuse bilateral groundglass and consolidative opacities are overall similar to slightly progressed from recent radiograph. Trace effusions... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There is bilateral dependent atelectasis. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: No significant mediast... |
2,330 | EXAM: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: septic shock, sp cardiac arrest, anemia. COMPARISON: CT 11/17/2021, chest radiograph 1/4/2022. TECHNIQUE: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast. Scan field of view: 394 mm. Oral contrast Omnipaque: 16.9 oz. (acce... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Patchy diffuse bilateral groundglass and consolidative opacities are overall similar to slightly progressed from recent radiograph. Trace effusions... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,331 | Lung Cancer Screening Clinical Information: Lung cancer screening Technique: Scan field of view: 300 mm. Height: 66 in. Patient weight: 165 lbs. CTDI vol: 0.50 mGy. DLP: 18 mGy cm. 0.60 mm images were obtained through the chest. The CT is jointly interpreted by Drs. Manapragada and Abozeed Smoking Status: Current If no... | Findings: No enlarged hilar or mediastinal nodes are present. The mediastinum is normal. A 3 mm right lower lobe subpleural nodule (image 234; series 4) is noted. Mild upper lobe predominant centrilobular emphysema. No focal consolidation. Bilateral dependent atelectasis. Retained secretions the trachea, otherwise pate... | 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 ( |
2,332 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 44-year-old female with left lower quadrant pain. COMPARISON: Ultrasound of the pelvis of same day. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 270 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 80 ml. IV contrast inject... | 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: Congenital m... | FINDINGS: STRUCTURED REPORT: Thoracic and lumbar spine trauma THORACIC SPINE: VERTEBRA: Compression deformity of T6 with 40% loss of vertebral body height, one retropulsion, and focal kyphosis. Minor T12 compression deformity with approximately 20% loss of vertebral body height and no bony retropulsion. Additional Schm... |
2,333 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: fall COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 223 mm. DLP: 1406.90 mGy cm. STRUCTURED REPORT: CT Head Trauma FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Mild diffuse brain volume loss with ex vacuo ventricular pro... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Mild diffuse brain volume loss with ex vacuo ventricular prominence. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. | FINDINGS: STRUCTURED REPORT: Thoracic and lumbar spine trauma THORACIC SPINE: VERTEBRA: Compression deformity of T6 with 40% loss of vertebral body height, one retropulsion, and focal kyphosis. Minor T12 compression deformity with approximately 20% loss of vertebral body height and no bony retropulsion. Additional Schm... |
2,334 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: CT C-spine 2/20/2019 TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 212 mm. DLP: 346.10 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cerv... | 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: CT of the head without contrast: See separate dictation for noncontrast head CT findings. CT angiogram of the brain: RIGHT INTRACRANIAL CAROTID: Calcific and noncalcific atherosclerosis within the cavernous and clinoid segments with mild luminal narrowing. There is no evidence of stenosis, occlusion, or aneur... |
2,335 | EXAM: CT Ankle Right wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: Radiograph 12/4/2021. TECHNIQUE: CT Ankle Right wo contrast Scan field of view: 196 mm. DLP: 244.90 mGy cm. FINDINGS: BONES/JOINTS: Oblique fracture of the distal fibula with mild lateral displacement of the distal fragment without osseous callu... | FINDINGS: BONES/JOINTS: Oblique fracture of the distal fibula with mild lateral displacement of the distal fragment without osseous callus formation. Additionally there is lucency with surrounding sclerosis within the distal tibial metaphysis with associated periosteal reaction medially and posteriorly consistent with ... | FINDINGS: CT of the head without contrast: See separate dictation for noncontrast head CT findings. CT angiogram of the brain: RIGHT INTRACRANIAL CAROTID: Calcific and noncalcific atherosclerosis within the cavernous and clinoid segments with mild luminal narrowing. There is no evidence of stenosis, occlusion, or aneur... |
2,336 | CT scan of the lumbar spine. Clinical: Low back pain, radiculopathy. Technical: CT L-spine protocol. DLP: 867 mGy cm. Comparison: None. Findings: There is a posterior fusion construct extending from L4 to S1 with pedicle screws and rods. There is solid osseous union of L5 and S1 and fusion of the posterior elements at ... | Findings: There is a posterior fusion construct extending from L4 to S1 with pedicle screws and rods. There is solid osseous union of L5 and S1 and fusion of the posterior elements at L4 and L5. No screw loosening or hardware failure is seen. There is decompressive laminectomy of L5. There is motion at L3-4 and there i... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. White matter hypodensities in the periventricular and subcortical white matter. Humeral moderate parenchymal atrophy. Gray-white matter differentiation maintained. EXTRA-AXIAL SPACES: Empty sella. SKULL AND SKULL BASE: No f... |
2,337 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 45-year-old male with provided history of abnormal pulmonary function tests. COMPARISON: Chest CT 5/15/2020 TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 320 mm. DLP: 323.44 mGy cm. High-resolution CT imaging of the chest was perfor... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: Persistent right upper lung lobe consolidative and diffuse groundglass opacities with associated right upper lobe volume loss and bronchiectatic changes. Additional left lung apex and peripheral right middle lobe and right ... | Findings: There is an apparent area of decreased CBF in the left frontal lobe which is superimposed on the extra-axial space most consistent with an artifactual finding. No significant ischemia is noted using the threshold of T max more than six second. Using the threshold of four second there are areas of minimally el... |
2,338 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Lung cancer. Restaging. COMPARISON: Multiple priors including outside study 10/20/2021. TECHNIQUE: Helical multidetector CT of the chest was performed after the administration of intravenous contrast. Axial, sagittal, and coronal multiplanar reformats were subsequently... | FINDINGS: LINES AND TUBES: None. LOWER NECK: Heterogenous thryoid. CHEST: LUNGS / AIRWAYS / PLEURA: Nodular opacity and tree-in-bud opacity in the right upper lobe best seen on series #202 image #95 and #85 respectively has decreased in conspicuity. Bandlike density within the left upper lobe best seen on series #202 i... | FINDINGS: HEAD: 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. No calvarial fracture is identified. There is mild mucosal thickening in the bilateral maxillary and ethmoid sinuses. The ... |
2,339 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Lung cancer restaging COMPARISON: 12/28/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 187 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 2.50 ml per sec. Scan delay: 86 sec. Scan fie... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BOWEL: No abnormality. COLON / APPENDIX: No abnormality. PERITONEUM / MES... | FINDINGS: LOWER NECK: Heterogeneous thyroid without dominant nodule. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered subsegmental atelectasis. HEART / VESSELS: Mild calcified atherosclerosis, including coronary atherosclerosis. Trace pericardial effusion. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None... |
2,340 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 46-year-old male with provided history of pulmonary nodule. COMPARISON: No prior CT chests for comparison. Prior CT neck dated 12/8/2021. TECHNIQUE: CT Chest with contrast. Patient weight: 170 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 10 ml. I... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lower neck: Reported separately. Lung parenchyma and pleura: A well-defined left upper lobe 7 mm nodule (image 40, series 3) is unchanged. A tiny 2 mm nodule in the right lower lobe is seen (image 74). No focal consolidation. The trachea and main bron... | FINDINGS: LOWER NECK: Heterogeneous thyroid without dominant nodule. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered subsegmental atelectasis. HEART / VESSELS: Mild calcified atherosclerosis, including coronary atherosclerosis. Trace pericardial effusion. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None... |
2,341 | CT Neck Soft Tissue w contrast Clinical Information: 46-year-old male with left facial mass. left facial mass, R22.0 Localized swelling, mass and lump, head Comparison: CT neck dated December 8, 2021. Technique: Axial images of the neck were obtained following the administration of intravenous contrast. Reformatted cor... | Findings: There are stable postsurgical changes of right mastoidectomy with fat packing graft. Otherwise, the remaining included portions of the brain and skull base are unremarkable. There is redemonstration of a lipoma along the anterior inferior aspect of the left parotid gland, for example measuring up to 2.7 x 1.3... | FINDINGS: HEAD: 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. No calvarial fracture is identified. There is mild mucosal thickening in the bilateral maxillary and ethmoid sinuses. The ... |
2,342 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Head trauma, minor, normal mental status COMPARISON: CT head 10/18/2020. TECHNIQUE: CT Head wo contrastScan field of view: 208 mm. DLP: 1082 mGy cm. STRUCTURED REPORT: CT Head Trauma FINDINGS: BRAIN PAR... | 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: Normal. | FINDINGS: LOWER NECK: Heterogeneous thyroid without dominant nodule. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered subsegmental atelectasis. HEART / VESSELS: Mild calcified atherosclerosis, including coronary atherosclerosis. Trace pericardial effusion. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None... |
2,343 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 171 mm. DLP: 814 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. STRUCT... | FINDINGS: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: LOWER NECK: Heterogeneous thyroid without dominant nodule. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered subsegmental atelectasis. HEART / VESSELS: Mild calcified atherosclerosis, including coronary atherosclerosis. Trace pericardial effusion. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None... |
2,344 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 74-year-old female with provided history of lung nodules to rule out ILD. COMPARISON: None. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 310 mm. DLP: 276 mGy cm. High-resolution CT imaging of the chest was performed per protocol wi... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: Right chest wall single chamber ICD with transvenous lead at the right ventricle. Lung parenchyma and pleura: There is moderate loculated right pleural effusion with complete consolidation collapse of the right middle lobe. Additional patchy peribronchial m... | FINDINGS: HEAD: 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. No calvarial fracture is identified. There is mild mucosal thickening in the bilateral maxillary and ethmoid sinuses. The ... |
2,345 | CT Head wo contrast 1/5/2022 7:20 PM Clinical information: COVID Confirmed Psychosis workup Comparison: None available Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 249 mm. DLP: 1413.90 mGy cm. Findings: Ther... | Findings: There is no evidence of acute intracranial hemorrhage, infarction, brain edema, mass effect or hydrocephalus. The visualized paranasal sinuses, mastoid air cells and middle ear cavities are clear. Both orbits appear normal. | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Decreased cerebral cortical volume. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute fracture. VENTRICULAR SYSTEM: Ex vacuo dilation. OR... |
2,346 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Drainage and pain from recent surgery, status post APR 12/28/21. COMPARISON: Same day radiograph, CT 9/30/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 192 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Oral contrast Omnipaque: 16.... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Right lower lobe atelectasis/scarring, similar to prior. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Scattered calcified granulomas and hypoattenuating lesions, some cysts, some too sma... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Decreased cerebral cortical volume. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute fracture. VENTRICULAR SYSTEM: Ex vacuo dilation. OR... |
2,347 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 34-year-old female with provided history of lung nodules. COMPARISON: Chest CT 10/15/2021 TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 330 mm. DLP: 273 mGy cm. High-resolution CT imaging of the chest was performed per protocol with... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: There has been interval decrease in size and configuration of inferior lingular nodular density, measures on the current exam 12 x 5 mm (image 106, series 3), previously 16 x 10 mm. Additional small subcentimeter pulmonary ... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Decreased cerebral cortical volume most prominent within the frontal lobes. Gray-white matter differentiation is preserved. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute fracture. VE... |
2,348 | CT Head wo contrast 1/5/2022 9:50 PM Clinical information: encephalopathy, septic shock with staph bacteremia Comparison: None available. Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 252 mm. DLP: 1574.40 mGy... | Findings: There is no evidence of acute intracranial hemorrhage, infarction, brain edema, mass effect or hydrocephalus. Small encephalomalacia in left posterior temporal and occipital lobes. Mild mucosal thickening in left maxillary sinus. The remaining visualized paranasal sinuses, mastoid air cells and middle ear cav... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral volume is normal. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Left periorbital contusion. Right inferior periorbital ... |
2,349 | EXAM: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 41-year-old male septic shock and history of bacteremia, concern for cavitation on right lung on CXR; hx of AVR, MVR with R VATS in 2020 COMPARISON: None. TECHNIQUE: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast. Scan fi... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Redemonstration of stable fibronodular scarring with mild traction bronchiectasis in the right upper lobe. A small dependent atelectasis in bilater... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: C7 vertebral fracture as previously described. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacity at the lateral right middle lobe. Bilateral dependent opacities in the upper and lower lobes may represent atelectasis or contusions within the setting of trauma. En... |
2,350 | EXAM: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 41-year-old male septic shock and history of bacteremia, concern for cavitation on right lung on CXR; hx of AVR, MVR with R VATS in 2020 COMPARISON: None. TECHNIQUE: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast. Scan fi... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Redemonstration of stable fibronodular scarring with mild traction bronchiectasis in the right upper lobe. A small dependent atelectasis in bilater... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: C7 vertebral fracture as previously described. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacity at the lateral right middle lobe. Bilateral dependent opacities in the upper and lower lobes may represent atelectasis or contusions within the setting of trauma. En... |
2,351 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 230 mm. DLP: 1351 mGy cm. STRUCTURED REPORT: CT Head Trauma FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture... | 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: Normal. | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,352 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast CLINICAL INFORMATION: MVC rollover. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast. Patien... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis. Advanced emphysematous and fibrotic changes more prominent in the apical lobes with associated honeycombing, reticular opacities, scattered groundglass opacities, and architectural distortion. Calcifie... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: C7 vertebral fracture as previously described. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacity at the lateral right middle lobe. Bilateral dependent opacities in the upper and lower lobes may represent atelectasis or contusions within the setting of trauma. En... |
2,353 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast CLINICAL INFORMATION: MVC rollover. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast. Patien... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis. Advanced emphysematous and fibrotic changes more prominent in the apical lobes with associated honeycombing, reticular opacities, scattered groundglass opacities, and architectural distortion. Calcifie... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: C7 vertebral fracture as previously described. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacity at the lateral right middle lobe. Bilateral dependent opacities in the upper and lower lobes may represent atelectasis or contusions within the setting of trauma. En... |
2,354 | Craniocervical CT angiogram 1/5/2022 5:34 PM Indication: Trauma Comparison: Cervical spine CT, same date Technique: 1.4 mm axial images were obtained during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. 3-D CT angiographic images were generated from a... | Findings: CTA neck: The visualized aortic arch appears normal. There is no evidence of traumatic aortic arch injury. There are no great vessel origin stenoses. There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. There is a 2-3 mm aneurysm of the distal cav... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral volume is normal. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Left periorbital contusion. Right inferior periorbital ... |
2,355 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast CLINICAL INFORMATION: MVC rollover. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast. Patien... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis. Advanced emphysematous and fibrotic changes more prominent in the apical lobes with associated honeycombing, reticular opacities, scattered groundglass opacities, and architectural distortion. Calcifie... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,356 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast CLINICAL INFORMATION: MVC rollover. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast. Patien... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis. Advanced emphysematous and fibrotic changes more prominent in the apical lobes with associated honeycombing, reticular opacities, scattered groundglass opacities, and architectural distortion. Calcifie... | FINDINGS: LOWER CHEST: No acute finding. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. SPLEEN: Normal. PANCREAS: Normal. ADRENALS: Focal region of hypoenhancement within the right upper pole of the kidney (series 301, image 116). Multiple small likely renal cysts in the right ki... |
2,357 | Craniocervical CT angiogram 1/5/2022 5:34 PM Indication: Trauma Comparison: Cervical spine CT, same date Technique: 1.4 mm axial images were obtained during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. 3-D CT angiographic images were generated from a... | Findings: CTA neck: The visualized aortic arch appears normal. There is no evidence of traumatic aortic arch injury. There are no great vessel origin stenoses. There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. There is a 2-3 mm aneurysm of the distal cav... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Scattered subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Calcified coronary atherosclerosis. ABDOMEN and PELVIS: LIVER: Hepatomegaly. BILIARY TRACT: Normal. GALLBLADDER: Cholelithiasis. PANCREAS: Head calcifications s... |
2,358 | Radiologic Exam: CT Angio Head wo+w contrast 1/5/2022 5:43 PM Clinical Information: 71-year-old female with headache. Comparison: CT head dated 10/25/2021. Technique: Multiple, contiguous, axial CT images of the head were first performed without administration of intravenous contrast. Intravenous iodinated contrast was... | FINDINGS: CT of the head with and without contrast: No acute cranial hemorrhage or infarction. Gray-white matter differentiation is maintained. Redemonstrated chronic infarcts of the right basal ganglia and left posterior frontal subcortical white matter. Ventricles are normal in size and shape. No hydrocephalus or mid... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is small amount of right temporal parietal subarachnoid hemorrhage. There are periventricular low-attenuation white matter changes, likely small vessel ischemic disease. The ventricles and sulci appear enlarged, likely related to diffuse cortical vo... |
2,359 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: 71-year-old female with neck pain COMPARISON: CT C-spine dated 10/25/2021. A TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 173 mm. DLP: 879 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of t... | 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: HEAD: The gray-white matter differentiation is intact. There is small amount of right temporal parietal subarachnoid hemorrhage. There are periventricular low-attenuation white matter changes, likely small vessel ischemic disease. The ventricles and sulci appear enlarged, likely related to diffuse cortical vo... |
2,360 | CT Head wo contrast 1/5/2022 6:40 PM Clinical information: AMS Comparison: None available. Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 232 mm. DLP: 2025 mGy cm. Image quality is degraded motion artifacts. F... | Findings: There is no evidence of space-occupying acute intracranial hemorrhage, infarction, brain edema, mass effect or hydrocephalus. Small hyperdensities along the left posterior parietal sulci best seen on sagittal image #17, series 8 and right frontal sulci best seen on image #40-42, series 10. Encephalomalacia in... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is small amount of right temporal parietal subarachnoid hemorrhage. There are periventricular low-attenuation white matter changes, likely small vessel ischemic disease. The ventricles and sulci appear enlarged, likely related to diffuse cortical vo... |
2,361 | EXAM: CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: 55-year-old male with septic shock. COMPARISON: Radiographs 1/5/2022. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Chest with contrast. Patient weight: 192 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 60 ml. ... | FINDINGS: STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Multifocal airspace consolidation most prominent right lower lobe with surrounding groundglass opacities. HEART / VESSELS: Cardiomegaly. Right IJ approach and the left subclavian approach central venous catheters with the tips term... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is small amount of right temporal parietal subarachnoid hemorrhage. There are periventricular low-attenuation white matter changes, likely small vessel ischemic disease. The ventricles and sulci appear enlarged, likely related to diffuse cortical vo... |
2,362 | CT Venogram Head Clinical Information: 18-year-old female with papilledema. PAPILEDEMA, H47.10 Unspecified papilledema Spec Inst: ARTERIAL AND VENOUS PHASES Comparison: None available. Technique: 2.5 mm axial images were obtained without contrast from the skull base to the vertex. During the IV infusion of contrast, 0.... | Findings: CT Head: There is no evidence of acute infarction or intracranial hemorrhage. The gray-white differentiation is maintained throughout. Slit-like lateral ventricles are noted. There is no hydrocephalus, midline shift, or mass effect. The basal cisterns are clear. A partially empty sella is incidentally noted. ... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is small amount of right temporal parietal subarachnoid hemorrhage. There are periventricular low-attenuation white matter changes, likely small vessel ischemic disease. The ventricles and sulci appear enlarged, likely related to diffuse cortical vo... |
2,363 | EXAM: CT Chest with contrast CLINICAL INFORMATION: New onset right arm and neck swelling. Consider thoracic outlet obstruction. COMPARISON: CT chest dated 11/22/2019 and 6/27/2017. TECHNIQUE: CT Chest with contrast. Patient weight: 241 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 75 ml. IV contra... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Trace bibasilar subsegmental atelectasis. No pleural effusion or pneumothorax. The central tracheobronchial tree is patent. HEART / VESSELS: Normal cardiac size no pericardial effusion. Normal thoracic aorta and main pulmonary ar... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is small amount of right temporal parietal subarachnoid hemorrhage. There are periventricular low-attenuation white matter changes, likely small vessel ischemic disease. The ventricles and sulci appear enlarged, likely related to diffuse cortical vo... |
2,364 | EXAM: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis CLINICAL INFORMATION: Rule out dissection, chest pain. COMPARISON: CT chest dated 11/10/2021. CT CAP dated 11/4/2021 and 5/7/2021. CTA chest dated 2/1/2019. TECHNIQUE: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis. Additional 3D image post-proc... | FINDINGS: STRUCTURED REPORT: CTA CAP VASCULATURE: CORONARY ARTERIES: There are mild 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. Common origin ... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is small amount of right temporal parietal subarachnoid hemorrhage. There are periventricular low-attenuation white matter changes, likely small vessel ischemic disease. The ventricles and sulci appear enlarged, likely related to diffuse cortical vo... |
2,365 | EXAM: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis CLINICAL INFORMATION: Rule out dissection, chest pain. COMPARISON: CT chest dated 11/10/2021. CT CAP dated 11/4/2021 and 5/7/2021. CTA chest dated 2/1/2019. TECHNIQUE: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis. Additional 3D image post-proc... | FINDINGS: STRUCTURED REPORT: CTA CAP VASCULATURE: CORONARY ARTERIES: There are mild 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. Common origin ... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is small amount of right temporal parietal subarachnoid hemorrhage. There are periventricular low-attenuation white matter changes, likely small vessel ischemic disease. The ventricles and sulci appear enlarged, likely related to diffuse cortical vo... |
2,366 | CT Head wo contrast 1/6/2022 12:25 PM Clinical Information: AMS Comparison: Head CT 12/27/2021 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 218 mm. DLP: 1324 mGy cm. Findings: The diagnostic quality/utility of this examination is significantly degraded by patient m... | Findings: The diagnostic quality/utility of this examination is significantly degraded by patient motion. There is a right posterior convexity approach ventricular shunt catheter terminating in the left lateral ventricle. There is unchanged degree of ventriculomegaly/hydrocephalus. There is extensive multifocal encepha... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Steatosis with scattered foci of focal fat, most prominent at the inferior tip. BILIARY TRACT: Normal. GALLBLADDER:... |
2,367 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: Outside head CT January 5, 2022 1327 hours. TECHNIQUE: CT Head wo contrastScan field of view: 280 mm. DLP: 1430.10 mGy cm. STRUCTURED REPORT: CT Head Trauma FINDINGS: The outside head CT is reviewed. The outside head CT demonstrates subarach... | FINDINGS: The outside head CT is reviewed. The outside head CT demonstrates subarachnoid hemorrhage in the left posterior frontal, left parietal and temporal lobe region. BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: There has been mild progressive evolution of subarachnoid hemorrhage in th... | Findings: Brain parenchyma: Persistent confluent cortical-based, wedge-shaped, hypoattenuation involving the right temporo-occipital lobe, extending into the right corona radiata, suggestive of evolving right MCA territory infarct, without evidence of hemorrhagic transformation. Evolving known left MCA territory infarc... |
2,368 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Subdural hematoma after MVC, positive LOC. COMPARISON: None available. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Mild emphysematous changes are noted. No large pleural effusion or pneumothorax. HEART / VESSELS: Normal cardiac size. No pericardial effusion. Multivessel coronary artery calcifications. Normal thoracic aortic caliber. Mild... | FINDINGS: STRUCTURED REPORT: CTA CAP VASCULATURE: CORONARY ARTERIES: There are mild atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING THORACIC AORTA/AORTIC ARCH: Similar postsurgical changes of the ascending aorta and hemiarch replac... |
2,369 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Subdural hematoma after MVC, positive LOC. COMPARISON: None available. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Mild emphysematous changes are noted. No large pleural effusion or pneumothorax. HEART / VESSELS: Normal cardiac size. No pericardial effusion. Multivessel coronary artery calcifications. Normal thoracic aortic caliber. Mild... | 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: Slightly enlarged, stable. ADRENALS: Normal. KI... |
2,370 | Craniocervical CT angiogram 1/5/2022 6:20 PM Indication: Trauma Comparison: Cervical spine CT, same date Technique: 1.4 mm axial images were obtained during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. 3-D CT angiographic images were generated from a... | Findings: CTA neck: The visualized aortic arch appears normal. There is no evidence of traumatic aortic arch injury. There are no great vessel origin stenoses. There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. The included major intracranial arteries app... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is preserved. Similar appearance of periventricular and subcortical white matter hypoattenuation consistent with chronic microangiopathy. Left frontal cortical encephalomalacic changes are also unchanged.... |
2,371 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Subdural hematoma after MVC, positive LOC. COMPARISON: None available. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Mild emphysematous changes are noted. No large pleural effusion or pneumothorax. HEART / VESSELS: Normal cardiac size. No pericardial effusion. Multivessel coronary artery calcifications. Normal thoracic aortic caliber. Mild... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: There is a mass at the right upper lobe measuring approximately 4.5 cm in diameter with lobulate... |
2,372 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Subdural hematoma after MVC, positive LOC. COMPARISON: None available. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Mild emphysematous changes are noted. No large pleural effusion or pneumothorax. HEART / VESSELS: Normal cardiac size. No pericardial effusion. Multivessel coronary artery calcifications. Normal thoracic aortic caliber. Mild... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: There is a mass at the right upper lobe measuring approximately 4.5 cm in diameter with lobulate... |
2,373 | Craniocervical CT angiogram 1/5/2022 6:20 PM Indication: Trauma Comparison: Cervical spine CT, same date Technique: 1.4 mm axial images were obtained during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. 3-D CT angiographic images were generated from a... | Findings: CTA neck: The visualized aortic arch appears normal. There is no evidence of traumatic aortic arch injury. There are no great vessel origin stenoses. There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. The included major intracranial arteries app... | FINDINGS: LOWER NECK: No significant abnormality. CHEST: PULMONARY ARTERIES: Left lower lobe lobar, segmental, and subsegmental urinary emboli. Right middle lobe lobar and right lower lobe lobar, segmental, and subsegmental pulmonary emboli. Flattening of the interventricular septum with RV to LV ratio of approximately... |
2,374 | EXAM: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Sepsis and concern for C. difficile infection. Per chart review, history of HCC status post open partial right hepatectomy and right portal vein embolization, numerous recent hospitalizations for abdominal incision dehiscence as well... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Slight interval improvement in now small-volume layering right pleural effusion with associated atelectasis. Multifocal right lower lobe and scatte... | FINDINGS: BRAIN PARENCHYMA: Encephalomalacia of the right cerebellar hemisphere. Additional smaller focus of encephalomalacia within the right frontal lobe deep white matter. Patchy periventricular white matter hypoattenuation consistent with chronic microangiopathy. Gray-white matter differentiation is maintained. Cer... |
2,375 | EXAM: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Sepsis and concern for C. difficile infection. Per chart review, history of HCC status post open partial right hepatectomy and right portal vein embolization, numerous recent hospitalizations for abdominal incision dehiscence as well... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Slight interval improvement in now small-volume layering right pleural effusion with associated atelectasis. Multifocal right lower lobe and scatte... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries due to respiratory motion and contrast timing. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for central pulmonary embolus... |
2,376 | RADIOLOGIC EXAM: CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Thoracic Spine from Reformat Following CT of the Chest, reformatted images were produced to optimize visualization of the osseous structures of the thoracic spine. STRUCTURED REPORT: CT Thoracic Spine FINDINGS... | FINDINGS: VERTEBRA: No acute fracture evident in the thoracic spine. DISC SPACES AND FACET JOINTS: No acute injury. There are multilevel degenerative discogenic changes with endplate degenerative changes anteriorly. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Posterior vertebral alignment is maintained. There is mild... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries due to respiratory motion and contrast timing. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for central pulmonary embolus... |
2,377 | RADIOLOGIC EXAM: CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Lumbar Spine from Reformat Following CT of the abdomen, reformatted images were produced to optimize visualization of the osseous structures of the lumbar spine. STRUCTURED REPORT: CT Lumbar Spine Trauma FINDING... | FINDINGS: VERTEBRA: No acute fracture evident. The L1 transverse processes are developmentally ununited. DISC SPACES AND FACET JOINTS: Severe multilevel degenerative changes are present in the lumbar spine. There is vacuum disc phenomenon at every lumbar level and there is disc space narrowing at every lumbar level. At... | FINDINGS: LOWER NECK: No significant abnormality. CHEST: PULMONARY ARTERIES: Full diagnostic quality. Potential pulmonary embolus involving a subsegmental right upper lobe vessel, which is decreased in caliber, although this vessel could potentially be a pulmonary vein. No other pulmonary embolus. LUNGS / AIRWAYS: Peri... |
2,378 | CT HEAD WITHOUT CONTRAST HISTORY: Rule out intracranial hemorrhage. COMPARISON: None TECHNIQUE: CT images of the head were obtained without contrast. This exam was performed using automated exposure control, adjustment of mA or kV according to patient size, and/or use of iterative reconstruction technique. CONTRAST: No... | Findings: Probable retained secretions or fluid within the posterior nasopharynx. | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Patient's arms on the sides and overlying the abdomen, limiting the evaluation. LOWER CHEST: LUNG BASES / PLEURA: Dependent atelectatic changes bilaterally. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TR... |
2,379 | CT Angio Neck 1/6/2022 12:40 PM Clinical Information: Postop left carotid endarterectomy. Comparison: CTA head/neck 1/1/2022.. Technique: After the administration of IV contrast bolus, 2.5 mm images were obtained and reformatted in the 1.0 mm overlapping images from the thoracic inlet to the skull base. 3-D MIP reconst... | CT angiogram of the neck: Postsurgical changes related to left carotid endarterectomy. There is significant interval decrease in a carotid plaque burden at the left common carotid bifurcation and left carotid bulb. However there is interval appearance of small contained dissection resulting in moderate luminal diameter... | FINDINGS: BRAIN PARENCHYMA: Ill-defined lesion within the right medial temporal lobe with surrounding hyperattenuation likely represent calcification and may be associated enhancement. Additionally, there is advanced edema/extension within the right parietal lobe with cortical calcifications. There is also a focus of h... |
2,380 | CT Head wo contrast 1/5/2022 9:58 PM Clinical information: AMS Comparison: CT head 1/4/2022 Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 220 mm. DLP: 1031 mGy cm. Findings: There is been interval removal of ... | Findings: There is been interval removal of the left frontal EVD catheter. There is small pneumocephalus. Unchanged positioning of the right frontal approach ventricular shunt catheter with its tip terminating in the frontal horn of right lateral ventricle Ventricular size is slightly larger compared to prior head CT. ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Small hiatal hernia. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS:... |
2,381 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: 77-year-old male who presents with Trauma COMPARISON: CT head dated 5/2/2016. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 261 mm. DLP: 1205 mGy cm. (accession CT220002852), Scan field of view: 23... | FINDINGS: Head: No intracranial hemorrhage, mass effect, or edema. Ventricles are normal in shape size and contour. There is no midline shift. There are pineal and pituitary calcifications, as well as vertebral artery calcifications. Mild diffuse brain volume loss with ex vacuo ventricular dilatation and moderate white... | Findings: Head CT: Traumatic subarachnoid hemorrhage in the right sylvian fissure shows no interval change. No cerebral contusion/edema is identified. Head CTA: No intracranial aneurysm or vascular malformation is noted. The right supraclinoid ICA shows a 2 mm P-comm infundibulum. The left PCA is fetal origin. No traum... |
2,382 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma. MVC restrained with passenger side-impact, complaining of chest discomfort relating to steering wheel, denies LOC. Per chart review, history of diverticular bleed ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Subcentimeter left thyroid lobe hypoattenuating nodule. CHEST: LUNGS / AIRWAYS / PLEURA: There is bilateral lower lobe bronchiectasis as well as lingular bronchiectasis. There is some volume loss in the lower lobes/atelectasis. The central tracheobronchial tree is ... | FINDINGS: 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: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute fracture. VENTRICULAR SYSTEM... |
2,383 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma. MVC restrained with passenger side-impact, complaining of chest discomfort relating to steering wheel, denies LOC. Per chart review, history of diverticular bleed ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Subcentimeter left thyroid lobe hypoattenuating nodule. CHEST: LUNGS / AIRWAYS / PLEURA: There is bilateral lower lobe bronchiectasis as well as lingular bronchiectasis. There is some volume loss in the lower lobes/atelectasis. The central tracheobronchial tree is ... | FINDINGS: STRUCTURED REPORT: CTA Pelvis and thighs VASCULATURE: LOWER ABDOMINAL AORTA: Partially visualized chronic appearing aortic dissection, unchanged since 1/5/2022. RIGHT ILIAC / PROXIMAL FEMORAL/POPLITEAL ARTERIES: Mild circumferential atherosclerosis of the right femoral arteries and right popliteal artery. LEF... |
2,384 | RADIOLOGIC EXAM: CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Neck, CT Cervical Spine From Reformat 3-D CT MIP and Volume rendered angiographic images were generated in post processing. Patient weight: 330 lbs. IV contrast: Omnipaque 350, 150 ml, per... | FINDINGS: There is minimal motion artifact at the mid cervical ICA level. AORTIC ARCH and PROXIMAL GREAT VESSELS: There is moderate atherosclerotic plaque in the aortic arch and proximal descending thoracic aorta. Aortic arch is patent as are the arch vessels.. RIGHT CAROTID: Moderate atherosclerotic calcification at t... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Focal fatty infiltration along the falciform ligament. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: ... |
2,385 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma. MVC restrained with passenger side-impact, complaining of chest discomfort relating to steering wheel, denies LOC. Per chart review, history of diverticular bleed ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Subcentimeter left thyroid lobe hypoattenuating nodule. CHEST: LUNGS / AIRWAYS / PLEURA: There is bilateral lower lobe bronchiectasis as well as lingular bronchiectasis. There is some volume loss in the lower lobes/atelectasis. The central tracheobronchial tree is ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries due to respiratory motion. LOWER NECK: See recent CTA neck CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Scattered peripheral predo... |
2,386 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma. MVC restrained with passenger side-impact, complaining of chest discomfort relating to steering wheel, denies LOC. Per chart review, history of diverticular bleed ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Subcentimeter left thyroid lobe hypoattenuating nodule. CHEST: LUNGS / AIRWAYS / PLEURA: There is bilateral lower lobe bronchiectasis as well as lingular bronchiectasis. There is some volume loss in the lower lobes/atelectasis. The central tracheobronchial tree is ... | FINDINGS: BONES/JOINTS: No acute fracture or malalignment. The bilateral femoral heads are well-seated within the acetabula. The sacroiliac joints are symmetric without significant widening. No pubic symphysis diastasis. SOFT TISSUES: No large hematoma or fluid collection. The bladder is partially collapsed around a Fo... |
2,387 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: 77-year-old male who presents with Trauma COMPARISON: CT head dated 5/2/2016. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 261 mm. DLP: 1205 mGy cm. (accession CT220002852), Scan field of view: 23... | FINDINGS: Head: No intracranial hemorrhage, mass effect, or edema. Ventricles are normal in shape size and contour. There is no midline shift. There are pineal and pituitary calcifications, as well as vertebral artery calcifications. Mild diffuse brain volume loss with ex vacuo ventricular dilatation and moderate white... | FINDINGS: STRUCTURED REPORT: CTA Aorta Runoff VASCULATURE: RIGHT ILIAC ARTERIES: No significant abnormality. RIGHT FEMORAL \T\ POPLITEAL ARTERIES: Occlusion of the right popliteal artery with distal reconstitution. RIGHT TIBIAL AND PERONEAL ARTERIES: The anterior tibial artery is opacified to the level of the distal di... |
2,388 | RADIOLOGIC EXAM: CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Neck, CT Cervical Spine From Reformat 3-D CT MIP and Volume rendered angiographic images were generated in post processing. Patient weight: 330 lbs. IV contrast: Omnipaque 350, 150 ml, per... | FINDINGS: There is minimal motion artifact at the mid cervical ICA level. AORTIC ARCH and PROXIMAL GREAT VESSELS: There is moderate atherosclerotic plaque in the aortic arch and proximal descending thoracic aorta. Aortic arch is patent as are the arch vessels.. RIGHT CAROTID: Moderate atherosclerotic calcification at t... | FINDINGS: LOWER CHEST: Extensive coronary artery calcifications. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Mild to moderate intrahepatic and extrahepatic biliary ductal dilatation. GALLBLADDER: Absent. SPLEEN: Normal. PANCREAS: Pancreatic tail and body atrophy with pancreatic ductal dilatation, similar to prior... |
2,389 | EXAM: CT Angio Lower Ext Bil wo+w contrast CLINICAL INFORMATION: Bleeding yesterday from left hip surgical incision. COMPARISON: 12/20/2021. TECHNIQUE: CT Angio Lower Ext Bil wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 160 lbs. IV contr... | FINDINGS: STRUCTURED REPORT: CTA Lower Extremities VASCULATURE: ABDOMINAL AORTA: Calcific and noncalcific atherosclerotic disease with slight fusiform dilation of the infrarenal aorta to 2.1 cm. RIGHT ILIAC ARTERIES: Patent with mild calcific atherosclerosis. RIGHT FEMORAL \T\ POPLITEAL ARTERIES: Patent with minimal at... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral volume is normal. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Stranding of the superior extraconal fat likely hemorrh... |
2,390 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Anal abscess. Please evaluate for fistula COMPARISON: 7/2/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 140 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 2.50 ml per sec. Scan delay... | 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: Collapsed PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODE... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pleural effusion, or pneumothorax. HEART / VESSELS: Right IJ port catheter tip terminates at the right atrium. Normal heart size without pericardial effusion. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAG... |
2,391 | CT Angio Head wo+w contrast, CT Angio Neck 1/6/2022 1:23 AM Indication: COVID Confirmed stroke Spec Inst: concern for carotid stenosis. Comparison: CT head 1/1/2022.. Technique: Axial noncontrast images from the level of the skull base to the vertex. After the administration of IV contrast bolus, helical axial images w... | Findings: Conventional CT of the brain: Chronic lacunar infarcts in the right frontal centrum semiovale. No evidence for large vascular territory acute infarction. No intracranial hemorrhage, intracranial mass, mass effect or midline shift. No hydrocephalus. No brain edema. Moderate periventricular white matter hypoatt... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pleural effusion, or pneumothorax. HEART / VESSELS: Right IJ port catheter tip terminates at the right atrium. Normal heart size without pericardial effusion. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAG... |
2,392 | CT Angio Head wo+w contrast, CT Angio Neck 1/6/2022 1:23 AM Indication: COVID Confirmed stroke Spec Inst: concern for carotid stenosis. Comparison: CT head 1/1/2022.. Technique: Axial noncontrast images from the level of the skull base to the vertex. After the administration of IV contrast bolus, helical axial images w... | Findings: Conventional CT of the brain: Chronic lacunar infarcts in the right frontal centrum semiovale. No evidence for large vascular territory acute infarction. No intracranial hemorrhage, intracranial mass, mass effect or midline shift. No hydrocephalus. No brain edema. Moderate periventricular white matter hypoatt... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,393 | EXAM: CT Maxillofacial wo contrast HISTORY: 33 years old Female with painful chewing Spec Inst: Hx of GSW to face a year ago. Pain with chewing. Rule out infection and confirm hardware placement TECHNIQUE: Contiguous axial helical CT images were obtained from above the frontal sinuses through the mandible with image re... | FINDINGS: Redemonstration of postsurgical changes related to plate and screw mandibular fixation involving the anterior mandibular symphysis, left mandibular angle, left mandibular body and left mandibular ramus. Improved healing response involving the comminuted fractures of the mandible with majority of the fractures... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pleural effusion, or pneumothorax. HEART / VESSELS: Right IJ port catheter tip terminates at the right atrium. Normal heart size without pericardial effusion. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAG... |
2,394 | CT Head wo contrast 1/5/2022 8:59 PM Clinical information: AMS requiring intubation Comparison: None available. Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 250 mm. DLP: 1105 mGy cm. Image quality is degrade... | Findings: There is no evidence of acute intracranial hemorrhage, infarction, brain edema, mass effect or hydrocephalus. Diffuse brain volume loss with ex vacuo ventricular dilatation, slightly advanced for patient's age. The visualized paranasal sinuses, mastoid air cells and middle ear cavities are clear. Both orbits ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pleural effusion, or pneumothorax. HEART / VESSELS: Right IJ port catheter tip terminates at the right atrium. Normal heart size without pericardial effusion. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAG... |
2,395 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: AMS requiring intubation. Per chart review, transferred from OSH on 1/1/2021 for encephalopathy, sepsis, hyponatremia, and exposed spinal hardware, now status post irrigation and debridement with spinal hardware removal on 1/3/2021. History of left pneumonectomy and seve... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Endotracheal tube terminates 2.4 cm above the carina with tip indenting the right tracheal wall. Small-volume tracheal secretions. Moderate right... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral volume is normal. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Stranding of the superior extraconal fat likely hemorrh... |
2,396 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Dyspnea with left chest pain. COMPARISON: CT chest 10/1/2018.. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 230 lbs. IV contrast: Omnipaque 350, 80 ml, pe... | 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: Multifocal patchy groundglass opacities more prominent o... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,397 | CT Angio Head wo+w contrast Clinical Information: Empyema evacuation, status post. Evaluate bony anatomy. Comparison: CT head 1/5/2022. Technique: Nonenhanced axial CT images of the brain were obtained. During the IV infusion of contrast, arterial phase and delayed phase postcontrast axial images were then performed. A... | Findings: CT Head: Postsurgical changes related to left subdural empyema evacuation with surgical drain in the extra-axial space along the left frontal cerebral hemisphere. There is expected pneumocephalus. Small volume extra-axial fluid and blood product along the left cerebral hemisphere in the postsurgical bed. Left... | 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... |
2,398 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 70-year-old woman with history of ovarian cancer, evaluate disease progression COMPARISON: 12/15/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 178 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Oral contrast Omnipaque: 8oz oz. Sali... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Few small cysts are unchanged. The atrophied appearance of the right lobe BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Marke... | 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... |
2,399 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 63-year-old male with fever. COMPARISON: CT chest with contrast dated 12/15/2019 and portable chest radiograph dated 1/5/2022. TECHNIQUE: CT Chest wo contrast. Scan field of view: 319 mm. DLP: 487 mGy cm. 3 mm axial, coronal and sagittal reformats with 8mm axial MIP refo... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LOWER NECK: Centimeter left supraclavicular lymph nodes, overall unchanged. CHEST: LUNGS / AIRWAYS / PLEURA: Tracheal secretions with secretions extending into the right lower lobe bronchus and lateral and posterior segmental ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Right lower lung laceration and contusions and \with right chest tube terminating along the medial right lung apex. Small residual right hemopneumothorax. Mucous plugging right lower and middle lobe bronchi with associated a... |
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