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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2,400 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: right eye injury, head trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 236 mm. DLP: 1392.70 mGy cm. (accession CT220002871), Scan field of view: 198 mm. DLP: 1126.50 mGy cm. ... | 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. CT maxillofacial: There is no acute maxillofacial or mandibular fracture. There is no evidence of orbital soft tissue injury. The p... | 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... |
2,401 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: right eye injury, head trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 236 mm. DLP: 1392.70 mGy cm. (accession CT220002871), Scan field of view: 198 mm. DLP: 1126.50 mGy cm. ... | 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. CT maxillofacial: There is no acute maxillofacial or mandibular fracture. There is no evidence of orbital soft tissue injury. The p... | 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... |
2,402 | EXAM: CT Foot Left wo contrast CLINICAL INFORMATION: Calcaneus fracture COMPARISON: 1/5/2022 TECHNIQUE: CT Foot Left wo contrast Scan field of view: 250 mm. DLP: 544.80 mGy cm. FINDINGS/CONCLUSION: Severely comminuted fracture of the calcaneus extending into the subtalar and calcaneocuboid joints. Comminuted fracture o... | FINDINGS/CONCLUSION: Severely comminuted fracture of the calcaneus extending into the subtalar and calcaneocuboid joints. Comminuted fracture of the posterior aspect of the lateral talar process. Nondisplaced fracture of the navicular extending into the talonavicular joint. Multiple osseous fragments are present in the... | 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... |
2,403 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: head injury COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 256 mm. DLP: 1296.10 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 ... | 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 CHEST: No acute finding. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Likely trace amount of excreted contrast without other abnormality. SPLEEN: Normal. PANCREAS: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BOWEL: No abnormality. COLO... |
2,404 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: known SAH COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 240 mm. DLP: 1031 mGy cm. FINDINGS: Progressive evolution of the left parietotemporal subarachnoid hemorrhage. No new intracranial abnormality. No new hemorr... | FINDINGS: Progressive evolution of the left parietotemporal subarachnoid hemorrhage. No new intracranial abnormality. No new hemorrhage. No mass effect. No hydrocephalus. No acute orbital abnormality. Paranasal sinuses and mastoid air cells are clear. | FINDINGS: Right old craniotomy flap, right orbital frontal encephalomalacia, right frontal focal intraparenchymal hemorrhage, and advanced leukoaraiosis are again noted. Pronounced vertebrobasilar dolichoectasia is noted. The bilateral supraclinoid ICA, and proximal MCA, ACA and PCA also show diffusely enlarged luminal... |
2,405 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Post op COMPARISON: Head CT dated 1/5/2022 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 214 mm. DLP: 1105 mGy cm. FINDINGS: Status post frontal mass biopsy with expected postsurgical changes. Redemonstration of multifocal partiall... | FINDINGS: Status post frontal mass biopsy with expected postsurgical changes. Redemonstration of multifocal partially hemorrhagic brain metastases. The largest mass centered upon the right basal ganglia and left thalamus with mass effect upon the third ventricle and unchanged midline shift. Stable mild ventriculomegaly... | FINDINGS: Right old craniotomy flap, right orbital frontal encephalomalacia, right frontal focal intraparenchymal hemorrhage, and advanced leukoaraiosis are again noted. Pronounced vertebrobasilar dolichoectasia is noted. The bilateral supraclinoid ICA, and proximal MCA, ACA and PCA also show diffusely enlarged luminal... |
2,406 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 4 day history of left lower quadrant pain, nausea, and vomiting with history of diverticulitis. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 315 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. IV contrast injection rat... | 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: Hepatomegaly and hepatic steatosis BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Normal. SPLEEN: Splenomegaly AD... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMP... |
2,407 | RADIOLOGIC EXAM: CT Angio Head wo+w contrast CLINICAL INFORMATION: Vertigo. COMPARISON: CTA 4/27/2021 TECHNIQUE: CT Angio Head wo+w contrast. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 145 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 70 ... | FINDINGS: NONVASCULAR FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. No abnormal enhancement. Periventricular white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: No hemorrhage. Minimal dural thickening underlying the left fronto... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Limited images through the lower chest to right chest tube coursing along the major fissure with subcutaneous gas along the right chest wall. No basilar pneumothorax. ABDOMEN and PELVIS: LIVER: Complex large liver laceration with hemostatic packing for left pe... |
2,408 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: fall COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 238 mm. DLP: 1400 mGy cm. FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Similar appearance of bifrontal encephalomalacia greater on the left. Gray-white... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Similar appearance of bifrontal encephalomalacia greater on the left. Gray-white matter differentiation is otherwise preserved Decreased cerebral cortical volume. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. SKUL... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral cortical volume is prominent. EXTRA-AXIAL SPACES: Right cerebral convexity mixed density fluid collection consistent with hemorrhage measuring approximately 14 mm in maximum thickn... |
2,409 | RADIOLOGIC EXAM: CT Angio Head wo+w contrast CLINICAL INFORMATION: ICA aneurysm. COMPARISON: Same day CT neck TECHNIQUE: CT Angio Head wo+w contrast. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 115 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline fl... | FINDINGS: NONVASCULAR FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral. No midline shift or mass effect. No abnormal enhancement. Scattered white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Partially visualized posterior cerv... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Extensive pulmonary emphysema with superimposed consolidation in the bilateral lower lobes. HEART / VESSELS: Extensive coronary artery calcifications. Evidence of prior CABG. Aortic atherosclerosis. MEDIASTINUM / ESOPHAGUS: ... |
2,410 | CT Head wo contrast 1/5/2022 8:00 PM Clinical Information: 74-year-old male status post sp craniotomy Comparison: CT head dated 1/3/2022 Technique: Axial unenhanced images were acquired of the brain with coronal and sagittal reformats generated from this data. Scan field of view: 236 mm. DLP: 2029 mGy cm. Findings: Red... | Findings: Redemonstrated postoperative changes of left parietal craniotomy with decreasing pneumocephalus. Mild associated scalp swelling. Previously identified hemorrhagic fluid level in the resection cavity has decreased in size. Left cerebral edema appears similar prior with partial effacement of the left hemispheri... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Extensive pulmonary emphysema with superimposed consolidation in the bilateral lower lobes. HEART / VESSELS: Extensive coronary artery calcifications. Evidence of prior CABG. Aortic atherosclerosis. MEDIASTINUM / ESOPHAGUS: ... |
2,411 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 36-year-old male with left flank and left lower quadrant pain COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 378 mm. DLP: 324 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnost... | 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: Diffuse hepatic steatosis. Limited evaluation for... | 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 ( |
2,412 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Shortness of breath COMPARISON: 12/15/2021 TECHNIQUE: CT Chest with contrast Patient weight: 103 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 35 sec Scan field of view: 314.60 mm. DLP: ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Large right pleural effusion and compressive right basilar atelectasis, relatively unchanged. Faint patchy groundglass opacities throughout both lungs. HEART / VESSELS: Cardiomegaly. Multiple small subsegmental pulmonary arterial... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Extensive pulmonary emphysema with superimposed consolidation in the bilateral lower lobes. HEART / VESSELS: Extensive coronary artery calcifications. Evidence of prior CABG. Aortic atherosclerosis. MEDIASTINUM / ESOPHAGUS: ... |
2,413 | CT Angio Head Code Stroke, CT Angio Neck 1/5/2022 8:04 PM Clinical information: possible CVA Comparison: None available. Technique: 5 mm axial images of the head were obtained without contrast. After the administration of IV contrast bolus, 2.5 mm images were obtained from below the level of the clavicles to the vertex... | Findings: CTA Neck: No significant stenosis at the origin of great vessels from the arch of aorta. Mild irregularities of the proximal left ICA. No flow-limiting stenosis in the carotid or vertebral arteries. Left vertebral artery is dominant. CTA head: There is occlusive thrombus in the inferior division of M2 segment... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Extensive pulmonary emphysema with superimposed consolidation in the bilateral lower lobes. HEART / VESSELS: Extensive coronary artery calcifications. Evidence of prior CABG. Aortic atherosclerosis. MEDIASTINUM / ESOPHAGUS: ... |
2,414 | CT Angio Head Code Stroke, CT Angio Neck 1/5/2022 8:04 PM Clinical information: possible CVA Comparison: None available. Technique: 5 mm axial images of the head were obtained without contrast. After the administration of IV contrast bolus, 2.5 mm images were obtained from below the level of the clavicles to the vertex... | Findings: CTA Neck: No significant stenosis at the origin of great vessels from the arch of aorta. Mild irregularities of the proximal left ICA. No flow-limiting stenosis in the carotid or vertebral arteries. Left vertebral artery is dominant. CTA head: There is occlusive thrombus in the inferior division of M2 segment... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral cortical volume is prominent. EXTRA-AXIAL SPACES: Right cerebral convexity mixed density fluid collection consistent with hemorrhage measuring approximately 14 mm in maximum thickn... |
2,415 | CT Head wo No Charge 1/5/2022 7:52 PM Clinical Information: possible CVA Comparison: None available Technique: Unenhanced axial brain with coronal and sagittal reformats. Scan field of view: 230 mm. DLP: 1311.30 mGy cm. Findings: There is hyperdense left MCA with large area of hypoattenuation involving the left tempora... | Findings: There is hyperdense left MCA with large area of hypoattenuation involving the left temporal and parietal lobes with sulcal effacement and mild mass effect effacing the left lateral ventricle and minimal rightward midline shift. No intracranial hemorrhage. Moderate white matter microangiopathic changes. | 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 ( |
2,416 | CT Perfusion 1/5/2022 8:04 PM Clinical Information: possible CVA Comparison: None available Technique: A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves generated from this dataset were utilized to calculate cerebra... | FINDINGS: RAPID images demonstrate CBF less than 30% volume: 82 mL and T. Max greater than 6seconds volume: 122 mL. Mismatch volume is 40 mL in the left MCA vascular territory. | FINDINGS: FACIAL BONES: Extensive repair of left LeFort II and bilateral LeFort I and III fractures appears similar to prior with continued interval bony bridging of the repaired fragments. Of note, there is persistent dehiscence of the hard palate on the right (series 204 image 69). MANDIBLE: Similar appearance of man... |
2,417 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: fall Spec Inst: fall COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 243 mm. DLP: 1404.20 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Global atrophy and mild chronic small vessel ischemic change for age. EXTRA-AX... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Global atrophy and mild chronic small vessel ischemic change for age. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MASTOIDS: Clear. SOFT TISSUE: Left malar contusion/laceration... | FINDINGS: Noncontrasted CT head and face: 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: Normal. SKULL AND SKULL... |
2,418 | RADIOLOGIC EXAM: CT Venogram Head, CT Angio Neck CLINICAL INFORMATION: head injury, occipital bone fracture. COMPARISON: Same day noncontrast CT head TECHNIQUE: CT Venogram Head, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. 5 min Scan field of view: 196 mm. DLP: 6... | FINDINGS: CT OF THE HEAD WITHOUT AND WITH CONTRAST: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. No abnormal enhancement. EXTRA-AXIAL SPACES: Interval development/evolution of suspected subtle trace left frontal subarachnoid hemorrhage on the unenhanced ct. SKULL A... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma Patient's arms on the sides limit the evaluation. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Trace left-sided pneumothorax posteriorly. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Trace anterior pneumomediastinum. DIAPHRAGM: Intact. LYMPH NO... |
2,419 | RADIOLOGIC EXAM: CT Venogram Head, CT Angio Neck CLINICAL INFORMATION: head injury, occipital bone fracture. COMPARISON: Same day noncontrast CT head TECHNIQUE: CT Venogram Head, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. 5 min Scan field of view: 196 mm. DLP: 6... | FINDINGS: CT OF THE HEAD WITHOUT AND WITH CONTRAST: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. No abnormal enhancement. EXTRA-AXIAL SPACES: Interval development/evolution of suspected subtle trace left frontal subarachnoid hemorrhage on the unenhanced ct. SKULL A... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma Patient's arms on the sides limit the evaluation. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Trace left-sided pneumothorax posteriorly. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Trace anterior pneumomediastinum. DIAPHRAGM: Intact. LYMPH NO... |
2,420 | EXAM: CT Shoulder Left wo contrast CLINICAL INFORMATION: Left shoulder fracture COMPARISON: 1/5/2022 TECHNIQUE: CT Shoulder Left wo contrast Scan field of view: 219.90 mm. DLP: 498.80 mGy cm. FINDINGS/CONCLUSION: Acute, comminuted fracture of the surgical neck of the humerus extending into the greater tuberosity. No de... | FINDINGS/CONCLUSION: Acute, comminuted fracture of the surgical neck of the humerus extending into the greater tuberosity. No definite intra-articular extension is seen. There is mild medial displacement and proximal migration of the distal fracture fragments. There is slight inferior subluxation of the humeral head in... | FINDINGS: Noncontrasted CT head and face: 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: Normal. SKULL AND SKULL... |
2,421 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Right lower quadrant pain COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 320 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 90 sec. Scan field of view: 435 mm. DLP: ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: There is a punctate less than 4 mm left lower lobe nodule image 39 series 2. The lung bases are otherwise clear. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Norma... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma Patient's arms on the sides limit the evaluation. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Trace left-sided pneumothorax posteriorly. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Trace anterior pneumomediastinum. DIAPHRAGM: Intact. LYMPH NO... |
2,422 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: 55-year-old female with left-sided chest pain. Evaluate for pulmonary embolism. COMPARISON: CT chest dated 3/17/2021. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Bilateral mostly subpleural based grou... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma Patient's arms on the sides limit the evaluation. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Trace left-sided pneumothorax posteriorly. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Trace anterior pneumomediastinum. DIAPHRAGM: Intact. LYMPH NO... |
2,423 | CT Head wo contrast 1/7/2022 3:10 AM Clinical Information: Severe TBI Spec Inst: stealth Comparison: Head CT 1/6/2022 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 240 mm. DLP: 1696 mGy cm. Findings: Right frontal approach ventriculostomy catheter is unchanged termi... | Findings: Right frontal approach ventriculostomy catheter is unchanged terminating in the right frontal horn. Ventricles are stable in size. The evolving right parietal convexity epidural hematoma is unchanged. Evolving hemorrhagic contusions in the left parietal and temporal regions are similar with prominent surround... | FINDINGS: Noncontrasted CT head and face: 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: Normal. SKULL AND SKULL... |
2,424 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: AMS COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 210 mm. DLP: 1310 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Scattered white matter hypo... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Scattered white matter hypodensities, likely microangiopathic changes. Basal ganglia, thalami, and pontine hypodensities, likely remote lacunar infarcts. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fra... | FINDINGS: Noncontrasted CT head and face: 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: Normal. SKULL AND SKULL... |
2,425 | CT Head wo contrast 1/6/2022 4:11 AM Clinical Information: Right craniotomy for tumor resection Comparison: Head CT 1/3/2022 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 225 mm. DLP: 1032 mGy cm. Findings: There are interval postsurgical changes from right pteriona... | Findings: There are interval postsurgical changes from right pterional craniotomy for partial resection of large right sphenotemporal meningioma with residual lesion in the sellar/parasellar region and Meckel's cave.. There is an extra-axial collection with mixed gas fluid and hemorrhage underlying the craniotomy. Ther... | 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... |
2,426 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast, CT Head wo contrast CLINICAL INFORMATION: Neck injury COMPARISON: CT head 1/17/2018 TECHNIQUE: CT of the head without intravenous contrast. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Scattered white matter hypodensities, likely microangiopathic changes. Mild diffuse cortical volume loss. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Mild ex vacuo d... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis Renal Transplant VASCULATURE: LOWER ABDOMINAL AORTA: Circumferential atherosclerotic calcifications. RIGHT COMMON / INTERNAL ILIAC ARTERIES: Moderate atherosclerotic calcification of the bifurcatio... |
2,427 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast, CT Head wo contrast CLINICAL INFORMATION: Neck injury COMPARISON: CT head 1/17/2018 TECHNIQUE: CT of the head without intravenous contrast. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Scattered white matter hypodensities, likely microangiopathic changes. Mild diffuse cortical volume loss. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Mild ex vacuo d... | 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: Normal. SKULL AND SKULL BASE: No acute fracture. FACIAL... |
2,428 | EXAM: CT Chest with contrast CLINICAL INFORMATION: History of stage IV sarcoma with metastases to the lungs status post left pleurodesis COMPARISON: 8/10/2021 TECHNIQUE: CT Chest with contrast. Patient weight: 223 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 60 ml. IV contrast injection rate: 2.7... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Significant interval worsening of the large left pleural-based enhancing masses. Medial segment middle lobe nodule currently measures about 2.5 x 3.5 cm (series 3; image 58), previously about 2.8 x 1.6 cm. HEART / VESSELS: Border... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacities in the lower right and middle lobe, could represent contusions in the setting of trauma. However a few associated adjacent nodules and tree-in-bud opacities which suggests an alternative infectious/infl... |
2,429 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: midline shift, fu for cerebral edema. COMPARISON: 1/5/2022 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 230 mm. DLP: 1311.30 mGy cm. FINDINGS: BRAIN PARENCHYMA: Interval evolution of left MCA territory acute infarct with associate... | FINDINGS: BRAIN PARENCHYMA: Interval evolution of left MCA territory acute infarct with associated cytotoxic edema, which is slightly more conspicuous. Stable rightward midline shift measuring 3 mm. No herniation. EXTRA-AXIAL SPACES: Local sulcal/sylvian fissure effacement associated with the left hemisphere infarct. S... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacities in the lower right and middle lobe, could represent contusions in the setting of trauma. However a few associated adjacent nodules and tree-in-bud opacities which suggests an alternative infectious/infl... |
2,430 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Syncope with head trauma. COMPARISON: 3/21/2020 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 221 mm. DLP: 1150 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. B... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Bilateral basal ganglia, right anterior corpus callosal body, and left corona radiata remote lacunar infarcts. Scattered white matter hypodensities, likely microangiopathic changes. Slight parenchymal crowding ... | 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 ( |
2,431 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 235.70 mm. DLP: 1400 mGy cm. (accession CT220002905), Scan field of view: 208.10 mm. DLP: 1098.80 mGy cm. (accession CT220002... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Small right maxillary mucus retention cyst. MASTOIDS: Clear. SOFT TISSUE: Small left frontal and malar soft tissue contusions. FACIAL BONES... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacities in the lower right and middle lobe, could represent contusions in the setting of trauma. However a few associated adjacent nodules and tree-in-bud opacities which suggests an alternative infectious/infl... |
2,432 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 235.70 mm. DLP: 1400 mGy cm. (accession CT220002905), Scan field of view: 208.10 mm. DLP: 1098.80 mGy cm. (accession CT220002... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Small right maxillary mucus retention cyst. MASTOIDS: Clear. SOFT TISSUE: Small left frontal and malar soft tissue contusions. FACIAL BONES... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacities in the lower right and middle lobe, could represent contusions in the setting of trauma. However a few associated adjacent nodules and tree-in-bud opacities which suggests an alternative infectious/infl... |
2,433 | CT Head wo contrast 1/6/2022 4:54 AM Clinical Information: EVD wean, STEALTH Comparison: Head CT 1/5/2022 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 260 mm. DLP: 1648 mGy cm. Findings: There are further evolution of the large right basal ganglia hemorrhage with m... | Findings: There are further evolution of the large right basal ganglia hemorrhage with mild decrease in size. There is surrounding prominent edema with associated mass effect and partial effacement of the right lateral ventricle with 10 mm leftward midline shift, similar. Left frontal approach ventricular catheter is u... | 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: Normal. SKULL AND SKULL BASE: No acute fracture. FACIAL... |
2,434 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Neuro change w IPH. COMPARISON: 1/3/2022 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 237 mm. DLP: 1177 mGy cm. FINDINGS: BRAIN PARENCHYMA: Intraparenchymal hemorrhage centered in the right basal ganglia with surrounding edema mea... | FINDINGS: BRAIN PARENCHYMA: Intraparenchymal hemorrhage centered in the right basal ganglia with surrounding edema measures 6.7 x 2.8 cm (series 2 image 32), previously 6.7 x 2.7 cm. Leftward midline shift measures 10 mm, previously 6 mm. Linear hypodensity paralleling the left frontal ventriculostomy, possibly from pr... | 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 ( |
2,435 | CT Thoracic Spine wo contrast, CT Lumbar Spine wo contrast Indication: thoracolumbar wound dehiscence Comparison: No previous studies are available for comparison Procedure: Multiple contiguous axial images of the thoracic and lumbar spine were formatted from helical acquisition, without administration of intravenous c... | Findings: THORACIC AND LUMBAR SPINE: Streak artifact from thoracolumbar sacral fusion hardware limits evaluation. Posterior spinal fusion hardware extending from T8 to S2 level. Hardware appears intact. Multilevel bilateral transpedicular screws and vertical interconnecting rods. The right screw at S1 does not appear t... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Subcortical and periventricular white matter hypoattenuation consistent with chronic microangiopathy. Right head of the caudate nucleus chronic lacunar infarct. Decreased cerebral cortical ... |
2,436 | CT Thoracic Spine wo contrast, CT Lumbar Spine wo contrast Indication: thoracolumbar wound dehiscence Comparison: No previous studies are available for comparison Procedure: Multiple contiguous axial images of the thoracic and lumbar spine were formatted from helical acquisition, without administration of intravenous c... | Findings: THORACIC AND LUMBAR SPINE: Streak artifact from thoracolumbar sacral fusion hardware limits evaluation. Posterior spinal fusion hardware extending from T8 to S2 level. Hardware appears intact. Multilevel bilateral transpedicular screws and vertical interconnecting rods. The right screw at S1 does not appear t... | 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: The heart is slightly enlarged. Coronary artery atherosclerotic calcifications are seen. ABDOMEN and PEL... |
2,437 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: syncopal episode COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 230 mm. DLP: 1311.30 mGy cm. (accession CT220002911), Scan field of view: 202.20 mm. DLP: 1140.... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: No fracture. MANDIBLE: Normal. SINONASAL CAVITIES: No acute fracture. Leftward septal dev... | 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... |
2,438 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: syncopal episode COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 230 mm. DLP: 1311.30 mGy cm. (accession CT220002911), Scan field of view: 202.20 mm. DLP: 1140.... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: No fracture. MANDIBLE: Normal. SINONASAL CAVITIES: No acute fracture. Leftward septal dev... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Incompletely evaluated findings of autosomal dominant polycystic kidney disease. Mild atherosclerotic calcification of the infrarenal abdominal aorta and right common iliac artery. No significant atherosclerotic disease involv... |
2,439 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Covid confirmed. Shortness of breath, pleuritic chest pain and concern for PTE. 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... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: The thyroid gland is enlarged and mildly compresses the trachea which remains patent. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Normal. HEART / OTHER VESSELS: No significant abnor... | FINDINGS: STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: There is a large mass at the left lung apex extending into the chest wall and invading the rib cage. It measures approximately 7.7 cm x 7.1 cm in largest axial diameters. Craniocaudal extension in the range of 6.9 cm. There is no e... |
2,440 | EXAM: CT Angio Lower Ext Right wo+w contrast CLINICAL INFORMATION: 74-year-old male with leg pain and diminished pulse. COMPARISON: None. TECHNIQUE: CT Angio Lower Ext Right wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 145 lbs. IV contra... | FINDINGS: STRUCTURED REPORT: CTA Lower Extremities VASCULATURE: Scattered calcified and noncalcified moderate to advanced atherosclerosis. ABDOMINAL AORTA: No significant abnormality. RIGHT ILIAC ARTERIES: No significant abnormality. RIGHT FEMORAL \T\ POPLITEAL ARTERIES: Patent common femoral artery and proximal SFA. T... | FINDINGS: STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: There is a large mass at the left lung apex extending into the chest wall and invading the rib cage. It measures approximately 7.7 cm x 7.1 cm in largest axial diameters. Craniocaudal extension in the range of 6.9 cm. There is no e... |
2,441 | RADIOLOGIC EXAM: CT Head wo contrast. CLINICAL INFORMATION: Fall. COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 218 mm. DLP: 1370.10 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: N... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Chronic dehiscence of the right lamina papyracea. SINUSES: Mild mucosal thickening with inspissated secretions ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage. Edema and loss of the gray-white differentiation at the anterior frontal lobe on the right extending superiorly. Mild mass effect associated with edema. Gray-white matter differentiation maintained. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. No aggressive o... |
2,442 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Abdominal pain, flank pain, UTI COMPARISON: 6/12/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast Scan field of view: 366 mm. DLP: 352 mGy cm. FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: N... | 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: Mild promine... | FINDINGS: CT of the head without contrast: See separately dictated noncontrast CT head. CT angiogram of the brain: RIGHT INTRACRANIAL CAROTID: Calcific atherosclerosis within the clinoid segment. There is no evidence of stenosis, occlusion, or aneurysmal dilation. LEFT INTRACRANIAL CAROTID: Calcific atherosclerosis wit... |
2,443 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: Fall COMPARISON: None. TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 252 mm. DLP: 456.20 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. FINDIN... | FINDINGS: Fairly extensive multilevel spondylosis with slight reversal of lordosis. Calcification of the transverse ligament around the dens. Craniocervical junction and odontoid appear intact. No acute fracture or malalignment. Soft tissues are grossly unremarkable. | FINDINGS: CT of the head without contrast: See separately dictated noncontrast CT head. CT angiogram of the brain: RIGHT INTRACRANIAL CAROTID: Calcific atherosclerosis within the clinoid segment. There is no evidence of stenosis, occlusion, or aneurysmal dilation. LEFT INTRACRANIAL CAROTID: Calcific atherosclerosis wit... |
2,444 | RADIOLOGIC EXAM: CT Angio Head wo+w contrast, CT Angio Neck CLINICAL INFORMATION: SAH with concern for basilar/Pcomm aneurysm. COMPARISON: None. TECHNIQUE: CT Angio Head wo+w contrast, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 150 lbs. IV contra... | FINDINGS: CT OF THE HEAD WITHOUT AND WITH CONTRAST: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Minimal periventricular white matter hypodensities, likely microangiopathic changes. No abnormal enhancement. EXTRA-AXIAL SPACES: Subarachnoid hemorrhage extending from... | Findings: There is an area of decreased CBF in the right frontal lobe along the right ACA territory measuring 21 cc using threshold of CBF less than 30% most consistent with infarction. Within the territory of the right ACA and around the mentioned infarction there is about 24 cc of ischemia in the right ACA territory ... |
2,445 | RADIOLOGIC EXAM: CT Angio Head wo+w contrast, CT Angio Neck CLINICAL INFORMATION: SAH with concern for basilar/Pcomm aneurysm. COMPARISON: None. TECHNIQUE: CT Angio Head wo+w contrast, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 150 lbs. IV contra... | FINDINGS: CT OF THE HEAD WITHOUT AND WITH CONTRAST: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Minimal periventricular white matter hypodensities, likely microangiopathic changes. No abnormal enhancement. EXTRA-AXIAL SPACES: Subarachnoid hemorrhage extending from... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Periventricular white matter hypoattenuation consistent with chronic microangiopathy. Decreased cerebral cortical volume. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrha... |
2,446 | RADIOLOGIC EXAM: CT Lumbar Spine wo contrast, CT Thoracic Spine wo contrast CLINICAL INFORMATION:COVID Confirmed paraplegia COMPARISON: None. TECHNIQUE: CT Lumbar Spine wo contrast, CT Thoracic Spine wo contrastScan field of view: 221 mm. (accession CT220002925), Scan field of view: 211 mm. DLP: 2186 mGy cm. (accession... | FINDINGS: T-SPINE: VERTEBRA: Interval postsurgical changes of posterior arthrodesis placement spanning T9-L2 with T12 laminectomy and interspinous spacer. No hardware complication. Unchanged nondisplaced left T7 laminar fracture extending to the left transverse process. Mild widening of the intervertebral distance invo... | FINDINGS/CONCLUSION: Right knee: Fracture of the posterolateral aspect of the distal femoral metaphysis (image 134, series 407; image 67, series 4010). No other acute displaced fracture is seen. The joint spaces are maintained No joint effusion. There is a large hematoma within the popliteal fossa measuring approximate... |
2,447 | RADIOLOGIC EXAM: CT Lumbar Spine wo contrast, CT Thoracic Spine wo contrast CLINICAL INFORMATION:COVID Confirmed paraplegia COMPARISON: None. TECHNIQUE: CT Lumbar Spine wo contrast, CT Thoracic Spine wo contrastScan field of view: 221 mm. (accession CT220002925), Scan field of view: 211 mm. DLP: 2186 mGy cm. (accession... | FINDINGS: T-SPINE: VERTEBRA: Interval postsurgical changes of posterior arthrodesis placement spanning T9-L2 with T12 laminectomy and interspinous spacer. No hardware complication. Unchanged nondisplaced left T7 laminar fracture extending to the left transverse process. Mild widening of the intervertebral distance invo... | 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: There is similar appearance of the hyperattenuation within the sulci overlying the right parietal lobe (series... |
2,448 | CT Chest with contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Chest trauma, minor MVC TECHNIQUE: : CT Chest with contrast, 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: 3 ml per sec. Scan del... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. Retained contrast in the azygous vein. MEDIASTINUM / ESOPHAGUS: Remnant thymic tissue. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL: Gynecomastia. ABDOMEN and PELVIS: LIVER: Normal. BILIARY T... | FINDINGS: STRUCTURED REPORT: CTA Aorta Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: Mild atherosclerosis. ABDOMINAL AORTA: Mild atherosclerosis. No aneurysm. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality LEFT RENAL: Atherosclerotic narrowing a... |
2,449 | CT Chest with contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Chest trauma, minor MVC TECHNIQUE: : CT Chest with contrast, 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: 3 ml per sec. Scan del... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. Retained contrast in the azygous vein. MEDIASTINUM / ESOPHAGUS: Remnant thymic tissue. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL: Gynecomastia. ABDOMEN and PELVIS: LIVER: Normal. BILIARY 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: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Right small ... |
2,450 | EXAM: CT Ankle Right wo contrast, CT Foot Right wo contrast CLINICAL INFORMATION: Fracture COMPARISON: 1/5/2022. TECHNIQUE: CT Ankle Right wo contrast, CT Foot Right wo contrast Scan field of view: 227 mm. DLP: 256 mGy cm. (accession CT220002929), Scan field of view: 336 mm. DLP: 284 mGy cm. (accession CT220002928) FIN... | FINDINGS/CONCLUSION: Minimally displaced mildly comminuted fracture of the medial malleolus. Comminuted, mildly displaced fracture of the posterior malleolus. Comminuted fracture of the distal fibula at the level of the syndesmosis. There are multiple intra-articular fragments within the tibiotalar joint. Comminuted fr... | FINDINGS: BONES/JOINTS: Comminuted and impacted fracture of the right humerus surgical neck extending into the proximal humeral diaphysis and superiorly into the greater tuberosity. The fracture extends to involve the articular surface of the humeral head with mild impaction of the articular surface. The humeral head r... |
2,451 | EXAM: CT Ankle Right wo contrast, CT Foot Right wo contrast CLINICAL INFORMATION: Fracture COMPARISON: 1/5/2022. TECHNIQUE: CT Ankle Right wo contrast, CT Foot Right wo contrast Scan field of view: 227 mm. DLP: 256 mGy cm. (accession CT220002929), Scan field of view: 336 mm. DLP: 284 mGy cm. (accession CT220002928) FIN... | FINDINGS/CONCLUSION: Minimally displaced mildly comminuted fracture of the medial malleolus. Comminuted, mildly displaced fracture of the posterior malleolus. Comminuted fracture of the distal fibula at the level of the syndesmosis. There are multiple intra-articular fragments within the tibiotalar joint. Comminuted fr... | FINDINGS: BONES/JOINTS: There is a comminuted and impacted fracture of the left humerus surgical neck neck with lateral displacement of the greater tuberosity and intra-articular extension. There is an oblique, minimally displaced fracture of the anterioinferior glenoid (series 511 image 192 and series 510 image 185). ... |
2,452 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Currently on eliquis, alcohol abuse. COMPARISON: CT 12/5/2021 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 208 mm. DLP: 1291.60 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. Stable slight hyp... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. Stable slight hyperattenuation of parenchyma underlying the left frontal cranioplasty, likely artifactual. No midline shift or mass effect. Scattered white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Normal. SKUL... | FINDINGS:There is no evidence of acute vascular territory ischemia, hemorrhage, mass or mass effect. The right precentral gyrus shows a focal cortical encephalomalacia with subcortical chronic ischemic change. Confluent white matter hypoattenuation is seen throughout the bilateral centrum semiovale and periventricular ... |
2,453 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Left-sided abdominal pain COMPARISON: 11/26/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast Patient weight: 160 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 ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Right basilar atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Unchanged posteromedial right lobe hemangioma. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Norma... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is preserved. Periventricular and patchy subcortical white matter hypoattenuation consistent with chronic microangiopathy. Decreased cerebral cortical volume. EXTRA-AXIAL SPACES: No epidural, subdural, or... |
2,454 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: COVID Confirmed tachycardia, respiratory distress. COMPARISON: Same day radiograph TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 180 lbs. IV contrast: Omni... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus. Main pulmonary artery measures 3.0 cm. LUNGS / AIRWAYS / PLEURA... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Periventricular and subcortical white matter hypoattenuation consistent with microangiopathy. Encephalomalacia involving the right parietal lobe and posterior watershed territory.. EXTRA-AX... |
2,455 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: large posterior IPH. COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 238 mm. DLP: 957.80 mGy cm. FINDINGS: BRAIN PARENCHYMA: Hemorrhage with surrounding edema centered in the left cerebellum measures 3.1 x 3.2 x 2.6... | FINDINGS: BRAIN PARENCHYMA: Hemorrhage with surrounding edema centered in the left cerebellum measures 3.1 x 3.2 x 2.6 cm (TR x AP x CC, axial series 201 image 71, sagittal series 205 image 35). No midline shift. Left tonsillar ectopia measures 5 mm. Periventricular white matter hypodensities, likely microangiopathic c... | VASCULATURE: Initial unenhanced images through the chest and endometrial hematoma. Mild atherosclerotic disease of the thoracic aorta. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING and DESCENDING THORACIC AORTA: No significant abnormality. AORTIC ARCH: No significant abnormality. ARCH VESSELS... |
2,456 | EXAM: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis CLINICAL INFORMATION: Recent aortic dissection repair. COMPARISON: CT chest 2/13/2019, CT abdomen 2/15/2019 TECHNIQUE: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate MIP and/or volum... | FINDINGS: STRUCTURED REPORT: CTA CAP Stent VASCULATURE: CORONARY ARTERIES: There are no atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ENDOVASCULAR STENT: Interval placement of infrarenal aortobiiliac stent extending to the right external i... | VASCULATURE: Initial unenhanced images through the chest and endometrial hematoma. Mild atherosclerotic disease of the thoracic aorta. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING and DESCENDING THORACIC AORTA: No significant abnormality. AORTIC ARCH: No significant abnormality. ARCH VESSELS... |
2,457 | EXAM: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis CLINICAL INFORMATION: Recent aortic dissection repair. COMPARISON: CT chest 2/13/2019, CT abdomen 2/15/2019 TECHNIQUE: CT Angio Chest wo+w contrast, CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate MIP and/or volum... | FINDINGS: STRUCTURED REPORT: CTA CAP Stent VASCULATURE: CORONARY ARTERIES: There are no atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ENDOVASCULAR STENT: Interval placement of infrarenal aortobiiliac stent extending to the right external i... | Findings: There are no acute orbital fractures. There is no evidence of orbital soft tissue injury. The globes are symmetrical without evidence of posttraumatic injuries. The paranasal sinuses, middle ears, mastoid antra, and mastoid air cells are clear. The nasal septum is deviated to the right of midline. |
2,458 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Headache. COMPARISON: MR 6/28/2019, CT 6/26/2019 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 230 mm. DLP: 1504.60 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effec... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. Cavum septum pellucidum. ORBITS: Normal. SINUSES: Small right sphenoid sinus mucus retention cyst. SOFT TISSUES: Normal... | 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: Absent with metallic clips at the gallbladder fossa. PANCREAS: Normal. SPLEE... |
2,459 | CT Head wo contrast 1/6/2022 5:39 AM Clinical Information: COVID Confirmed ams Comparison: CT head 1/5/2022. Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 222 mm. DLP: 1647 mGy cm. Findings: Motion li... | Findings: Motion limited evaluation. Interval temporal evolutionary changes involving the left frontal and temporal multifocal hemorrhagic contusions with no significant interval change in size of the central high density component. Stable perifocal edema. Mild diffuse cerebral edema also appears stable prior study. St... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Mild periventricular white 333matter lucencies most consistent with chronic microangiopathic change. Gray-white matter differentiation is maintained. Cerebral cortical volume is appropriate for patient's age. EXTRA-AXIAL SPACES: No epidur... |
2,460 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: MVC. COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 279.60 mm. DLP: 1473.90 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Mild mucosal thickening of the maxillary and ethmoid sinuses. SOFT TISSUES: Normal. | 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: Right cerebral convexity subdural hemorrhage now measures 15 mm in thickness and appears more homogenous in hy... |
2,461 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. Patient weight: 160 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Tracheal diverticulum. Nonspecific peribronchial thickening. Dependent atelectasis without pneumothorax, effusion, or consolidation. Scattered centrilobular emphysema. HEART / VESSELS: Mild CAD. Mild thoracic aorta atheroscl... | 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: Diffuse parenchymal atrophy with calcifications in the head and... |
2,462 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. Patient weight: 160 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Tracheal diverticulum. Nonspecific peribronchial thickening. Dependent atelectasis without pneumothorax, effusion, or consolidation. Scattered centrilobular emphysema. HEART / VESSELS: Mild CAD. Mild thoracic aorta atheroscl... | FINDINGS: Intracranially there is no evidence of acute vascular territory ischemia, hemorrhage, mass or mass effect. The ventricles are normal in size and configuration. The cortical sulci and subarachnoid cisterns are symmetric and age-appropriate. There is no extra-axial pathology. The calvarium and skull base show n... |
2,463 | RADIOLOGIC EXAM: CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: MVC. COMPARISON: None. TECHNIQUE: CT Cervical Spine From Reformat, CT Angio Neck Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. 3-D CT MIP and volu... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: BONES/JOINTS: No acute fracture or malalignment. The bilateral femoral heads are well-seated within the acetabula with mild degenerative changes. The sacroiliac joints are symmetric without significant widening. No pubic symphysis diastasis. There is transitional lumbosacral anatomy there is multilevel discog... |
2,464 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. Patient weight: 160 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Tracheal diverticulum. Nonspecific peribronchial thickening. Dependent atelectasis without pneumothorax, effusion, or consolidation. Scattered centrilobular emphysema. HEART / VESSELS: Mild CAD. Mild thoracic aorta atheroscl... | FINDINGS: STRUCTURED REPORT: CTA Aorta Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality. LEFT RENAL: No significant abnormality.... |
2,465 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. Patient weight: 160 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Tracheal diverticulum. Nonspecific peribronchial thickening. Dependent atelectasis without pneumothorax, effusion, or consolidation. Scattered centrilobular emphysema. HEART / VESSELS: Mild CAD. Mild thoracic aorta atheroscl... | FINDINGS/CONCLUSION: Comminuted fracture of the distal left clavicle extending into the acromioclavicular joint. The acromioclavicular joint and coracoclavicular intervals are maintained. Comminuted fracture of the scapular body. The glenohumeral joint is unremarkable. Fractures of the left second through sixth ribs. S... |
2,466 | RADIOLOGIC EXAM: CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: MVC. COMPARISON: None. TECHNIQUE: CT Cervical Spine From Reformat, CT Angio Neck Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. 3-D CT MIP and volu... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Ill-defined hypoattenuation in the hepatic dome is more conspicuous on today's exam compared to the most recent to prior exams dated 2/11/2021 and 8/13/2020. However, this area is similar in a... |
2,467 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: 55-year-old male with confirmed COVID pneumonia. Rule out dissection. COMPARISON: Chest radiograph dated 5/26/2020. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient w... | FINDINGS: STRUCTURED REPORT: CTA Chest VASCULATURE: CORONARY ARTERIES: There are no significant 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. AR... | Findings: No enlarged intrathoracic nodes are present. The heart size and mediastinum are normal. New bilateral upper lobe small nodules are seen which are more numerous in the right upper lobe. For example in the RUL on series 2 images 65 and 78 with a cavitary lesion present medially on image 78 and in the left upper... |
2,468 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 60-year-old female with advanced endometrial cancer and recent partial small bowel obstruction. COMPARISON: CT 12/30/2021 and CT 9/14/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 161 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: A metastasis in the dome of the liver measures 3.6 x 3.1 cm (image 24 series 2), previously 3.2 x 2.8 cm. A metastasis in the anterio... | FINDINGS: BRAIN PARENCHYMA: No acute intracranial hemorrhage, mass effect or edema. There is no acute territorial loss of gray-white matter differentiation. Evolving chronic encephalomalacia in the left greater than right inferior frontal lobes at the site of prior hemorrhagic contusions. Otherwise normal cerebral volu... |
2,469 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 75-year-old male with left lower quadrant pain diarrhea. Evaluate for diverticulitis. COMPARISON: PET/CT and chest CT dated 12/9/2020. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 191 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Sali... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Subpleural reticulations, traction bronchiectasis, groundglass opacities are similar. No consolidation or effusion. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: CAD. Heart is normal in size. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: ... | FINDINGS: Right frontoparietal mixed density subdural hematoma measures 1.6 cm in thickness (series 3, image 40), previously 1.6 cm in similar dimensions. Small hematocrit- fluid level seen in the dependent aspect (for example series 3, image 32). Interval resolution of the trace right temporal lobe subarachnoid hemorr... |
2,470 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Fall. COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 240 mm. DLP: 1354.40 mGy cm. (accession CT220002952), Scan field of view: 191 mm. DLP: 1132.70 mGy cm. (ac... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Age indeterminate depressed nasal bone fractures. MANDIBLE: Normal. SINONASAL CAVITIES: S... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separate CT chest report. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Horseshoe kidney with similar appearance of simple renal cysts. Multiple no... |
2,471 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Fall. COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 240 mm. DLP: 1354.40 mGy cm. (accession CT220002952), Scan field of view: 191 mm. DLP: 1132.70 mGy cm. (ac... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Age indeterminate depressed nasal bone fractures. MANDIBLE: Normal. SINONASAL CAVITIES: S... | Findings: Tiny nodules are again noted in both sides of the thyroid. Tip of the right-sided port catheter is in the mid SVC. Adjacent thrombus in the SVC seen on the previous exam has resolved. Calcified mediastinal and left hilar nodes are redemonstrated. A left internal mammary node is present on series 2 image 96 si... |
2,472 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: HA, hx of aneurysm. COMPARISON: MRA 8/31/2021, CT 5/24/2020 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 224 mm. DLP: 1384 mGy cm. FINDINGS: BRAIN PARENCHYMA: Right hemispheric encephalomalacia with punctate internal hyperattenuat... | FINDINGS: BRAIN PARENCHYMA: Right hemispheric encephalomalacia with punctate internal hyperattenuating focus in the right parietal region (series 206 image 43), likely dystrophic calcification. Left cerebellar remote infarct. Right anterior thalamus remote lacunar infarct. No midline shift or mass effect. Periventricul... | FINDINGS: Head CT: The calvarium and skull base are intact. Intracranially there is no evidence of cerebral contusion, hemorrhage, edema or mass effect. No evidence of acute cerebral ischemic pathology is noted. The ventricles are normal in size and configuration. The cortical sulci and subarachnoid cisterns are symmet... |
2,473 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 81-year-old male with abdominal pain. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 205 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 90 sec S... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Centrilobular emphysema and dependent atelectasis. No suspicious nodule. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Moderate CAD. OTHER: Borderline enlarged lower paraesophageal lymph node on image 30, series 201. ABDOMEN and PELVIS: LIVER... | FINDINGS: Head CT: The calvarium and skull base are intact. Intracranially there is no evidence of cerebral contusion, hemorrhage, edema or mass effect. No evidence of acute cerebral ischemic pathology is noted. The ventricles are normal in size and configuration. The cortical sulci and subarachnoid cisterns are symmet... |
2,474 | CT Chest with contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma 22-year-old male with gunshot wound to right chest and right femur. TECHNIQUE: : CT Chest with contrast, CT Abdomen and Pelvis w contrast. Patient weight: 260 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 80 ml.... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: No discrete injury. LYMPH NODES: None enlarged. CHEST WALL: Ballistic injury along the right anterior caudal chest with soft tissue gas and stranding. ABDOMEN a... | Findings/Impression: Right mandibular subcondylar fracture and left mandibular parasymphysis comminuted fractures with displacement. 3-D rendering was provided for presurgical planning purpose. |
2,475 | CT Chest with contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma 22-year-old male with gunshot wound to right chest and right femur. TECHNIQUE: : CT Chest with contrast, CT Abdomen and Pelvis w contrast. Patient weight: 260 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 80 ml.... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: No discrete injury. LYMPH NODES: None enlarged. CHEST WALL: Ballistic injury along the right anterior caudal chest with soft tissue gas and stranding. ABDOMEN a... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: Stable subcentimeter nonspecific pelvic/retroperitoneal ly... |
2,476 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 56-year-old female with evaluation of renal hematomas. COMPARISON: CT abdomen and pelvis 11/15/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 156 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 80 ml. IV contrast inject... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated same-day CT chest. ABDOMEN and PELVIS: LIVER: Unchanged right hepatic lobe cyst measuring up to 1.2 cm (series 4 image 85). Liver surface nodularity and prominent caudate lobe, suggesting cirrhosis. BILIARY TRACT: Unchanged intra... | FINDINGS: Enlarged right hilar node is redemonstrated on series 11 image 98. Calcified nodes are present in the left hilum. No additional enlarged intrathoracic nodes are identified. Mild calcific atherosclerosis is seen in the aorta and coronary arteries. The heart size and the mediastinum are otherwise normal. No ple... |
2,477 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION:PUI for COVID Trauma COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 322 mm. DLP: 1694.90 mGy cm. (accession CT220002966), Scan field of view: 210 mm. DLP: 1054.... | FINDINGS: BRAIN PARENCHYMA: Changes related to ballistic injury appearing to track from the midline frontal bone through the frontal and parietal lobes with associated scattered ballistic and osseous fragments, gas, and parenchymal hemorrhage, with the largest ballistic fragments near the left parieto-occipital junctio... | FINDINGS: LINES AND TUBES: None. LOWER NECK: Subcentimeter hypodense right thyroid nodule. CHEST: LUNGS / AIRWAYS / PLEURA: New thickening along the right posteriolateral and left anterolateral tracheal wall seen on series #502 image #65. Minimal bibasilar bandlike atelectasis versus scarring. No suspicious pulmonary n... |
2,478 | 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 images were generated in post processing. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 70 ml. I... | FINDINGS: CERVICAL SPINE: Craniocervical junction and odontoid are intact. No acute fracture or malalignment. Soft tissues are unremarkable. CTA NECK: Mild narrowing of the right intracranial ICA. Bulky plaque at the carotid bifurcations with less than 50% stenosis. Mild focal narrowing of the caudal right vertebral ar... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Stable subcentimeter hyperenhancing focus in the hepatic dome. No other suspicious enhancing solid hepatic lesions. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Atrophic pancreas. Pan... |
2,479 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION:PUI for COVID Trauma COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 322 mm. DLP: 1694.90 mGy cm. (accession CT220002966), Scan field of view: 210 mm. DLP: 1054.... | FINDINGS: BRAIN PARENCHYMA: Changes related to ballistic injury appearing to track from the midline frontal bone through the frontal and parietal lobes with associated scattered ballistic and osseous fragments, gas, and parenchymal hemorrhage, with the largest ballistic fragments near the left parieto-occipital junctio... | FINDINGS: SOFT TISSUES AND PAROTID GLANDS: Stable postsurgical changes from prior mass resection with left frontotemporal scalp. No focal masslike enhancement. Left preauricular postsurgical clip from prior sentinel lymph node harvest. The left parotid gland is partially resected.The right parotid gland is normal. LYMP... |
2,480 | 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 images were generated in post processing. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 70 ml. I... | FINDINGS: CERVICAL SPINE: Craniocervical junction and odontoid are intact. No acute fracture or malalignment. Soft tissues are unremarkable. CTA NECK: Mild narrowing of the right intracranial ICA. Bulky plaque at the carotid bifurcations with less than 50% stenosis. Mild focal narrowing of the caudal right vertebral ar... | FINDINGS: No enlarged intrathoracic lymph nodes are identified. Small hiatal hernia is present with slight dilatation the upper esophagus. Mild calcific atherosclerosis is present in the aorta and coronary arteries. The ascending aorta is ectatic at 43 mm on series 9 image 114 unchanged from the prior exam. The heart s... |
2,481 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Head and neck cancer, concern for lung metastases COMPARISON: None. TECHNIQUE: CT Chest with contrast Patient weight: 89 lbs. IV contrast: Omnipaque 350, 48 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 2.50 ml per sec. Scan delay: 35 sec Scan fiel... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Indwelling tracheostomy tube. Bibasilar atelectasis and mucous plugging. Subtle reticulonodular densities in the dependent lung bases. No suspicious pulmonary nodule or mass. Trace pleural effusions. HEART / VESSELS: Small volume... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest findings to be dictated separately; please see separate chest CT report same day. ABDOMEN and PELVIS: LIVER: Unchanged small hepatic cysts. Liver is otherwise unremarkable. BILIARY TRACT: Normal. GALLBLADDER: Cholelithiasis PANCREAS: Normal. SPLEEN: Norm... |
2,482 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Concern for hernia. Focal midline abdominal pain, previously had a bulging, history of sickle cell and splenectomy. COMPARISON: MR abdomen 11/23/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 260 lbs. IV contrast: Omnipaque 350, 150 ml, per... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Dependent atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Collapsed. PANCREAS: Normal. SPLEEN: Absent. ADRENALS: Normal. KIDNEYS: No... | FINDINGS: Again noted is a large right hemispheric subdural hemorrhage with mild mass effect over the brain parenchyma. There is no obvious interval change in the size of the right hemispheric subdural hemorrhage which measures 14 mm in maximum thickness previously 14 mm. There is interval size decrease of the subdural... |
2,483 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 60-year-old female with history of granulosa cell tumor and loop ileostomy, evaluating distal bowel for reversal. COMPARISON: CT abdomen and pelvis 3/30/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 99 lbs. IV contrast: Omnipaque 350, 80 m... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Mild bibasilar dependent atelectasis. Stable anterior left lung nodule measuring 4 mm (series 2 image 10). New cavitary lesion within the posterior left lung measuring up to 1.1 cm (series 2 image 11). Partial visualization of the inferior... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Approximately 5 mm nonobstructing calculus in the lower pole left kidney on axial ... |
2,484 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Left shoulder and pleuritic pain. Recent colonoscopy. Concern for perforation COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 198 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. S... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Subsegmental atelectasis. No acute abnormality. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal.... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Similar appearing left greater than right basilar atelectasis. Central airways are clear. No new suspicious nodules. No consolidation, pneumothorax, or effusions. Saber-sheath trachea. HEART / VESSELS: Minimal coronary artery cal... |
2,485 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 43-year-old male with left lower quadrant pain. History of stones. COMPARISON: CT abdomen dated 10/13/2018. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 265 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contras... | FINDINGS: Motion artifact limits evaluation for diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: No acute abnormality DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Partially visualized cardiac lead tips in the right atrium and right ventricle. ABDOMEN and PELVIS: LIVER: Normal. B... | FINDINGS: BONES/JOINTS: No acute fracture or malalignment. There is redemonstration of a left great toe MTP joint arthrodesis without evidence of hardware loosening or failure. There is no osseous fusion at the site of arthrodesis. The talar dome is intact. The joint spaces of the foot are well-maintained with mild mid... |
2,486 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: 68-year-old male follow-up MVA with aortic injury, status post Endo stent treatment COMPARISON: December 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 weig... | FINDINGS: End of stent is noted in the proximal descending thoracic aorta covering the site of focal aortic traumatic pseudoaneurysm. Minimal atherosclerotic disease changes are present in the rest of the thoracic aorta and its branches. There is small pericardial effusion with few borderline size nodes in the mediasti... | FINDINGS: LINES AND TUBES: None. LOWER NECK: See separate neck dictation CHEST: LUNGS / AIRWAYS / PLEURA: Tiny right upper lobe 2-3 mm solid pulmonary nodule is seen on series #2 image #38. Minimal atelectasis at the lingula. No consolidation, effusions, or pneumothorax. HEART / VESSELS: No significant abnormality. MED... |
2,487 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Melanoma, assess treatment response COMPARISON: 10/14/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 236 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2.50 ml per sec. Scan delay: Bo... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately reported chest CT. ABDOMEN and PELVIS: LIVER: Hepatic steatosis. Noncirrhotic morphology. No concerning mass or lesion identified. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KID... | Findings: Interval excisional biopsy change of the right base of tongue is noted. Previous ulcerated right base of tongue/supraglottic mass appears surgically removed. Mild submucosal edema of the right oropharyngeal wall and vallecula, and reactive enlargement of the left lingual tonsil are demonstrated. The right lev... |
2,488 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 46-year-old female follow-up melanoma COMPARISON: October 14, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 236 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2.50 ml per sec. Scan delay: Bolus Tracked.... | FINDINGS: Subcentimeter size mediastinal and hilar nodes persist. Postsurgical changes in the left axilla and anterior chest wall with residual ill-defined soft tissue density measuring 18 x 9 mm in image 96, series 9 decreased from previous dimensions of 24 x 12 mm. There is no discrete lung nodule or mass. Few ill-de... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Spiculated right upper lobe pulmonary nodules are overall stable in appearance. The larger, more superior pulmonary nodule today measures 2 x 1.4 cm on series 3 image 40, previously 2.0 x 1.4 cm. The more inferior pulmonary nodul... |
2,489 | EXAM: CT Rsh Body with contrast METRIC CLINICAL INFORMATION: 65-year-old male with malignant neoplasm of prostate follow-up. COMPARISON: CT abdomen and pelvis 7/22/2021 TECHNIQUE: CT Rsh Body with contrast METRIC. Patient weight: 240 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 20 ml. IV contras... | 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 for technique. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal for technique. SPLEEN: Normal. ADRENALS: N... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest findings to be dictated separately; please see separate chest CT report same day. ABDOMEN and PELVIS: LIVER: Diffuse hepatic steatosis. No focal hepatic lesion. BILIARY TRACT: Common bile duct is prominent in size measuring about 10 mm. There is somewhat... |
2,490 | Radiologic Exam: CT Angio Head Code Stroke, CT Angio Neck Clinical Information: Stroke. Comparison: Same day noncontrast CT. TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 120... | FINDINGS: CT OF THE HEAD WITH CONTRAST: No enhancing intracranial abnormality. Please also see separate same day noncontrast CT head report. CT ANGIOGRAM OF THE HEAD AND NECK: AORTIC ARCH AND PROXIMAL GREAT VESSELS: Mild calcific atherosclerosis of the arch. RIGHT CAROTID: Trace calcified atherosclerosis of the siphon.... | FINDINGS: BONES/JOINTS: No acute fracture or malalignment. The femoral head is well-seated within the acetabulum with mild degenerative changes. There are moderate degenerative changes of the medial tibiofemoral compartment and mild degenerative changes of the lateral tibiofemoral and patellofemoral compartments. Small... |
2,491 | Radiologic Exam: CT Angio Head Code Stroke, CT Angio Neck Clinical Information: Stroke. Comparison: Same day noncontrast CT. TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 120... | FINDINGS: CT OF THE HEAD WITH CONTRAST: No enhancing intracranial abnormality. Please also see separate same day noncontrast CT head report. CT ANGIOGRAM OF THE HEAD AND NECK: AORTIC ARCH AND PROXIMAL GREAT VESSELS: Mild calcific atherosclerosis of the arch. RIGHT CAROTID: Trace calcified atherosclerosis of the siphon.... | Findings: Index lesions: Measured on series 2. 1. Left upper lobe nodule measures 8 x 15 mm on image 52 and was 9 x 15 mm on series 2 comparable image 43 by my remeasurement. 2. AP window node measures 10 x 16 mm on image 105 and was 10 x 16 mm on series 2 image 98 on the prior by my remeasurement. No additional enlarg... |
2,492 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Code stroke COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 218 mm. DLP: 1178 mGy cm. STRUCTURED REPORT: CT Head FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Cerebral ... | FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Cerebral volume loss and mild chronic white matter microangiopathic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Similar intrahepatic and extrahepatic ductal dilation. GALLBLADDER: Absent. PANCREAS: Pancreas divisum with similar mild prominence of the main pancreatic duct. SPLEEN: ... |
2,493 | CT Perfusion 1/6/2022 7:21 AM Clinical Information: stroke Comparison: Concurrently performed CT noncontrast head dated 1/6/2022. Technique: A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves generated from this data... | 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... | Findings: No enlarged hilar or mediastinal nodes are present. The heart size and mediastinum are normal. The poorly defined groundglass opacity in the apical posterior portion of the right upper lobe measures 29 x 45 mm on series 3 image 23 and is approximately 30 x 43 mm on the prior on series 3 image 41, minimally if... |
2,494 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: 56-year-old female for evaluation of pulmonary thromboembolism COMPARISON: CT chest with contrast dated 12/30/2021. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient w... | FINDINGS: OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus. Normal caliber pulmonary artery. LUNGS / AIRWAYS / PLEURA: Lower lobe bronchial wall thickening, with persistent bilateral peripheral mixed attenuation opacities. Bibasila... | FINDINGS: LINES AND TUBES: None. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Trace right pneumothorax. Tiny right greater than left pleural effusion, likely hemothorax with small right greater than left dependent consolidation. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. LYMPH... |
2,495 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 54-year-old female follow-up lung nodule COMPARISON: June 17, 2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 294 mm. DLP: 162 mGy cm. FINDINGS: Status post left upper lobectomy without any residual mass near the bronchial stump or elsewhere in either lungs. Mi... | FINDINGS: Status post left upper lobectomy without any residual mass near the bronchial stump or elsewhere in either lungs. Minimal left focal pleural thickening is noted in the left upper costal pleura. Subcentimeter size nodes are again noted in the upper paratracheal and lateral aortic region with lateral node sligh... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Evolving inferior right hepatic lobe laceration is seen. Postsurgical changes of laceration repair. No intraparenchymal hematoma. Remainder of the hepatic parenchyma demonstrates homogenous enhancemen... |
2,496 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 60 year old female follow-up adenocarcinoma COMPARISON: October 7, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 140 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 1.50 ml per sec. Scan delay: 100SEC se... | FINDINGS: Index lesions are measured in series 2. Left upper lobe elongated nodular density in image 82 measures 23 x 11 mm, it was 22 x 13 mm. No other discrete lung nodule or mass is noted. There is a linear atelectasis in the left upper and right lower lobe. Mild diffuse central bronchiectasis is identified bilatera... | FINDINGS: There are an 1.7 cm bullet fragment embedded in the subcutaneous layer of the left dorsal lumbar region at L1 level and comminuted fracture of the right 12th rib. Also noted are right renal laceration with retroperitoneal hemorrhage as well as embedded small foreign bodies with air locules. There is no penetr... |
2,497 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 59-year-old female with lung adenocarcinoma, assess treatment response. COMPARISON: CT abdomen and pelvis 10/7/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 140 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated same-day CT chest. ABDOMEN and PELVIS: LIVER: Ill-defined hypoattenuating lesion in hepatic segment measures approximately 2.2 x 1.8 on axial series 2, image 218. Subcentimeter hypodensity within the right hepatic lobe is too sma... | FINDINGS: There are an 1.7 cm bullet fragment embedded in the subcutaneous layer of the left dorsal lumbar region at L1 level and comminuted fracture of the right 12th rib. Also noted are right renal laceration with retroperitoneal hemorrhage as well as embedded small foreign bodies with air locules. There is no penetr... |
2,498 | EXAM: CT Angio Abdomen and Pelvis CLINICAL INFORMATION: 26-year-old male renal donor evaluation. COMPARISON: None. TECHNIQUE: CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 134 lbs. IV contrast: Omnipaque 350, 134 ml, per pro... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis Renal Donor RIGHT KIDNEY: - RENAL ARTERY: Single. - RENAL VEIN: Single. - COLLECTING SYSTEM: Single. - RENAL CALCULI: Absent. - CYSTS/MASSES: Absent. - VOLUME: 150 cm\S\3 LEFT KIDNEY: - RENAL ARTERY: Single. - RENAL VEIN: Single with conventional pre-aortic anatomy. - COL... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Small low-attenuation lesions in both lobes of the liver, largest measuring up to 1.0 cm and the left lobe of the liver. CHEST: LUNGS / AIRWAYS / PLEURA: Evaluation of the pulmonary parenchyma is slightly compromised by respiratory motion artifacts. Approximately 0.5 cm... |
2,499 | EXAM: CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Pelvic fracture COMPARISON: Concurrent CT abdomen/pelvis TECHNIQUE: CT Bone Pelvis w soft tissue no charge Scan field of view: 344 mm. FINDINGS/CONCLUSION: Comminuted fracture of the right iliac crest. No other acute displaced fracture is seen. The femo... | FINDINGS/CONCLUSION: Comminuted fracture of the right iliac crest. No other acute displaced fracture is seen. The femoral heads are well-seated within their respective acetabula. No pubic symphyseal or SI joint diastasis. Please see separately dictated and concurrently obtained CT chest abdomen and pelvis for intra-abd... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separate CT chest report. ABDOMEN and PELVIS: LIVER: Small well-circumscribed hypodense lesion measures 1.1 cm in segment II near the dome. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNE... |
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