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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2,500 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 82-year-old female, for follow-up of pleural effusions. COMPARISON: CT chest dated 1/1/2022. TECHNIQUE: CT Chest with contrast. Patient weight: 210 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 3 ml per sec. Sc... | FINDINGS: LOWER NECK: Heterogeneous thyroid gland with a few low-attenuation nodules, overall unchanged. CHEST: LUNGS / AIRWAYS / PLEURA: Interval placement of right pleural drain drainage catheter that terminates anterior to the loculated effusion component in the parenchyma, recommend repositioning. Development of sm... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Subtle persistent groundglass opacities and tree-in-bud nodularity in the base of the right lower lobe, less pronounced than on prior examinations. Small peripheral nodules in the LUL on series 2 images 61 and 67 are unchanged. A... |
2,501 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Nausea and vomiting COMPARISON: CT abdomen pelvis with contrast 9/17/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 200 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 3 ml per sec. S... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Small pleural effusions and bibasilar atelectasis bilaterally. DISTAL ESOPHAGUS: Minimal fluid within the distal esophagus, suggesting gastroesophageal reflux and placing the patient at risk for aspiration. HEART / VESSELS: The heart is no... | Findings: Sinuses and drainage pathways: Frontal sinus: Clear on both sides. Frontoethmoidal recess: Patent. Maxillary sinus: Severe. 9 mm retention cyst in the right maxillary antrum. Ostiomeatal complex: Patent. Ethmoid sinus: Clear. Sphenoid sinus: Clear. Sphenoethmoidal recess: Patent. Nasal cavity: No polyp or mas... |
2,502 | CT Neck Soft Tissue w contrast Clinical Information: tongue neck swelling Spec Inst: suspect angioedema. cf deep space infxn neck. Patient with hypertension on lisinopril. Comparison: None Technique: Axial images of the neck were obtained following the administration of intravenous contrast. Reformatted coronal and sag... | Findings: Included portions of the brain and skull base appear normal. There is diffuse swelling and enlargement of the oral cavity, tongue and base of the tongue. Mucosal hyperenhancement of the nasopharyngeal and oropharyngeal walls. The epiglottis is effaced by the swelling base of tongue but appears mildly edematou... | FINDINGS: STRUCTURED REPORT: CT HCC Follow-up IMAGE QUALITY: Moderately decreased because of motion artifact LOWER CHEST: Please see separate CT chest report. ABDOMEN: LIVER: Cirrhotic. No steatosis. TREATED LIVER LESIONS: - Lesion Number: 1 - Description: Irregular posttreatment change consistent with I 90, similar to... |
2,503 | EXAM: CT Angio Lower Ext Bil wo+w contrast CLINICAL INFORMATION: 62-year-old woman with history of infected left total knee arthroplasty. She underwent irrigation and debridement with antibiotic spacer placement on 12/13/2021. This runoff CTA was performed for flap planning purposes. COMPARISON: None. TECHNIQUE: CT Ang... | FINDINGS: STRUCTURED REPORT: CTA Lower Extremities VASCULATURE: ABDOMINAL AORTA: Normal caliber. Circumferential calcified atherosclerotic plaque without occlusion. RIGHT ILIAC ARTERIES: Curvilinear plaque without stenosis. RIGHT FEMORAL \T\ POPLITEAL ARTERIES: Scattered calcified plaque. No significant abnormality. RI... | FINDINGS: STRUCTURED REPORT: CT Chest Examination moderately limited due to motion artifact. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: The previously noted right upper lobe and left upper lobe pulmonary nodules are not identified on this examination, however the area of interest in the upper chest is less we... |
2,504 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 62-year-old male with large B-cell lymphoma, surveillance scan. COMPARISON: CT abdomen and pelvis 3/31/2021 and PET scan 9/2/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 190 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline fl... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated same-day CT chest. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: Contracted with cholelithiasis. No gallbladder wall thickening or pericholecystic fluid. PANCREAS: Normal for technique. SPLE... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Peripherally enhancing hepatic dome lesion measures 0.8 x 0.8 cm on image 29 series 10, previously measuring 0.6 x 0.6 cm. Unchanged tiny focus of arterial enhancement in the lateral segment l... |
2,505 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 62-year-old male follow-up diffuse large B-cell lymphoma outside chest CT dated COMPARISON: April 7, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 190 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 3 ml... | FINDINGS: Only small subcentimeter size nodes are present in the mediastinum along with calcified node in the right paraesophageal location. Minimal diffuse peribronchial thickening without discrete lung nodule/mass, airspace consolidation or interstitial abnormality. There is no pleural or pericardial effusion and vis... | Findings: No enlarged intrathoracic nodes are present. The heart size and mediastinum are normal. Slight pleural thickening is seen posteriorly in the mid right hemithorax unchanged. No pleural effusion. A new tiny nodule is seen in the right lung apex on series 10 image 56 with additional new nodule on image 93.. Nodu... |
2,506 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 67-year-old female follow-up metastatic lung cancer COMPARISON: November 3, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 236 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 2 ml per sec. Scan delay: 100... | FINDINGS: Index lesions are measured in series 3. Heterogeneously enhancing irregular right lower lobe nodule in image 118 measures 24 x 19 mm, it was 29 x 23 mm. There is persistent occlusion of the posterior basal segmental right lower lobe bronchus. Subcarinal right paraesophageal node in image 86 is 24 x 14 mm, it ... | FINDINGS: STRUCTURED REPORT: CTA Aorta Runoff VASCULATURE: ABDOMINAL AORTA: No significant abnormality. RIGHT RENAL: Partially visualized and patent without significant stenosis. LEFT RENAL: Partially visualized and patent without significant stenosis. IMA: Patent. RIGHT ILIAC ARTERIES: No significant abnormality. RIGH... |
2,507 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Metastatic lung cancer COMPARISON: 11/3/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 236 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 2 ml per sec. Scan delay: 100 sec Scan field ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Hypoattenuating focus on series 3 image 153 is unchanged and appears cystic in nature. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Trace right pleural effusion and mild atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Coronary vascular calcifications. No pericardial effusion. ABDOMEN and PELVIS: LIVER: Subcentimeter indeterminate liver lesion on image 98, serie... |
2,508 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 64-year-old male, for follow-up of lung nodule. Prior history of right upper lobe wedge resection in September 2020 with pathology of adenocarcinoma. Lung nodule, > 8 mm. COMPARISON: Multiple prior CT chest, most recently 10/7/2021. CT abdomen and pelvis 10/18/2018, 4/7/... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Stable to minimal increased size of the right upper lobe nodule measuring 10 x 8 mm (image 290, series #202), previously 8 x 6 mm which may appear larger to secondary to dif... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Stable postradiation changes and parenchymal scarring in the left perihilar region and right lower lobe. Similar appearance of pleural thickening and atelectasis in the right lower lobe within the right lower lobe radiation bed. ... |
2,509 | CT Maxillofacial wo contrast, CT 3D Neuro Requiring Indep Wkst 1/6/2022 9:09 AM Clinical Information: sp ORIF multiple facial fractures Comparison: Maxillofacial CT 1/2/2022. Technique: Axial helical CT images were obtained through the maxillofacial region. 2-D coronal reconstructions were generated from the axial data... | Findings: Interval postsurgical changes of plate and screw fixations involving fractures bilateral maxillary alveoli, bilateral zygomatic maxillary regions, left lateral orbital wall, inferior left orbital rim and bilateral medial maxillary sinus walls. Metallic mesh repair involving the fractures inferior and medial l... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Hepatic cirrhosis. No suspicious liver lesions. BILIARY TRACT: Normal. GALLBLADDER: Cholelithiasis. PANCREAS: Normal. Probable anatomic variant pancreas divisum. SPLEEN: Unchanged hypoattenuat... |
2,510 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 88-year-old female follow-up mycobacterial infection COMPARISON: January 4, 2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 330 mm. DLP: 85.54 mGy cm. FINDINGS: Since prior examination there is increase in the nodular changes especially in the right lower lobe ... | FINDINGS: Since prior examination there is increase in the nodular changes especially in the right lower lobe with a new larger nodule measuring 12 x 10 mm in image 161, series 2. Partial volume loss of the inferior lingula persist along with mild central bronchiectasis in both lower lobes, right middle lobe and lingul... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. No pathologic enhancement. Gray-white matter differentiation is maintained. Moderate frontoparietal cerebral volume loss. Right medial cerebellar hemisphere chronic lacunar infarct. Minimal bilateral carotid siphon atherosclerotic calcifications. Fetal or... |
2,511 | EXAM: CT Angio Abdomen and or Pelvis w Runoff CLINICAL INFORMATION: 68-year-old male with clinical history of peripheral vascular disease. COMPARISON: None. TECHNIQUE: CT Angio Abdomen and or Pelvis w Runoff. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight... | FINDINGS: STRUCTURED REPORT: CTA Aorta Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: Extensive atherosclerotic ossifications present throughout the infrarenal abdominal aorta and its branches. CELIAC AXIS: Mild to moderate stenosis due to the large amount of atherosc... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis Stent VASCULATURE: Moderate atherosclerosis. ENDOVASCULAR STENT: Patent aortobiiliac stent with the cranial aspect superior to the left renal artery extending into the common iliac arteries. ENDOLEAK: Redemonstration of type II endoleak from right L4 lumbar artery (series... |
2,512 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 66-year-old female with recurrent ovarian cancer, increase in CA-125. COMPARISON: CT abdomen and pelvis 12/7/2020 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 177 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Oral contrast Omnipaque: ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated same-day CT chest. ABDOMEN and PELVIS: LIVER: Redemonstration of an ablation of the lateral segment of the left hepatic lobe and small ablation of the right hepatic lobe. There is a new area of ill-defined hypodensity within the ... | FINDINGS: Vascular findings: Mild atherosclerotic calcifications are seen along the nonaneurysmal thoracic aorta. The heart is not enlarged. No pericardial effusion. The pulmonary artery are normal in caliber. Mild to moderate coronary artery calcifications. Nonvascular findings: The supraclavicular region is unremarka... |
2,513 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 66-year-old female follow-up ovarian cancer COMPARISON: September 2, 2020 TECHNIQUE: CT Chest with contrast. Patient weight: 177 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Oral contrast Omnipaque: 16.9 oz. Saline flush: 20 ml. IV contrast injection rate: 3.... | FINDINGS: Previously noted ill-defined groundglass opacities in the left lower lobe have resolved. No new lung nodule or mass is noted. Subcentimeter size nodes in the mediastinum are unchanged. There is no axillary adenopathy. No pleural or pericardial effusion is seen and visualized bones are unremarkable. | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Clear without focal consolidation or pleural effusion. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: No... |
2,514 | EXAM: CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: Breast cancer restaging COMPARISON: 10/4/2021 TECHNIQUE: CT Abdomen and Pelvis wo+w contrast. Patient weight: 187 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. IV contrast injection rate: 4 ml per sec. Scan delay: bt sec. Scan field of view: 383 m... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately reported chest CT. ABDOMEN and PELVIS: LIVER: Small hypoattenuating cyst within the right hepatic lobe, unchanged. Noncirrhotic morphology. No steatosis. No new concerning mass or lesion. BILIARY TRACT: Normal. GALLBLADDER: No abnormality... | Findings: No enlarged hilar or mediastinal nodes are present. The mediastinum is normal. Mild paraseptal and centrilobular emphysema bilaterally with bronchial wall thickening. Unchanged subsegmental/linear atelectasis in the right middle lobe. Scattered calcified granuloma. Coronary artery calcification: Patient's had... |
2,515 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 45-year-old female with breast cancer. COMPARISON: CT chest with contrast dated 10/4/2021.. TECHNIQUE: CT Chest with contrast. Patient weight: 187 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. IV contrast injection rate: 4 ml per sec. Scan delay: bt sec. Scan ... | FINDINGS: Index lesions: 1. Interval decrease in the size of right lower lobe nodular opacity, measuring 2.2 x 1.3 cm on axial image 16; series 307, previously 2.6 x 1.9 cm. 2. Tiny nodule in the right upper lobe on axial image 46; series 307, unchanged. No new nodule. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEUR... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Small hiatal hernia with prominent paraesophageal lymph node. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. S... |
2,516 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Concern for PTE COMPARISON: None. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 160 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 80 ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Small left pleural effusion. No pneumothorax or pleural effusion. Scattered subsegmental atelectasis as well as more roun... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Please see same-day CT neck for neck findings. CHEST: LUNGS / AIRWAYS / PLEURA: No change in the right lower lobe pleural-based nodule measuring 5 mm in diameter on series 2 image 72. Nodule along the right minor fissure on image 66 is slightly decreased. Previous granu... |
2,517 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 67-year-old male follow-up lung cancer COMPARISON: October 7, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec Scan field... | FINDINGS: Index lesions are measured in series 3. Slightly irregular heterogeneously enhancing right upper lobe nodule in image 48 is 25 x 24 mm, it was 30 x 23 mm. A small right upper paratracheal node short axis diameter is 6 mm, it was 7 mm before. Right hilar node in image 92 is 8 mm, it was 11 mm before. Focal are... | Findings: The right paratracheal lymph node inferior to the thyroidectomy bed is slightly increased in size measuring 0.9 x 1.4 cm. Enhancing right Delphian lymphadenopathy measures 0.6 x 0.8 cm. There is an enhancing subcentimeter lymph node in the left level III measuring 0.8 x 0.4 cm, which has intact fatty hilum. N... |
2,518 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 67-year-old male with history of lung cancer; follow-up. COMPARISON: CT abdomen pelvis 10/7/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Stable subcentimeter hypodensity in the posterior right hepatic lobe, technically indeterminate but most suggestive of a cyst. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal for tec... | FINDINGS: The study is mildly degraded by metallic streak artifact from dental amalgam. SOFT TISSUES: Normal. LYMPH NODES: No pathologic adenopathy by imaging size criteria. AERODIGESTIVE STRUCTURES: No asymmetric contrast enhancement or asymmetric soft tissue nodularity. PAROTID GLANDS: Normal. SUBMANDIBULAR GLANDS: N... |
2,519 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 48-year-old female with metastatic colorectal cancer. COMPARISON: CT 8/19/2012 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 212 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 2 ml per se... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: The heterogeneous lesion in the posterior right hepatic lobe is difficult to measure due to surrounding hyperemia, but measures approximately 4.0 x 3.9 cm (image 168 series 3), previously 4.0 x 3.8 cm. Persistent partial thrombosis of the adjacen... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LINES AND TUBES: None. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Persistent nodular cluster in the left lower lobe is unchanged. Minimally increased ill-defined mixed consolidation/groundglass allowing for differenc... |
2,520 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 48-year-old female follow-up colon cancer COMPARISON: August 19, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 212 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 2 ml per sec. Scan delay: 100 sec Scan f... | FINDINGS: Index lesions are measured in series 3. Left upper lobe nodule in image 85 measures 10 mm increased from 6 mm size before. The left lower lobe nodule in image 84 is 8 x 8 mm, it was 6 x 5 mm. Right lower lobe nodule is 11 mm in image 148, it was 7 mm before. Several new bilateral lung nodules are noted. Dense... | 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: Unchanged hypodensity in the right posterior liver, technically too small to characterize but statistically represents a... |
2,521 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 59-year-old female follow-up melanoma COMPARISON: September 30, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 135 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2.50 ml per sec. Scan delay: Bolus Tracke... | FINDINGS: Small ill-defined nodular density along the minor fissure in image 106, series 9 appears unchanged. There are few other scattered calcified lesions in the right upper lobe with persistent mild diffuse increased peribronchial thickening. No new nodule or mass is noted. Several calcified nodes in the mediastinu... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Diffuse bilateral lower lung predominant centrilobular groundglass nodules. HEART / OTHER VESSELS: Borderline heart size.... |
2,522 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 59-year-old female with history of melanoma; follow-up. COMPARISON: Multiple prior CTs of the abdomen pelvis, most recently 9/30/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 135 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Salin... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Normal. SPLEEN: Punctate calcifications compatible with granulomatous disease. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged.... | Findings: Index lesions as below as measured on series 2: 1. Nodular opacity within the right lower lobe measures 7 mm (image 124) previously measuring 7 mm. 2. Noncalcified, solid nodule within the superior segment right lower lobe measures 4 x 6 mm (average 5 mm)(image 73), previously measuring 4 x 6 mm. 3. The mixed... |
2,523 | Calculation of liver volumes was requested by the ordering provider and performed by a user at an independent workstation. The calculated liver volumes are as follows: Total liver volume: 2064 mL Left hepatic lobe volume: 618 mL (30%) Right hepatic lobe volume: 1446 mL (70%) Left hepatic lobe lateral segment volume: 26... | The calculated liver volumes are as follows: Total liver volume: 2064 mL Left hepatic lobe volume: 618 mL (30%) Right hepatic lobe volume: 1446 mL (70%) Left hepatic lobe lateral segment volume: 266 mL (13%) Left hepatic lobe medial segment volume: 352 mL (17%) Right hepatic lobe anterior segment volume: 995 mL (48%) R... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal for technique. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BO... |
2,524 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Left lower quadrant abdominal pain COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 130 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 70 ml. IV contrast injection rate: 2.30 ml per sec. Scan delay: 76 sec Sc... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Circumferential wall thickening and mucosal hyperenhancement of the distal thoracic esophagus. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Small low-attenuation lesions in the right lobe of the thyroid is perhaps enlarged although difficult to ascertain on this noncontrast examination. CHEST: LUNGS / AIRWAYS / PLEURA: A cou... |
2,525 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 228 mm. DLP: 2437.80 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 frac... | 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: Minimal mucosal thickening in the left sphenoid chamber. No acute abnormality. | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Hazy peripheral groundglass opacities in the bilateral lower lobes may represent atypical infection. Right lower lobe pulmonary nodule measures a... |
2,526 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 67-year-old male with COPD and suspected restrictive lung disease COMPARISON: December 8, 2020 TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 374 mm. DLP: 630 mGy cm. High-resolution CT imaging of the chest was performed per protocol... | FINDINGS: Asymmetric upper lobe dominant mixed emphysema. The ill-defined groundglass density 4 mm nodule in the lateral basal segment of left lower lobe appears unchanged in image 113, series 3. Minimal subpleural linear scarring in the right middle lobe is unchanged. Slightly dilated central bronchi. There is no hone... | FINDINGS: 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 symmetric and a... |
2,527 | CT Head wo contrast 1/6/2022 8:25 AM Clinical Information: subdural hemorrhage (sdh), S06.5X9A Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter Spec Inst: subdural hematoma following MVC; please schedule to correlate for a follow up 1045 appointment on 162022 if possib... | Findings: There has been interval resolution of the right cerebral convexity subdural hematoma and associated mass effect. Effacement of the right lateral ventricle and previously seen leftward midline shift have resolved. There is no evidence of acute infarction, hemorrhage or hydrocephalus. There is no vasogenic edem... | Findings: The paranasal sinuses are normally formed and developed. There is minor mucosal thickening in the sphenoid and frontal sinuses and a small retention cyst in the right frontal sinus. The maxillofacial bones, orbits and orbital contents are unremarkable. The nasal passages are narrow and partially obstructed by... |
2,528 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Colorectal cancer surveillance COMPARISON: 9/9/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.50 ml per sec. Scan delay: 72 sec Sc... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately reported chest CT. ABDOMEN and PELVIS: LIVER: Stable postsurgical changes related to partial hepatectomy of segment VII. No concerning mass or lesion identified. Noncirrhotic morphology. Focal fat infiltration adjacent to the falciform li... | FINDINGS: Vascular findings:. Eccentric atherosclerotic plaque is again seen along the aortic arch and descending thoracic aorta, similar to the prior examination. There is no acute aortic abnormality. Dilation of the ascending thoracic aorta is again seen with measurements provided below: Aortic measurements are as fo... |
2,529 | EXAM: CT Chest with contrast CLINICAL INFORMATION: History of metastatic colorectal cancer undergoing surveillance. COMPARISON: CT chest 9/9/2021 TECHNIQUE: CT Chest with contrast. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.50 ml per sec... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: The central airways are patent. No focal airspace consolidation, suspicious nodule/mass, or pleural effusion. HEART / VESSELS: The heart is normal in size without pericardial effusion. Thoracic aorta and pulmonary artery are norm... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Scattered hepatic cysts. Additional subcentimeter foci of hypoattenuation are too small for accurate characterization. BILIARY TRACT:... |
2,530 | EXAM: CT Chest with contrast CLINICAL INFORMATION: History of lung cancer post chemoradiation. COMPARISON: CT chest on 7/21 TECHNIQUE: CT Chest with contrast. Patient weight: 215 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2 ml per sec. Scan delay: 35 sec. Scan... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Redemonstration of superior left lower lobe and posterior left upper lobe bronchiectasis and atelectasis/pleural parenchymal scarring with similar appearance of adjacent ground glass opacities. Unchanged appearance of focal cavit... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Please note that the concurrently obtained CT scan of the neck will be dictated separately. CHEST: LUNGS / AIRWAYS / PLEURA: Bilateral dependent groundglass opacities are presumed atelectasis. Tiny peripheral nodules in the left lung apex (series 2; image 37) are unchan... |
2,531 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: COVID confirmed, rule out aortic injury, hypotensive. COMPARISON: CT chest 1/5/2022. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 243 lbs. IV contrast: Om... | FINDINGS: VASCULATURE: Initial precontrast images again demonstrate hematoma adjacent to the descending thoracic aorta, with mild interval worsening. CORONARY ARTERIES: There are mild atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Enlarged measuring 3.4... | 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... |
2,532 | EXAM: CT Angio Abdomen and Pelvis CLINICAL INFORMATION: Covid confirmed, hypotension, evaluate for missed injury. COMPARISON: CT abdomen and pelvis with contrast 1/5/2022 TECHNIQUE: CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weig... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: DISTAL DESCENDING THORACIC AORTA: Please see separately dictated CT chest report same day for further evaluation of distal thoracic aortic injury and enlarging periaortic hematoma. There is enlarging hematoma in the inferior posterior mediastinum about the di... | FINDINGS: CONTRAST DISCLAIMER: Not applicable. STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Soft tissue stranding/mass again seen adjacent, see below. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Subcentimeter hypodensities are stati... |
2,533 | CT Head wo contrast 1/6/2022 9:12 AM Clinical Information: acute mental status change Comparison: CT head 3/17/2021. 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: 235 mm. DLP: 861.50 mGy cm. Findings:... | Findings:Redemonstration is stable appearance of ventriculomegaly, particularly of the fourth ventricle. There is also increased in size of bilateral foramen of Luschka and Magendie. Megacisterna magna. No evidence for large vascular territory stroke. No intracranial hemorrhage, intracranial mass, mass effect or midlin... | FINDINGS: Evaluation of the oral cavity is limited due to streak artifact. Within this limitation, there is no suspicious oral cavity mass. No suspicious laryngeal or pharyngeal masses are identified. There are no enlarged, or morphologically abnormal cervical lymph nodes. This patient is participating in a clinical tr... |
2,534 | CT Angio Head Code Stroke, CT Angio Neck 1/6/2022 8:56 AM Indication: dizziness Spec Inst: Hx vertebral artery dissection 1120. Comparison: CT head performed earlier on the same day.. Technique: After the administration of IV contrast bolus, helical axial images were obtained from the clavicles to the vertex and reform... | Findings: CT angiogram of the brain: Hypoplastic left vertebral V4 segment. Otherwise, visualized portions of the ICAs and vertebrobasilar system appear within normal limits. The visualized portions of the ACAs, MCAs, and PCAs appear within normal limits. CT angiogram of the neck: Streak artifact from high attenuation ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Surgical clips are again seen in the neck bilaterally. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent filling defects within the bilateral lower lobe bronchi, likely retained secretions. Mil... |
2,535 | CT Angio Head Code Stroke, CT Angio Neck 1/6/2022 8:56 AM Indication: dizziness Spec Inst: Hx vertebral artery dissection 1120. Comparison: CT head performed earlier on the same day.. Technique: After the administration of IV contrast bolus, helical axial images were obtained from the clavicles to the vertex and reform... | Findings: CT angiogram of the brain: Hypoplastic left vertebral V4 segment. Otherwise, visualized portions of the ICAs and vertebrobasilar system appear within normal limits. The visualized portions of the ACAs, MCAs, and PCAs appear within normal limits. CT angiogram of the neck: Streak artifact from high attenuation ... | FINDINGS: CT of the head with and without contrast: Normal basal cisterns. Mild diffuse cerebral volume loss with associated ex vacuo ventriculomegaly. Hypodensity in the left parietal lobe consistent with prior infarct. Nonenhancing cortical hyperdensity in the posterior insular cortex is overall stable, when compared... |
2,536 | CT Head wo contrast 1/6/2022 8:43 AM Clinical Information: Dizziness Spec Inst: Hx vertebral artery dissection 1120 Comparison: None. Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 204 mm. DLP: 1266.50... | Findings: Gray and white matter attenuation differentiation in bilateral cerebral hemispheres is maintained. No intracranial hemorrhage, intracranial mass, mass effect or midline shift. No brain edema. No hydrocephalus. Basal cisterns are patent. Stable right anterior temporal arachnoid cyst. Magna cisterna magna versu... | FINDINGS: CT of the head with and without contrast: Normal basal cisterns. Mild diffuse cerebral volume loss with associated ex vacuo ventriculomegaly. Hypodensity in the left parietal lobe consistent with prior infarct. Nonenhancing cortical hyperdensity in the posterior insular cortex is overall stable, when compared... |
2,537 | CT Perfusion 1/6/2022 8:56 AM Clinical Information: dizziness Spec Inst: Hx vertebral artery dissection 1120 Comparison: Concurrently performed CT of the 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 tim... | FINDINGS: RAPID images demonstrate CBF less than 30% volume: 0 mL and T. Max greater than 6seconds volume: 0 mL. Mismatch volume is 0 mL. There is no abnormal MTT, T max, CBV and CBF to suggest significant ischemia or infarction at the territory of the major intracranial arteries. | Findings: Comparison: No prior chest CT Vascular Findings: Pulmonary artery contrast opacification is excellent. Breathing motion artifact limits fine detail. No central PTE, main pulmonary artery enlargement, or evidence of right heart strain. Lower lobe segmental pulmonary arteries are not seen as well due to breathi... |
2,538 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Abdominal pain, concern for diverticulitis COMPARISON: 12/8/21 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 342 mm. DLP: 521.10 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. S... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: No acute abnormality. Stable 4 mm right middle lobe nodule. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Persistent small pericardial effusion. ABDOMEN and P... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: A small subcentimeter nodules in the right middle lobe adjacent to the right heart border seen on series #202 image #155 is similar in size and configuration compared to 11/30/2021 with less cavitation compared to 9/21/21. A subc... |
2,539 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: History of bilateral thoracic outlet syndrome status post release, and rib resection. Now status post right subclavian artery pseudoaneurysm repair. Discomfort and numbness of right hand and dizziness. COMPARISON: CT neck 4/29/2019 TECHNIQUE: CT Angio Chest wo+w ... | FINDINGS: STRUCTURED REPORT: CTA Chest VASCULATURE: CORONARY ARTERIES: There are no atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING THORACIC AORTA: No significant abnormality. AORTIC ARCH: No significant abnormality. ARCH VESSELS: ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Persistent mild dilatation of intra and extra hepatic bile duct without any definite obstructing radiopaque calculus.. GALLBLADDER: Surgically absent. PANCREAS: Normal. SPLEEN: ... |
2,540 | CT angiograms of the neck and head. Clinical Information: Bilateral TOS status post repair Comparison: Technique: During the injection of Omnipaque 350, 120 ml, per protocol, 0.63 mm axial scans were obtained from the aortic arch to the vertex. Sagittal, axial and coronal MIP angiograms were generated. Angiograms were ... | Findings: CTA neck: The top aortic arch brachiocephalic arteries have expected appearance. The stent in the left subclavian artery is unremarkable with expected appearance. The common carotid arteries, bifurcations and cervical ICAs appear normal. The right vertebral artery is small and is not opacified from its origin... | FINDINGS: AORTIC MEASUREMENTS: AORTIC ROOT AT THE SINUSES: 3.6 x 3.6 x 3.8 cm. MID-ASCENDING THORACIC AORTA: 4.7 x 4.5 cm, previously measuring 4.7 cm. AORTIC ARCH: 3.6 x 3.2 cm. PROXIMAL DESCENDING THORACIC AORTA: 3.6 x 3.2 cm. MID DESCENDING THORACIC AORTA: 3.1 x 2.8 cm. DISTAL DESCENDING THORACIC AORTA: 3.1 x 2.7 cm... |
2,541 | CT angiograms of the neck and head. Clinical Information: Bilateral TOS status post repair Comparison: Technique: During the injection of Omnipaque 350, 120 ml, per protocol, 0.63 mm axial scans were obtained from the aortic arch to the vertex. Sagittal, axial and coronal MIP angiograms were generated. Angiograms were ... | Findings: CTA neck: The top aortic arch brachiocephalic arteries have expected appearance. The stent in the left subclavian artery is unremarkable with expected appearance. The common carotid arteries, bifurcations and cervical ICAs appear normal. The right vertebral artery is small and is not opacified from its origin... | FINDINGS: STRUCTURED REPORT: CT HCC Follow-up IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Normal. HEART / VESSELS: Unchanged thoracic aortic aneurysm. Previously identified nonocclusive thrombus in the right lower lobe pulmonary artery branch is not definitively seen. ABDOMEN: LIVER: Cirrhotic. Fiduci... |
2,542 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 56-year-old male with GIST, eval for change. COMPARISON: CT abdomen and pelvis 11/4/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 120 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 2 ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Mild bibasilar atelectasis. 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:... | Findings: There is moderate mucosal thickening in the left maxillary sinus and there is slight narrowing of the left ostiomeatal complex. There is a minimal calcification in the right maxillary sinus. The ethmoid cells also have minor mucosal thickening. The frontal and sphenoid sinuses are essentially negative. The ma... |
2,543 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Lung admitted squamous carcinoma, treatment response evaluation. COMPARISON: Multiple prior CT chest, most recently 10/5/2021. TECHNIQUE: CT Chest with contrast. Patient weight: 136 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Decreased size of the solid component of the right middle lobe mixed cystic and solid lesion measuring 2.0 x 1.4 cm (image 135, series #2), previously 2.1 x 1.8 cm. Grossly stable size of the left lower lobe mass measuring 3.1 x ... | Findings: The nasopharynx is unremarkable and the oral cavity and tongue base appear normal. There are shotty jugular chain nodes but no abnormal adenopathy is seen. The hypopharynx and larynx have normal appearance. There is a small benign-appearing cyst in the left thyroid cartilage. The infraglottic visceral space a... |
2,544 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 72-year-old male with history of lung cancer; follow-up. COMPARISON: CT abdomen pelvis 10/5/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 136 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: Small 7 mm density along the posterior wall of the gallbladder on axial series 2, image 254. PANCREAS: Normal for technique. SPLEEN: Normal. ADRE... | Findings: There is diminished extent of the right frontal subacute on chronic SDH status post right frontal craniotomy. The midline shift to the left is diminished, now 8 mm, previously 10 mm on 1/19/2022. There is evolution of bifrontal hemorrhagic contusions. Hypodensity in the right parafalcine frontal lobe is incre... |
2,545 | CT Neck Soft Tissue w contrast Clinical Information: Salivary gland tumor, follow up, D49.0 Neoplasm of unspecified behavior of digestive system. The right parotid tumor status post surgical resection and radiation therapy Comparison: Multiple prior exams including the most recent exam on 11/7/2018 Technique: Axial ima... | Findings: Included portions of the brain and skull base appear normal. Stable post surgical changes from right partial cystectomy with free flap reconstruction. No evidence of new or recurrent mass. No enlarged cervical lymph nodes. The left parotid, submandibular glands, and thyroid glands are all normal. No suspiciou... | 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: There is interval appearance of multiple hypoattenuating lesions in the liver. The largest of these measures about 2 cm in the right hepatic lobe... |
2,546 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Intractable vomiting. Gastric cancer with ovarian metastases status post bilateral oophorectomy COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 80 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. IV contrast injection rate:... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Mild wall thickening of the distal thoracic esophagus. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small less than 0.5 cm ovoid nodule in the right upper lobe anteriorly (series 11; image 73 is unchanged. No new or growing pulmonary nodules. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. LYMPH NO... |
2,547 | EXAM: CT Rsh Chest with contrast METRIC CLINICAL INFORMATION: 73-year-old male follow-up lung cancer COMPARISON: December 7, 2021 TECHNIQUE: CT Rsh Chest with contrast METRIC. Patient weight: 220 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 3 ml per sec. Scan d... | FINDINGS: Several scattered lung nodules, few are new and others increased in size since prior examination including a heterogenous lingular mass. Visually increased mediastinal and right superior axillary adenopathy. There is no pleural or pericardial effusion. Ill-defined sclerosis of the T1 posterior pedicle as befo... | FINDINGS: LINES AND TUBES: None. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Moderate to severe centrilobular emphysematous changes. Diffuse bronchial wall thickening. Postsurgical changes of left upper lobectomy with expected moderate pleural effusion. No new or suspicious nodules or lesions. HEART / VESSELS:... |
2,548 | EXAM: CT Rsh Body with contrast METRIC CLINICAL INFORMATION: 73-year-old male with history of lung cancer; follow-up. COMPARISON: Multiple prior CTs of the abdomen pelvis, most recent 12/7/2021 TECHNIQUE: CT Rsh Body with contrast METRIC. Patient weight: 220 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: Surgically absent. PANCREAS: Normal for technique. SPLEEN: Scattered parenchymal calcifications, consistent with granulomatous disease. ADRENALS:... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Many small hypodensities are statistically cysts. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Right adrenal gland is mildly thickened. Left adrenal nodule with peripheral enhancement and central... |
2,549 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 41-year-old male with history of colorectal cancer; follow-up. COMPARISON: Multiple prior CTs of the abdomen pelvis, most recent 8/26/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 190 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal for technique. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BO... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No ab... |
2,550 | EXAM: CT Chest with contrast CLINICAL INFORMATION: History of rectosigmoid colorectal surgery undergoing surveillance. COMPARISON: CT Chest 8/26/2021 TECHNIQUE: CT Chest with contrast. Patient weight: 190 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 3.80 ml per... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: The central airways are patent. Redemonstration of multiple lobulated pulmonary nodules in the bilateral lungs. The largest right middle lobe nodule measures 1.4 x 1.3 cm (series 2, image 135), previously 1.4 x 1.3 cm. The index ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus. Pulmonary artery caliber is normal. LUNGS / AIRWAYS / PLEURA: Small, right greater than left, pleural effusions with overlying atelectasis and few... |
2,551 | CT Head wo contrast 1/6/2022 11:55 AM Clinical Information: PUI for COVID AMS Spec Inst: AMS, shunt in place, prev anueyrsm Comparison: CT head 9/15/2017. 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:... | Findings:Stable encephalomalacia changes in bilateral frontal regions. Old lacunar infarcts in bilateral basal ganglia. Right frontal approach ventriculostomy catheter with tip terminating in the right frontal horn. The configuration of the right frontal EVD is slightly altered from prior study, may be secondary to rep... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separate CT chest report. ABDOMEN and PELVIS: LIVER: Calcified granulomas. Heterogeneous with periportal edema. BILIARY TRACT: Normal. GALLBLADDER: Not well seen. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Hyperattenuating, which can be seen with s... |
2,552 | CT Angio Head wo+w contrast Clinical Information: Numbness and headache. Comparison: None. Technique: Nonenhanced axial CT images of the brain were obtained. During the IV infusion of contrast, arterial phase and delayed phase postcontrast axial images were then performed. Additional 3D post-processing was done with MI... | Findings: CT Head: There is no evidence of acute intracranial hemorrhage, recent infarct, mass effect, or hydrocephalus. The intraorbital soft tissues appear normal. The paranasal sinuses and mastoid air cells are clear. There is no acute osseous abnormality. Delayed phase postcontrast images demonstrate no abnormal me... | Findings: There is encephalomalacia in the left frontoparietal lobes suggesting a remote left MCA infarct. There is no mass, hemorrhage, visible new infarct or extracerebral collection. There is slight diffuse atrophy and there is commensurate enlargement of ventricles but no hydrocephalus per se. The right hemisphere ... |
2,553 | CT Head wo contrast 1/6/2022 9:49 AM Clinical Information: AMS Comparison: CT head 1/1/2022. 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: 229 mm. DLP: 1050 mGy cm. Findings:Expected interval evolutio... | Findings:Expected interval evolution of left frontoparietal, posterior temporal, and parieto-occipital acute infarction corresponding to left MCA and PCA territory distribution without evidence for hemorrhagic transformation. No evidence for new acute large vascular territory stroke. No significant mass effect or midli... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Normal. SPLEEN: Normal. Small accessory splenule inferior to the spleen. ADRENALS: Normal. KIDNEYS: Small simple renal cysts within the left k... |
2,554 | CT head without contrast Indication: COVID Confirmed clamp and scan Spec Inst: stealth. Comparison: CT head dated 1/7/2022 Technique: Multiple contiguous axial images of the brain were obtained from base to the vertex without the use of intravenous contrast. Sagittal and coronal reconstruction images were formatted in ... | Findings: Stable large right basal ganglia hemorrhage, measuring 6.2 x 2.6 cm (previously 6.5 x 2.6 cm on similar slice. Persistent mass effect with adjacent vasogenic edema is redemonstrated, with essentially complete effacement of the right lateral ventricle and stable 9 mm leftward midline shift. Left frontal approa... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bibasilar subsegmental lung atelectasis. There is no pleural effusion or consolidation. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormali... |
2,555 | CT Head wo contrast 1/7/2022 4:14 AM Clinical Information: CSF infection Spec Inst: stealth Comparison: Head CT 1/5/2022 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 258 mm. DLP: 8315 mGy cm. Findings: The left frontal approach ventricular catheter is unchanged in ... | Findings: The left frontal approach ventricular catheter is unchanged in position terminating in the left frontal horn. The ventricles are mildly enlarged, unchanged in size. There continues to be expansion of the right convexity extra-axial fluid collection projecting into the sylvian fissure. Small amount of pneumoce... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Triangular shaped pleural-based nodule in the left lower lobe along the fissure is likely an intrapulmonary lymph node. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT... |
2,556 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: History of ischemic cardiomyopathy complicated by right ventricular failure, chronic driveline infection of the left ventricular assist device. Admitted for left ventricular assist device thrombosis with numerous procedures complicated by mesh infection with suspected le... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: There are areas of smooth interlobular septal thickening, or dominantly in the dependent portions of the lungs and at the periphery. Patchy areas... | FINDINGS: STRUCTURED REPORT: CT HCC Follow-up IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Normal. HEART / VESSELS: Calcifications of the aortic valve and coronary arteries. ABDOMEN: LIVER: Cirrhotic. Geographic steatosis detailed below. TREATED LIVER LESIONS: - Lesion Number: 1 - Description: Hepatic ... |
2,557 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 74-year-old male follow-up melanoma COMPARISON: September 23, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 227 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.50 ml per sec. Scan delay: Bolus Tracked.... | FINDINGS: No enlarged nodes are seen in the mediastinum, hila or either axilla. Calcified right paraesophageal node is unchanged. Ill-defined nodular opacities in the right upper lobe in images 36-41, new since prior study. Few scattered calcified right lower lobe granulomas. No pleural or pericardial effusion is and v... | 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... |
2,558 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Melanoma treatment response COMPARISON: 9/23/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 227 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.50 ml per sec. Scan delay: Bolus Track... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately reported chest CT. ABDOMEN and PELVIS: LIVER: Noncirrhotic morphology. No suspicious mass or lesion. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Scattered calcified granulomas. Remaining ADRENALS: Normal.... | FINDINGS: The brain parenchyma appears normal without evidence for acute territorial infarct, mass lesion, mass effect, or recent hemorrhage. The ventricles are normal in size. There is no abnormal extra axial collection. There is a 12 x 12 x 11 mm spherical structure in the suprasellar region with dense peripheral cal... |
2,559 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 53-year-old male with history of esophageal cancer; follow-up. COMPARISON: Multiple prior CTs of the abdomen pelvis, most recent 9/17/2020 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 170 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal for technique. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Multiple nonobstructing right renal calculi, largest i... | FINDINGS: Stable appearance of a left frontal approach ventriculostomy catheter with tip near the left foramen of Monro. Again noted a left suboccipital. The left lateral ventricle is decompressed. There is unchanged dilated appearance of the atrium of the right lateral ventricle. Unchanged chronic 4 mm leftward midlin... |
2,560 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 295 mm. DLP: 1430.10 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 frac... | 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: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Mild atelectasis at the lung bases. DISTAL ESOPHAGUS: Normal. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Fatty replacement of the pancreatic tail. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Nor... |
2,561 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast Patient weight: 135 lbs. IV contrast: Omnipaque 350, 120 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 4 ml per sec. Scan... | FINDINGS: LOWER NECK: No abnormality CHEST: LUNGS / AIRWAYS / PLEURA: No acute injury. No pneumothorax or pleural effusion. 5 millimeter left upper lobe nodule on image 67, series 501. Right apical pleural parenchymal scarring. HEART / VESSELS: No abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH N... | Findings: There is evolving hypoattenuation in the inferior right cerebellar hemisphere compatible with recent infarct. There are small chronic bilateral cerebellar infarcts. Bilateral small areas of occipital encephalomalacia are also noted. There is diffuse confluent hypoattenuation in the periventricular, deep and s... |
2,562 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast Patient weight: 135 lbs. IV contrast: Omnipaque 350, 120 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 4 ml per sec. Scan... | FINDINGS: LOWER NECK: No abnormality CHEST: LUNGS / AIRWAYS / PLEURA: No acute injury. No pneumothorax or pleural effusion. 5 millimeter left upper lobe nodule on image 67, series 501. Right apical pleural parenchymal scarring. HEART / VESSELS: No abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH N... | FINDINGS: Quality of the study is excellent. AORTIC MEASUREMENTS: MID-ASCENDING THORACIC AORTA: 3.9 x 3.1 cm. AORTIC ARCH: 2.4 x 2.2 cm. PROXIMAL DESCENDING THORACIC AORTA: 1.9 x 1.8 cm. MID DESCENDING THORACIC AORTA: 1.8 x 1.7 cm. DISTAL DESCENDING THORACIC AORTA: 1.6 x 1.6. cm. The aortic root pseudoaneurysm along th... |
2,563 | Cervical spine CT and CT angiogram Neck 1/6/2022 10:21 AM Indication: Trauma Comparison: None Technique: Helical contiguous axial CT acquisition was performed during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. 3-D CT angiographic images were generat... | Findings: CT C-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: Right chest port catheter tip lies at the superior cavoatrial junction. The supraclavicular region is unremarkable. Central airways are patent. The thoracic aorta is nonaneurysmal. The pulmonary arteries are not dilated. The heart is not enlarged. No pericardial effusion. AP window and left hilar lymph nodes ... |
2,564 | RADIOLOGIC EXAM: CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat Following CT of the chest, abdomen and pelvis, reformatted images were produced to optimize visualization of the osseo... | FINDINGS: THORACIC SPINE: VERTEBRA: No fracture. DISC SPACES AND FACET JOINTS: No acute injury. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Normal. LUMBAR SPINE: VERTEBRA: No fracture. DISC SPACES AND FACET JOINTS: No acute injury. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Normal. Miscellaneous: Right apical pulm... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT Chest. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Nodal conglomerate adjacent to the left renal vein abuts the inferior margin of the left... |
2,565 | RADIOLOGIC EXAM: CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat Following CT of the chest, abdomen and pelvis, reformatted images were produced to optimize visualization of the osseo... | FINDINGS: THORACIC SPINE: VERTEBRA: No fracture. DISC SPACES AND FACET JOINTS: No acute injury. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Normal. LUMBAR SPINE: VERTEBRA: No fracture. DISC SPACES AND FACET JOINTS: No acute injury. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Normal. Miscellaneous: Right apical pulm... | FINDINGS: STRUCTURED REPORT: CT HCC Follow-up IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Cirrhotic. No steatosis. Left hepatic lobe cysts appear similar. TREATED LIVER LESIONS: Ablation posterior right hepatic lobe - Lesion Number: ... |
2,566 | Cervical spine CT and CT angiogram Neck 1/6/2022 10:21 AM Indication: Trauma Comparison: None Technique: Helical contiguous axial CT acquisition was performed during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. 3-D CT angiographic images were generat... | Findings: CT C-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: Head CT: There is left parietal scalp laceration with subgaleal hemorrhage 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. There is age-related parenchymal volume lo... |
2,567 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: History of esophageal adenocarcinoma status post Ivor Lewis esophagectomy. COMPARISON: CT chest 10/8/2020 and 1/9/2020 TECHNIQUE: CT Chest wo contrast. Scan field of view: 360 mm. DLP: 375.16 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduc... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: The central airways are patent. Persistent right lower lobe atelectasis adjacent to the tubularized gastric pull-through. Right upper lobe noncal... | FINDINGS: Head CT: There is left parietal scalp laceration with subgaleal hemorrhage 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. There is age-related parenchymal volume lo... |
2,568 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Right lower quadrant pain COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 139 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 30 ml. IV contrast injection rate: 2.80 ml per sec. Scan delay: 180 secs Scan fie... | 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: Small right ... | FINDINGS: Head CT: There is left parietal scalp laceration with subgaleal hemorrhage 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. There is age-related parenchymal volume lo... |
2,569 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 73-year-old female follow-up renal cell cancer COMPARISON: October 14, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 194 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: Bolus Tr... | FINDINGS: Index lesions are measured in series 9. Linear density along the mediastinal pleura in the left upper lobe is unchanged and is not measurable. The left lower lobe bilobed nodular density is 19 x 6 mm in image 111, it was 19 x 7 mm by my measurements in image 141, series 4 before. Another nodule in the left lo... | FINDINGS: LOWER CHEST: Chest CT is reported separately. ABDOMEN and PELVIS: LIVER: Several small ill-defined low-attenuation hepatic lesions identified, which are new since prior CT and not well characterized on current single phase CT.. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Pancreas is mildly a... |
2,570 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 73-year-old female with history of metastatic RCC post chemotherapy. COMPARISON: CT 10/4/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 194 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection r... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Unchanged small cyst in the right hepatic lobe adjacent to the gallbladder fossa. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Unchanged mild nodularity and thickening of the left adrenal. Right ... | FINDINGS: LINES AND TUBES: Right IJ central venous catheter terminates at the cavoatrial junction. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Calcified left apical granuloma is stable. Stable ill-defined subpleural scarring/nodule within the left upper lobe on image #42. Stable subpleural reticulation most pr... |
2,571 | CT Head wo contrast 1/6/2022 10:53 AM Clinical Information: encephalopathy Comparison: CT head 9/11/2020 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: 250 mm. DLP: 1177 mGy cm. Findings:Interval appea... | Findings:Interval appearance of hypodensities involving bilateral cerebral hemispheres with few focal areas of high density suggesting bilateral cerebellar strokes with tracheal hemorrhages. There is also hypoattenuation involving the lower pons and bilateral middle cerebellar peduncles suggesting involvement. Extensiv... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. An enlarged lower right paratracheal node measures 12 x 20 mm on series 2 image 41 and was 14 x 19 mm on the prior. This still contains a fatty hila. No additional enlarged intrathoracic lymph nodes are identified. Calcific at... |
2,572 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Septic shock. COMPARISON: CT chest 9/8/2020 TECHNIQUE: CT Chest wo contrast. Scan field of view: 468 mm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Examination is limi... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Examination is limited by significant motion artifact. Endotracheal tube terminates in the distal trachea. Secretions in the bilateral lower lobe bronchi. Patchy dependent g... | 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... |
2,573 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 59-year-old male with septic shock. COMPARISON: CT abdomen pelvis 12/12/2019 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 468 mm. DLP: 1763 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal for technique. SPLEEN: Norma... | 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... |
2,574 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 51-year-old female with history of metastatic appendiceal adenocarcinoma; follow-up. COMPARISON: CT abdomen pelvis 12/8/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Oral contrast ... | 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: ALIGNMENT: Normal. VERTEBRAE: There is no acute fracture or bone destruction. DISCS: Normal. PARASPINAL SOFT TISSUES: Normal. At L1-2, there is no spinal canal or foraminal stenosis. At L2-3, there is no spinal canal or foraminal stenosis. At L3-4, there is no spinal canal or foraminal stenosis. At L4-5, ther... |
2,575 | CT Head wo contrast 1/6/2022 9:35 AM Clinical Information: vp shunt, G96.198 Other disorders of meninges, not elsewhere classified Comparison: Head CT 12/26/2021 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 250 mm. DLP: 1021.74 mGy cm. Findings: The right frontal a... | Findings: The right frontal approach ventricular shunt catheter is similar terminating in the right lateral ventricle. The ventricles are stable in size. There is mild edema along the catheter tract. There is minimal residual pneumocephalus along the catheter tract and in the left frontal region. There are stable bilat... | Findings: There is moderate diffuse atrophy and there is commensurate enlargement of the lateral ventricles. There is disproportionate enlargement of third ventricle and there is atrophy in the thalami and basal ganglia. There are also dilated perivascular spaces in the basal ganglia. There is atrophy involving the pon... |
2,576 | CTA Coronary Artery CLINICAL INFORMATION: 64-year-old female with provided history of known mild CAD by LHC, recent normal MIBIs since, atrial fib, dual chamber pcm for unclear reasons. Now with chest pain again. It is sharp and dull and occurs at rest. Not typical of angina. For evaluation of coronary arteries. chest ... | FINDINGS: Calcium score: Using a modified Agatston scoring method, the coronary artery calcification score is 107 which corresponds to the 83 percentile for the patient's age, gender and ethnicity, using the online available MESA calcium score calculator. Coronary arteries: Coronary anatomy: There is normal origin of t... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Improved consolidation within the right upper lobe with areas of organizing pneumonia and scattered foci of. Shifting are... |
2,577 | CT Angio Head Code Stroke, CT Angio Neck 1/6/2022 9:46 AM Indication: L side weakness. Comparison: No prior similar studies are presented for comparison at this time. Technique: Axial noncontrast images from the level of the skull base to the vertex. After the administration of IV contrast bolus, helical axial images w... | Findings: CT angiogram of the brain: Diminutive left vertebral artery and dominant right vertebral artery. Minimal atherosclerotic calcifications in the right intracranial ICA. Visualized portions of the ICAs and vertebrobasilar system appear within normal limits. The visualized portions of the ACAs, MCAs, and PCAs app... | FINDINGS: Calcium score: Using a modified Agatston scoring method, the coronary artery calcification score is 381 which corresponds to the 81 percentile for the patient's age, gender and ethnicity, using the online available MESA calcium score calculator. Coronary arteries: Coronary anatomy: There is normal origin and ... |
2,578 | CT Angio Head Code Stroke, CT Angio Neck 1/6/2022 9:46 AM Indication: L side weakness. Comparison: No prior similar studies are presented for comparison at this time. Technique: Axial noncontrast images from the level of the skull base to the vertex. After the administration of IV contrast bolus, helical axial images w... | Findings: CT angiogram of the brain: Diminutive left vertebral artery and dominant right vertebral artery. Minimal atherosclerotic calcifications in the right intracranial ICA. Visualized portions of the ICAs and vertebrobasilar system appear within normal limits. The visualized portions of the ACAs, MCAs, and PCAs app... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately; please see separate CT chest report same day. ABDOMEN and PELVIS: LIVER: Normal in size and morphology. 1.6 cm right hepatic lobe lesion with peripheral discontinuous enhancement, which probably filled in on prior portal venous pha... |
2,579 | CT Head wo No Charge 1/6/2022 9:29 AM Clinical Information: L side weakness Comparison: None. Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 218 mm. DLP: 1340.90 mGy cm. Findings: No CT evidence for la... | Findings: No CT evidence for large vascular territory acute stroke. Extensive periventricular white matter hypoattenuation in a pattern compatible with severe chronic small vessel ischemic disease. Old lacunar infarcts in bilateral thalami, bilateral basal ganglia and left caudate body. Mild to moderate brain involutio... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: Abdominal aorta is nonaneurysmal. There is persistent thin intimal scarring along the right lateral aspect of the infrarenal aorta from prior IVC filter removed seen on series 7/im... |
2,580 | CT Perfusion 1/6/2022 9:39 AM Clinical Information: L side weakness Comparison: Noncontrast CT head performed earlier on the same day. 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... | 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: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Interval increase in size of the small left pleural effusion. Small right pleural effusion is relatively unchanged. Enhancing pleural-based soft tissue nodules and masses bilaterally are again seen. HEART / VESSELS: Unchanged bor... |
2,581 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 74-year-old female follow-up lung adenocarcinoma COMPARISON: September 23, 2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 450 mm. Oral contrast Omnipaque: 16 oz. DLP: 1104.59 mGy cm. FINDINGS: Postsurgical changes from right middle lobectomy with interval redu... | FINDINGS: Postsurgical changes from right middle lobectomy with interval reduction in the right-sided pleural effusion. Asymmetric upper lobe dominant advanced emphysema. There are new ill-defined airspace opacities in the peribronchial vascular distribution in the left lower lobe. Additional subpleural airspace opacit... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately; please see separate CT chest report same day. ABDOMEN and PELVIS: LIVER: Similar appearance of multiple subserosal/capsular masses. No new or enlarging hepatic lesion identified. BILIARY TRACT: No intra or extrahepatic biliary duct... |
2,582 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 74-year-old female with lung adenocarcinoma, evaluate treatment response. COMPARISON: CT abdomen and pelvis 9/23/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 450 mm. Oral contrast Omnipaque: 16 oz. FINDINGS: CT imaging was per... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated same-day CT chest. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: Contracted gallbladder with cholelithiasi... | FINDINGS: The contrast opacification of pulmonary vasculature is excellent although few images are degraded due to respiratory motion artifact. No intraluminal filling defect is noted in the visualized pulmonary arteries and its branches. The main pulmonary artery is normal in caliber at 24 mm size in image 63, series ... |
2,583 | CT Neck Soft Tissue w contrast 1/6/2022 11:22 AM Clinical Information: Evaluate for peritonsillar abscess. Comparison: None. Technique: Axial images of the neck were obtained following the administration of intravenous contrast. Reformatted coronal and sagittal images were also obtained. Patient weight: 215 lbs. IV con... | Findings: Irregular peripheral rim enhancing fluid collection in the left palatine tonsillar region measuring approximately 1.8 x 1.2 cm suggesting a tonsillar abscess. Additional smaller abscess inferior to this collection in the oropharyngeal soft tissues concerning for peritonsillar abscess. There is mild edema invo... | FINDINGS: The contrast opacification of pulmonary vasculature is excellent although few images are degraded due to respiratory motion artifact. No intraluminal filling defect is noted in the visualized pulmonary arteries and its branches. The main pulmonary artery is normal in caliber at 24 mm size in image 63, series ... |
2,584 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 63-year-old male follow-up lung nodule COMPARISON: Prior HRCT dated October 27, 2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 380 mm. DLP: 392.53 mGy cm. FINDINGS: Index lesion is measured in series 2. A cavitating subpleural nodule in the left lower lobe mea... | FINDINGS: Index lesion is measured in series 2. A cavitating subpleural nodule in the left lower lobe measures 18 x 13 mm in image 54, it was 15 x 15 mm before. No other lung nodule or mass is noted. Asymmetric upper lobe dominant mixed emphysema and peripheral lower lobe dominant chronic interstitial lung disease chan... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Unchanged loculated low-attenuation nodule in the right middle lobe. No focal lung consolidation, no new suspicious lung nodules, pleural effusion or pneumothorax.. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABD... |
2,585 | CT Angio Head wo+w contrast Clinical Information: Status post cranioplasty. Comparison: None. Technique: Nonenhanced axial CT images of the brain were obtained. During the IV infusion of contrast, arterial phase and delayed phase postcontrast axial images were then performed. Additional 3D post-processing was done with... | Findings: CT Head: Interval postsurgical changes related to right frontotemporal cranioplasty. Small volume extra-axial fluid collection underlying the cranioplasty site with pockets of gas and a maximal thickness of approximately 5 mm. There is minimal mass effect on the underlying left frontal lobe. There is small su... | 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 ( |
2,586 | CT Maxillofacial with contrast 1/6/2022 10:08 AM Clinical Information: Ethmoid sinus tumor, initial workup, R22.0 Localized swelling, mass and lump, head Spec Inst: pt has bony mass at junction of hard and soft palate--osteoma vs torus? Comparison: None available Technique: Maxillofacial axial CT scan images with intra... | Findings: There is a bulky prominent torus palatinus,, asymmetric to the left, likely corresponding to the described abnormality of palpable concern. Otherwise the visualized paranasal sinuses are clear. There is paradoxical curvature of bilateral middle turbinates. There are no air-fluid levels or aerated secretions. ... | 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 ( |
2,587 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 59-year-old male with abdominal pain and hernia suspected. COMPARISON: CT abdomen and pelvis 6/3/2020 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 280 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. IV contrast injection rate: 3 ml per ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bibasilar calcified granulomas. Mild bibasilar atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Diffuse hepatic steatosis. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PA... | 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 ( |
2,588 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Nausea, vomiting, diarrhea, weight loss COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 99 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 2 ml per sec. Scan delay: 80 sec S... | 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: Duplex right... | 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 ( |
2,589 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 206 mm. DLP: 1374.60 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 frac... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Bilateral pseudophakia. No acute abnormality. SINUSES: Normal. | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,590 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 176 mm. DLP: 431.10 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. STR... | FINDINGS: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: Small right hemopneumothorax persists with interval increase in the pneumothorax component; right chest tube in place. Right lower lobe and middle lobe collapse likely due due to mucous plugging. Trace left effusion with ad... |
2,591 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 64-year-old male follow-up lymphoma COMPARISON: No prior CT for comparison TECHNIQUE: CT Chest with contrast. Patient weight: 200 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. S... | FINDINGS: There is a large confluent left supra clavicular adenopathy not completely included on this chest CT but will be described in the separate neck CT report. Only small subcentimeter size nodes are present in the mediastinum. There is no axillary adenopathy. Atherosclerotic coronary artery calcification is prese... | Findings: Interval myocutaneous free flap covering left parietal scalp defect is noted. Multiple surgical staples are seen around the left supra-auricular scalp. Focal soft tissue density in the anterior aspect of the free flap appears to be grafted muscle tissue. Cortical bony irregularity around the outer table margi... |
2,592 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 64-year-old man with history of non-Hodgkin lymphoma. COMPARISON: There are no prior abdominal CTs performed at UAB for comparison. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 200 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT performed today will be reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Small sand-like gallstones versus sludge in the dependent fundus. PANCREAS: Normal. SPLEEN: Splenomegaly (16 cm) with focal hypodensity... | Findings: Interval myocutaneous free flap covering left parietal scalp defect is noted. Multiple surgical staples are seen around the left supra-auricular scalp. Focal soft tissue density in the anterior aspect of the free flap appears to be grafted muscle tissue. Cortical bony irregularity around the outer table margi... |
2,593 | CT scan of the soft tissues of the neck with contrast. Clinical: Lymphoma Technical: Soft tissue neck protocol with contrast. IV contrast: Omnipaque 350, 25 ml, per protocol.] DLP: 873.46 mGy cm. Comparison: Outside CT soft tissue neck on 12/90/21. Findings: There is a large 6 x 8.5 x 9.9 cm left supraclavicular mass e... | Findings: There is a large 6 x 8.5 x 9.9 cm left supraclavicular mass extending upward to C3-4 adjacent to the spine and bulging outward into the cervical soft tissues. There is extension across the midline to the right. Trachea is displaced anteriorly into the right and in the esophagus is enveloped. The left common c... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Trace atelectasis and minimal scarring along the lateral right middle lobe adjacent to old rib fractures. HEART / OTHER V... |
2,594 | CT Head wo contrast 1/6/2022 11:39 AM Clinical Information: Trauma Comparison: Head CT 3/14/2020 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 250 mm. DLP: 1150 mGy cm. Findings: There is no evidence of acute infarction, hemorrhage or hydrocephalus. There is no vaso... | Findings: There is no evidence of acute infarction, hemorrhage or hydrocephalus. There is no vasogenic edema or mass effect. There are areas of low attenuation in the periventricular and subcortical white matter, likely microangiopathic changes. There is a tiny right basal ganglia chronic lacunar infarct. The visualize... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. Respiratory motion artifact. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Partial c... |
2,595 | EXAM: CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: CT abdomen dated 6/11/21. No prior CT chest. TECHNIQUE: CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Abdom... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Absent right thyroid lobe. Enlarged left thyroid lobe with few tiny hypoattenuating left thyroid nodules. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No pericardial effusion. Three-vessel coronary calcifications. No acute injury. MEDIASTINUM / ESOPHAG... | FINDINGS: RIGHT: The external auditory canal is normal. The tympanic membrane is intact. The right middle ear cavity is clear. The inner ear ossicles are normal. There is no scutal or ossicular erosion. There is normal development of the cochlea, vestibule, and semicircular canals. The otic capsule is normally minerali... |
2,596 | EXAM: CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: CT abdomen dated 6/11/21. No prior CT chest. TECHNIQUE: CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Abdom... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Absent right thyroid lobe. Enlarged left thyroid lobe with few tiny hypoattenuating left thyroid nodules. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No pericardial effusion. Three-vessel coronary calcifications. No acute injury. MEDIASTINUM / ESOPHAG... | FINDINGS: There is no acute hemorrhage, territorial infarct, or hydrocephalus. There is no midline shift. There is spongiform appearance of the left temporal bone with heterogeneous enhancement in this region. The abnormality measures approximate 14 x 8 mm in dimensions (series 5 image 698). This is adjacent to the lef... |
2,597 | Cervical spine CT and CT angiogram Neck 1/6/2022 11:39 AM Indication: Trauma Comparison: None Technique: Helical contiguous axial CT acquisition was performed during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. 3-D CT angiographic images were generat... | Findings: CT C-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: There is no acute hemorrhage, territorial infarct, or hydrocephalus. There is no midline shift. There is spongiform appearance of the left temporal bone with heterogeneous enhancement in this region. The abnormality measures approximate 14 x 8 mm in dimensions (series 5 image 698). This is adjacent to the lef... |
2,598 | EXAM: CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: CT abdomen dated 6/11/21. No prior CT chest. TECHNIQUE: CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Abdom... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Absent right thyroid lobe. Enlarged left thyroid lobe with few tiny hypoattenuating left thyroid nodules. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No pericardial effusion. Three-vessel coronary calcifications. No acute injury. MEDIASTINUM / ESOPHAG... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Calcified parenchymal granuloma in the left lower leg. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Couple of subcentimeter hypodensities within the liver, technically indeterminate but ... |
2,599 | EXAM: CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: CT abdomen dated 6/11/21. No prior CT chest. TECHNIQUE: CT Chest with contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Abdom... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Absent right thyroid lobe. Enlarged left thyroid lobe with few tiny hypoattenuating left thyroid nodules. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No pericardial effusion. Three-vessel coronary calcifications. No acute injury. MEDIASTINUM / ESOPHAG... | 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: Cholelithiasis. No wall thickening or pericholecystic fluid. PANCREAS: Normal. SPLEEN: No... |
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