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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2,600 | 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: The right MCA territory evolving infarction shows continued severe mass effect effacing the right lateral ventricle and shifting midline 11 mm to the left. Mild right uncal herniation is also noted. The left lateral ventricle shows no obstructive hydrocephalus. There is no interval hemorrhagic transformation ... |
2,601 | CTA Coronary Artery CLINICAL INFORMATION: 49-year-old male with equivocal stress test and 10 year coronary artery disease risk greater than 20%. TECHNIQUE: Precontrast axial images through the heart were acquired for calcium score evaluation. Postcontrast images were acquired in prospective ECG gating to the heart with... | FINDINGS: Calcium score: Using a modified Agatston scoring method, the coronary artery calcification score is 0. Coronary arteries: * Dominance: Right dominant with the right coronary artery supplying the posterior descending and posterolateral arteries. * LM: Normal origin from the left coronary cusp. No significant a... | FINDINGS: On the venous phase images, there is a mildly dilated tubular structure anterior to the mid manubrium in the midline on image 37 of series 13. This measures up to 7 mm in diameter on the axial images and extends for approximately 20 mm in craniocaudal extent. This does increase in size between the arterial an... |
2,602 | CT Neck Soft Tissue w contrast Clinical Information: 76-year-old patient with history of stage III esophageal cancer treated with chemoradiation 16 years ago. Left soft palate carcinoma status post palate resection and left tonsillectomy with close margins on 8/12/2021. Status post reexcision of left tonsil and pelvic ... | Findings: Included portions of the brain and skull base appear normal. Dental amalgam with significant streak artifacts limiting evaluation of the oral cavity and oropharynx. There is soft tissue fullness within the left soft palate/anterior tonsillar pillar measuring approximately 0.9 x 0.8 cm (series 4 image 8 ). Het... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Couple of hypoattenuating structures, technically indeterminate but most suggestive of cysts. BILIARY TRACT: Normal. GALLBLADDER: No ... |
2,603 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Colon cancer surveillance COMPARISON: 7/1/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 157 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan field of view: 427 mm. DL... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately reported chest CT. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Bilateral simple renal cysts. Mild right extrarenal pelvis. No obstruct... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Innumerable heterogenous liver masses of varying size resulting in marked hepatomegaly, such as a centrally necrotic appearing lesion... |
2,604 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 74-year-old female with provided history of colon cancer. COMPARISON: Outside chest CT dated 6/14/2021 TECHNIQUE: CT Chest with contrast. Patient weight: 157 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 35... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: Few small subcentimeter pulmonary nodules are unchanged, for example in the right middle lobe at image 64, series 2. No new or enlarging suspicious pulmonary nodule. No focal consolidation. Redemonstrated bibasilar mild sub... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis LOWER ABDOMEN: BOWEL: No abnormality. PERITONEUM: Normal. OTHER: No other abnormality. PELVIS: VESSELS: No significant atherosclerotic wall calcifications of bilateral external iliac arteries.. LYM... |
2,605 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma., Fall. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 245 mm. DLP: 1178 mGy cm. (accession CT220003111), Scan field of view: 200 mm. DLP: 344 mGy cm. (accession CT220003112... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Generalized brain involution, mildly advanced for age. Extensive periventricular white matter hypoattenuation in a pattern compatible with moderate small vessel ischemic disease. Nonspecific torcular prominence. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL... | FINDINGS: Asymmetric peribronchovascular and peripheral reticulation with associated groundglass opacities are again noted bilaterally. There is associated traction bronchiectasis. Again, these findings are most significant within the bilateral lung bases, left greater than right. Overall, the severity and extent of di... |
2,606 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma., Fall. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 245 mm. DLP: 1178 mGy cm. (accession CT220003111), Scan field of view: 200 mm. DLP: 344 mGy cm. (accession CT220003112... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Generalized brain involution, mildly advanced for age. Extensive periventricular white matter hypoattenuation in a pattern compatible with moderate small vessel ischemic disease. Nonspecific torcular prominence. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL... | FINDINGS: STRUCTURED REPORT: CT Pelvis LOWER ABDOMEN: BOWEL: No abnormality. PERITONEUM: Normal. OTHER: No other abnormality. PELVIS: VESSELS: Moderate aortobiiliac atherosclerotic disease LYMPH NODES: Borderline enlarged external iliac lymph nodes. PERIRECTAL / PERIANAL REGION: There is a 2.8 x 3.7 cm x 4.2 peroneal f... |
2,607 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: Fall. COMPARISON: None. TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 155 mm. DLP: 1022 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. STRUCTU... | FINDINGS: Mild motion limited evaluation. SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Minimal dependent atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: A slight surface nodularity and prominence of the caudate lobe suggesting cirrhosis. Stable right lobe cyst. B... |
2,608 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 78-year-old female with provided history of ILD. COMPARISON: No prior CT chest for comparison. Prior chest radiograph dated 12/15/2021 TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 263 mm. DLP: 157 mGy cm. High-resolution CT imaging... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: There is coarse subpleural reticulation involving both upper and lower lobes with bibasilar predominance and associated mild traction bronchiectasis/bronchiolectasis. Small honeycombing like cystic changes in the periphery ... | FINDINGS: Again noted is interval evolution of the extensive right MCA infarction status post right hemispheric craniectomy. Extracranial herniation of the brain material through the defect of craniectomy is again seen. There is interval size increase of the fluid collection superficial to the dural matter subject to t... |
2,609 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Constipation. Nausea COMPARISON: 12/30/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 240 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. IV contrast injection rate: 2 ml per sec. Scan delay: 90 sec. Scan field of view: 409 mm. DLP: ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Cirrhosis with hepatic steatosis. A minute subcentimeter hypodensity within the liver is technically indeterminate but unchanged. BIL... | FINDINGS: STRUCTURED REPORT: CT HCC Follow-up IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Cirrhotic. No steatosis. TREATED LIVER LESIONS: - Lesion Number: 1 - Description: Treated partially calcified lesion containing hyperattenuatin... |
2,610 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 51-year-old male follow-up gallbladder malignancy COMPARISON: No prior CT for comparison TECHNIQUE: CT Chest with contrast. Patient weight: 156 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2 ml per sec. Scan del... | FINDINGS: No mediastinal, hilar or axillary adenopathy. Mild upper lobe dominant asymmetric emphysema with increased peribronchial thickening. A small subpleural noncalcified 4 mm nodule is present in the posterior segment of right upper lobe in image 48, series 2. There is no pleural or pericardial effusion and visual... | Findings: There is moderate enlargement of the bilateral thyroid gland, left greater than right, with homogeneous density. The subglottic trachea is slightly deviated to the right side. No substernal goitrous extension or tracheal stenosis is noted. The laryngeal framework and glottis are normally visualized. The aerod... |
2,611 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Stage III lung cancer. Treatment response evaluation. COMPARISON: 11/11/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 199 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec.... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BOWEL: No abnormality. COLON / APPENDIX: Diverticulosis. PERITONEUM / MESENTERY: ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately; please see separate CT chest report same day. ABDOMEN and PELVIS: LIVER: Focal fat deposition about the falciform ligament. The liver is normal in size and morphology. No suspicious hepatic lesion. BILIARY TRACT: Normal. GALLBLADDE... |
2,612 | CT Chest with contrast Clinical Information: 60-year-old male Stage III lung adenocarcinoma treatment response evaluation, C34.91 Malignant neoplasm of unspecified part of right bronchus or lung, R06.00 Dyspnea, unspecified Comparison: 11/11/2021 Technique: Following injection of non-ionic contrast 2.5 mm images were o... | Findings: No enlarged intrathoracic nodes are present. There is dilatation of the mid to distal esophagus. Calcification is seen in the aortic valve leaflets with minimal calcification in the coronary arteries. The heart size and mediastinum are otherwise normal. No pleural effusions. Postsurgical findings of right upp... | Findings: No enlarged intrathoracic nodes are present. Moderate to severe coronary artery calcification is seen. The esophagus is slightly dilated. Small pericardial effusion is noted. The heart size and mediastinum are otherwise normal. Tiny noncalcified nodule is seen in the right lung apex on series 2 image 45. A th... |
2,613 | EXAM: CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Trauma. COMPARISON: Earlier same day pelvic radiograph. TECHNIQUE: CT Bone Pelvis w soft tissue no charge Scan field of view: 500 mm. FINDINGS: BONES/JOINTS: Comminuted right femoral neck fracture with anterior angulation of the fracture apex and mild p... | FINDINGS: BONES/JOINTS: Comminuted right femoral neck fracture with anterior angulation of the fracture apex and mild posterior displacement of the distal fracture fragments. SOFT TISSUES: No large hematoma or fluid collection. Please see separately dictated and concurrently obtained CT chest abdomen and pelvis for int... | Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation maintained. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No acute fracture. No aggressive osseous lesion. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. SOFT TIS... |
2,614 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 82-year-old female with hepatic abscess. COMPARISON: CT 1/1/2022 TECHNIQUE: CT Abdomen and Pelvis w 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. Scan delay... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Persistent drainage catheter coiled in the posterior hepatic abscess, with the abscess cavity now measuring 3.0 x 3.0 cm (image 186 series 2), previously 3.5 x 3.1 cm. Interval placement of a drainage catheter into the anterior right hepatic lobe... | FINDINGS: Isodense sellar/suprasellar lesion extending through sellar floor into the sphenoid sinus (for example series 6, image 31). The lesion measures 2.6 x 1.7 x 2.6 cm in CC by AP by TV (coronal series 5, image 31 and sagittal series 6, image 32), similar to prior. The suprasellar component measures 1.7 cm cranioc... |
2,615 | CT scan of the soft tissues of the neck with contrast. Clinical: Follow-up resection of right mandibular adenocystic carcinoma Technical: Soft tissue neck protocol with contrast. IV contrast: Omnipaque 350, 25 ml, per protocol. DLP: 744.33 mGy cm. Findings: Resection of the right hemimandible and fibula bone flap prost... | Findings: Resection of the right hemimandible and fibula bone flap prosthesis are again noted. There is slight demineralization of the fibular cortex but no necrosis is seen. The fat graft in the floor the mouth is unchanged. There is resolution of prior right parapharyngeal mucosal thickening and along the lateral oro... | FINDINGS: Interval resolution of the previously noted left tentorial subdural hemorrhage. No intraparenchymal hemorrhage, mass effect or edema. The gray white matter differentiation is maintained. The ventricles are within normal size limits and there is no midline shift. No acute osseous abnormality. Mucosal thickenin... |
2,616 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 61-year-old female follow-up adenoid cystic carcinoma of the neck with invasion into right mandible COMPARISON: Noncontrast chest CT dated June 24, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 177 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline ... | FINDINGS: Calcified anterior mediastinal soft tissue nodule is grossly unchanged. There is no other mediastinal or hilar adenopathy. Mild upper lobe dominant centrilobular emphysematous changes without discrete lung nodule or mass. There is no pleural or pericardial and visualized bones are unremarkable. | FINDINGS: Midthoracic dextroscoliosis with apex curvature at T6-T7 and diffuse osteopenia are redemonstrated. There is interbody osseous fusion at L1-L2. There is acute compression fracture involving the superior endplate and subchondral bone at T12, which shows mild anterior wedging deformity. Linear hypodensities in ... |
2,617 | EXAM: CT Shoulder Right wo contrast CLINICAL INFORMATION: 69-year-old female with history of right total shoulder arthroplasty, right shoulder pain. Concern for infection. COMPARISON: Outside radiographs of the right shoulder 12/7/2021 TECHNIQUE: CT Shoulder Right wo contrast Scan field of view: 253 mm. DLP: 587.90 mGy... | FINDINGS: BONES/JOINTS: Right reverse total shoulder arthroplasty is intact. There is fracture of the anterior proximal humerus as well as fracture of the adjacent cement with adjacent periosteal reaction. Heterotopic ossification is present within the adjacent shoulder soft tissues. No appreciable joint effusion, with... | 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... |
2,618 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 69-year-old female follow-up lung cancer COMPARISON: October 7, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 11 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 2 ml per sec. Scan delay: 80 sec. Scan fiel... | FINDINGS: Postradiation changes are noted in the left perihilar location extending into the left lower lobe with associated bronchiectasis and lung architectural distortion. Residual ill-defined soft tissue remains surrounding the left hilar vasculature. There is no new lung nodule or mass. A subtle groundglass opacity... | Findings: Precontrast scan of the head shows normal appearance of the parenchyma. The sella is largely empty, mostly filled with CSF. There is slight prominence of the optic nerve sheaths. No flattening of the ocular globes are completely opacified identified. Postcontrast scans show no abnormal enhancement. CT venogra... |
2,619 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 69-year-old woman with history of lung cancer. Evaluate metastatic disease. COMPARISON: 10/7/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 110 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 10 ml. IV contrast injection... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT performed today will be reported separately. ABDOMEN and PELVIS: LIVER: A few focal cysts appear unchanged. Poorly marginated hypodensity adjacent to the fissure for the falciform ligament (image 231 series 3) likely represents focal fatty change. The... | 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 ( |
2,620 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 55-year-old female with history of right hand sarcoma COMPARISON: 10/11/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 420 mm. DLP: 298.89 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. The enlarged upper... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. The enlarged upper right paratracheal node measures 17 x 23 mm on series 2 image 33 and was 6 x 12 mm on the prior. Small calcified right hilar nodes are present. No additional enlarged intrathoracic lymph nodes are identified... | Findings: Lines and Tubes: Right-sided PICC terminates in the mid-lower right atrium. This is posterior to several filling defects in the anterior aspect of the right atrium and in the right atrial appendage, one of these measuring 2.5 x 2.9 cm image 139 series 601. Body Wall and Abdomen: No destructive osseous lesions... |
2,621 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 88-year-old male with metastatic colon cancer. COMPARISON: CT 8/26/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 205 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: There is moderate liver surface nodularity. Persistent subcentimeter hypodensity in the right hepatic lobe near the porta hepatis (image 224 series 3). The segment 3 lesion measures 1.3 x 1.2 cm (image 226 series 3), previously 1.5 x 1.0 cm. Addi... | Findings: There is a large amount of fluid distending the right iliac is bursa in the lower pelvis. The fluid extends distally through the iliopsoas bursa to the lesser trochanter insertion. It does appear to contact the anterior margin of the right femoral head and neck hardware. No gas is seen within the fluid. Femor... |
2,622 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 88-year-old male follow-up colorectal cancer COMPARISON: August 26, 2021 TECHNIQUE: CT Chest with contrast. Patient weight: 205 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 90 sec. Sca... | FINDINGS: Few images are degraded due to respiratory motion artifact. Index lesions are measured in series 3. Central obstructing right upper lobe irregular slightly lobular soft tissue mass in image 89 is 72 x 62 mm, it was 58 x 40 mm. There is increasing heterogenous airspace opacities more distally in the right uppe... | Findings: Complete interval resolution of the right cerebral convexity subdural hemorrhage. There is no evidence of acute intra- or extra-axial hemorrhage. There is no midline shift, mass effect, or other space-occupying lesion. Gray-white differentiation appears maintained. The ventricular system are normal in configu... |
2,623 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Suprapubic abdominal pain, interim history of Indiana pouch rupture status post repair. COMPARISON: 6/21/21 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 80 ml. IV contras... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Trace right pleural effusion. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Prior cholecystectomy. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Interval resolution of the previously seen bilateral groundglass opacities. Tiny pleural-based pulmonary nodule in the right lower lobe measuring 2 mm on series 5 image 73. Additional sub-5 mm pulmonary nodules are present in the... |
2,624 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 80-year-old female with restrictive pulmonary function test and history of lung nodule COMPARISON: None. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 320 mm. DLP: 512.27 mGy cm. High-resolution CT imaging of the chest was performed... | FINDINGS: Minimal bilateral lower lobe bronchiectasis with ill-defined 5 mm nodule in the medial basal segment of right lower lobe in image 129, series 2. No other discrete lung nodule or mass. An accessory right lower lobe superior accessory fissure is present. There is no other focal airspace or interstitial lung par... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CHEST: Chest findings will be reported separately. ABDOMEN and PELVIS: LIVER: Heterogenous enhancement of the liver with geographic areas of decreased attenuation. This could be related to focal hepatic steatosis. BILIARY TRACT: The common bile duct measures up to 1 cm (se... |
2,625 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Evaluate melanoma. Follow-up examination. COMPARISON: CT abdomen and pelvis 12/30/2020 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 155 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. IV contrast injection rate: 4 ml per sec. Scan delay... | 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 hepatic cysts and Too small to characterize hypoattenuating lesions in both hepatic lobes. No new or enlarging hepatic lesion. BILIARY T... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: Slightly limited secondary to motion artifact LIVER: Cirrhotic without focal liver lesions on this portal venous phase only. Gastrohepatic and coronary varices noted. BILIARY TRACT: Normal. GALLBLADDER: Status post cholecystectomy PANCREAS: Normal. SPLE... |
2,626 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 54-year-old female with melanoma. COMPARISON: None. TECHNIQUE: CT Chest with contrast. Patient weight: 155 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 4 ml per sec. Scan delay: bt sec. Scan field of view: 369 mm. FINDINGS: STRUCTU... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Subcentimeter thyroid nodules, overall unchanged. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. Tiny nodule abutting the right major fissure on axial image 80 and another nodule abutting the minor fissure on axial image 56; series 307 appear overall uncha... | FINDINGS: Index lesions are measured on series 2: 1. Solid subpleural posterior basal right lower lobe nodule measuring 12 x 10 mm on image 84 measured 3 mm previously. 2. Solid 8 mm lateral basal right lower lobe nodule on image 87 measured 5 mm previously. 3. Solid 4 mm right lower lobe nodule and lateral basal segme... |
2,627 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 57-year-old male with worsening leukocytosis and concern for infection. COMPARISON: Multiple prior CTs of the abdomen pelvis, most recent 1/1/2022 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 162 lbs. IV contrast: Omnipaque 350, 115 ml, per pr... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Stable appearance of multiple hypodensities in the liver, indeterminate but most suggestive of cysts. A peripherally enhancing pericapsular collection along the posterior aspect of liver has decreased in... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. There has been interval radiation therapy to the left lower lobe subpleural nodule which measures 8 x 11 mm on series 2 image 111 and was 7 x 8 mm on the prior. The more spiculated nodule slightly inferiorly in the left lower ... |
2,628 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 57-year-old male with provided history of worsening leukocytosis. COMPARISON: Chest CT 12/27/2021 TECHNIQUE: CT Chest with contrast. Patient weight: 162 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 3 ml per se... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: Moderate bilateral pleural effusion right greater than left, similar to prior with partial collapse of both lower lobes. Redemonstrated peripheral bronchovascular consolidative and groundglass opacities with septal thickeni... | Findings: No enlarged hilar or mediastinal nodes are present. The mediastinum is normal. No suspicious pulmonary nodules. Mild interval increase in conspicuity of small 2-3 mm nodules in the right upper lobe (series 301 image 167, 159), left upper lobe (series 301 image 175), lingula (series 301 image 205). Substantial... |
2,629 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 82-year-old female with provided history of hilar mass. COMPARISON: No prior CT chests for comparison. Prior CT abdomen dated 12/2/2019 TECHNIQUE: CT Chest wo contrast. Scan field of view: 320 mm. DLP: 376 mGy cm. FINDINGS: CT imaging was performed without IV contrast, w... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Limitations: Non-contrasted study. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: There is diffuse mosaic attenuation in both lungs with areas of septal thickening, bronchial wall thickening and centrilobu... | FINDINGS: LOWER CHEST: LUNG BASES / PLEURA: Consolidative opacities and tree-in-bud opacities in the imaged left lung base. No pleural effusion or pneumothorax.. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN AND PELVIS: STOMACH: Postsurgical changes of gastric bypass. No abnormal small ... |
2,630 | EXAM: CT Abdomen with contrast CLINICAL INFORMATION: 34-year-old woman with history of pancreatic neuro endocrine tumor. COMPARISON: 7/2/2020, 3/18/2021 TECHNIQUE: CT Abdomen with contrast. Patient weight: 128 lbs. IV contrast: Omnipaque 350, 99 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 4 ml pe... | FINDINGS: STRUCTURED REPORT: CT Abdomen LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Tiny focus of hyperenhancement in the superior dome (image 24 series 401) is unchanged (previously seen on image 18 series 4). However, the lesion prev... | Findings: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. The visualized paranasal sinuses and mastoid air cells are aerated. There is calcified atherosclerotic disease of the cavernous ... |
2,631 | EXAM: CT Foot Bilateral wo contrast CLINICAL INFORMATION: Fracture follow-up. COMPARISON: Radiograph 11/30/2021. TECHNIQUE: CT Foot Bilateral wo contrast Scan field of view: 261 mm. FINDINGS/CONCLUSION: Right: Subacute fractures of the plantar aspects of the middle and lateral cuneiforms. There is a mildly displaced ch... | FINDINGS/CONCLUSION: Right: Subacute fractures of the plantar aspects of the middle and lateral cuneiforms. There is a mildly displaced chronic appearing fracture of the proximal aspect of the medial cuneiform involving the navicular cuneiform joint. Multiple well-corticated osseous fragments are present at the plantar... | Findings: The right hilar node is decreased in size and is less then 10 mm in short axis. Calcified subcarinal and right hilar nodes are seen. No enlarged intrathoracic nodes are present. Calcific atherosclerosis is seen in the aorta. The heart size and mediastinum are otherwise normal. Centrilobular emphysema and find... |
2,632 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Right upper quadrant abdominal pain. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 170 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan field of view: 39... | 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: Uncomplicated cholelithiasis. PANCREAS: Normal. No peripancreatic inflammatory change or ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Left adrenal gland is unremarkable. Right adrenal nodule measures 2.1 x 2.1 cm on image 235 series 2, previously 2.1 x 1.9 cm on image 84 seri... |
2,633 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 59-year-old male follow-up neuroendocrine tumor COMPARISON: September 6, 2013 TECHNIQUE: CT Chest with contrast. Patient weight: 160 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 ... | FINDINGS: The subpleural somewhat linear left lower lobe nodule in image 183 and along the major fissure in image 137, series 9 are both stable. A calcified granuloma is present in the right upper lobe. No new lung nodule or mass is noted. No mediastinal or hilar adenopathy. There is no pleural or pericardial effusion ... | Findings: There is no evidence of acute intra- or extra-axial hemorrhage. There is no midline shift, mass effect, or other space-occupying lesion. Falx calcification/ossification seen. Additional extra axial calcification along the left frontal convexity likely from calcified meningiomas. Gray-white differentiation app... |
2,634 | EXAM: CT Abdomen with contrast CLINICAL INFORMATION: 59-year-old male with history of small bowel neuroendocrine tumor status post resection; follow-up. COMPARISON: Multiple prior CTs of the abdomen pelvis, most recent 7/1/2021 TECHNIQUE: CT Abdomen with contrast. Patient weight: 160 lbs. IV contrast: Omnipaque 350, 11... | FINDINGS: STRUCTURED REPORT: CT Abdomen CT chest findings are reported separately. ABDOMEN: LIVER: Stable appearance of an enhancing lesion in the hepatic dome, consistent with a hemangioma. No new suspicious hepatic lesion. BILIARY TRACT: Normal. GALLBLADDER: Surgically absent. PANCREAS: Normal. SPLEEN: Normal. ADRENA... | FINDINGS: SOFT TISSUES: Normal. LYMPH NODES: No pathologic adenopathy by imaging size criteria. AERODIGESTIVE STRUCTURES: Lymphoid tissue of the base of tongue appears prominent in size but without discrete mass lesion. There is a 16 x 16 x 19 mm hypodense structure located in the left aspect of epiglottis with obliter... |
2,635 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 66-year-old male follow-up renal cell carcinoma COMPARISON: Outside CT dated December 8, 2020 TECHNIQUE: CT Chest with contrast. Patient weight: 269 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Sc... | FINDINGS: No mediastinal, hilar or axillary adenopathy is seen. No discrete lung nodule or mass, airspace consolidation or interstitial abnormality. There is no pleural or pericardial effusion and visualized are unremarkable. | FINDINGS: LINES AND TUBES: None. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small left greater than right pleural effusion. Minimal biapical pleural-parenchymal scarring. Bibasilar dependent consolidations/atelectasis. Bronchial wall thickening. Minimal layering secretions within the right mainstem bronchus. ... |
2,636 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Renal cell carcinoma surveillance. COMPARISON: CT abdomen and pelvis 9/30/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 269 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per se... | 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 hepatic transplant changes. No suspicious hepatic lesion. Similar appearance of fluid attenuating well-circumscribed caudate lobe hepati... | Findings: There is slight diffuse atrophy but the ventricles are nonenlarged. There is no mass, hemorrhage, visible infarct or extracerebral collection. The posterior fossa contents are unremarkable. Paranasal sinuses, mastoids and middle ears are clear. No defect is seen in the calvarium or skull base. ---------------... |
2,637 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Fall COMPARISON: None. TECHNIQUE: CT Head wo contrastScan field of view: 223 mm. DLP: 1464.20 mGy cm. STRUCTURED REPORT: CT Head FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Moderate chro... | FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Moderate chronic white matter microangiopathic change and volume loss. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. | Findings: ". Scan quality is limited due to photon starvation artifacts in the lower neck. There is a 7 x 9 x 13 mm nodule which is hypoattenuating relative to the thyroid parenchyma on noncontrast images shows intense arterial phase enhancement and washout on delayed/venous phase imaging (series 3 image 44, series 4 i... |
2,638 | RADIOLOGIC EXAM: CT Lumbar Spine wo contrast, CT Cervical Spine wo contrast, CT Thoracic Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Lumbar Spine wo contrast, CT Cervical Spine wo contrast, CT Thoracic Spine wo contrastScan field of view: 180 mm. (accession CT220003148), Scan field o... | FINDINGS: STRUCTURED REPORT: CT Cervical Spine Trauma 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: Comparison: 9/23/2021 from medical West Lungs and Pleura: Basilar dependent subpleural reticulations and peripheral bronchiolectasis are present. Geographic regions of groundglass opacity are present in both lower lobes within regions of fibrosis. Several nodular calcifications or ossifications are present in... |
2,639 | RADIOLOGIC EXAM: CT Lumbar Spine wo contrast, CT Cervical Spine wo contrast, CT Thoracic Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Lumbar Spine wo contrast, CT Cervical Spine wo contrast, CT Thoracic Spine wo contrastScan field of view: 180 mm. (accession CT220003148), Scan field o... | FINDINGS: STRUCTURED REPORT: CT Cervical Spine Trauma FINDINGS: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: The study is moderately degraded by metallic streak artifact from lumbar spinal fixation hardware. VERTEBRA: No fracture. Interval postsurgical changes from removal of posterior spinal fixation hardware spanning L2-L3 with left lateral interbody plate-and-screw fixation. Heterotopic ossification with partial ... |
2,640 | RADIOLOGIC EXAM: CT Lumbar Spine wo contrast, CT Cervical Spine wo contrast, CT Thoracic Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Lumbar Spine wo contrast, CT Cervical Spine wo contrast, CT Thoracic Spine wo contrastScan field of view: 180 mm. (accession CT220003148), Scan field o... | FINDINGS: STRUCTURED REPORT: CT Cervical Spine Trauma FINDINGS: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bibasilar groundglass opacities. A more solid nodule in the right lower lobe measures 6 mm (series 201, image 37). DISTAL ESOPHAGUS: Normal. HEART / VESSEL... |
2,641 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Right retroperitoneal liposarcoma COMPARISON: Abdomen pelvis CT 11/15/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 283 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2.50 ml per sec... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Hepatic steatosis. Liver is otherwise unremarkable BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Suspected subcentime... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Small left and trace right pleural effusions. Bibasilar subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Normal in size with no pericar... |
2,642 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 43-year-old male with history of chondrosarcoma. COMPARISON: CT chest dated 6/14/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 369 mm. DLP: 329 mGy cm. 3 mm axial, coronal and sagittal reformats with 8mm axial MIP reformats were made and reviewed. FINDINGS: ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LOWER NECK: No significant abnormality. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. Minimal reticular opacities in the posterolateral right lower lobe, overall unchanged and again represent postradiation chang... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately; please see separate CT chest report same day. ABDOMEN and PELVIS: LIVER: Extensive hepatic metastatic disease appears worsened compared to the prio... |
2,643 | CT Angio Head wo+w contrast HISTORY: 70-year-old patient with history of anterior communicating artery aneurysm Technique: After the administration of IV contrast bolus, 2.5 mm images were obtained and reformatted in the 1.4 mm overlapping images. 3-D CT MIP and Volume rendered angiographic images were generated In pos... | FINDINGS: Noncontrast head CT: Right parietotemporal encephalomalacia most likely from remote infarct. Advanced white matter microangiopathic changes suspected left pontine lacunar infarct. No intracranial hemorrhage. Normal orbits. Paranasal sinuses and mastoid air cells are clear. CT angiography: Unchanged 2 mm left ... | Findings: Lines and Tubes: Right IJ port tip terminates in the SVC, similar. Body Wall and Abdomen: No destructive osseous lesions. Multilevel disc degenerative disease. The thecal sac narrowing is most notable at T9-T10. CT of abdomen and pelvis will be reported separately. Lymph Nodes, Mediastinum and Neck: Low densi... |
2,644 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 69-year-old female follow-up lung nodule COMPARISON: August 27, 2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 290 mm. DLP: 243 mGy cm. FINDINGS: Index lesions are measured in series 3. Left upper lobe mixed density focal nodular lesion in image 15 measures 16... | FINDINGS: Index lesions are measured in series 3. Left upper lobe mixed density focal nodular lesion in image 15 measures 16 x 13 mm and was approximately 15 x 13 mm in image 46 series 3 by my measurements. A noncalcified left lower lobe discrete nodule in image 88 appear stable measuring 5 mm. Mild upper lobe dominant... | FINDINGS/CONCLUSION: Comminuted fracture of the proximal ulna extending into the glenohumeral joint. There is mild lateral displacement of the distal fracture fragments without significant distraction. No acute displaced fracture of the radial head. There is a large mature ossification arising from the anteromedial asp... |
2,645 | CT Cervical Spine wo contrast Clinical: Follow-up fusion. Technical: CT C-spine protocol DLP: 458.60 mGy cm. Comparison: Prior CT C-spine scan on 12/10/2020. Findings: There is expected appearance of the new ACDF at C5-6 with metal plate and screws and disc spacer. Alignment is anatomical. The paraspinal soft tissues a... | Findings: There is expected appearance of the new ACDF at C5-6 with metal plate and screws and disc spacer. Alignment is anatomical. The paraspinal soft tissues are unremarkable. No disc defect is seen and there is no stenosis. Bone texture is normal with no lytic or blastic lesion. --------------- | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LINES AND TUBES: Two left-sided chest tubes are visualized. The lateral chest tube terminates and courses within the major fissure. An anterior one terminates adjacent to the right middle lobe. LOWER NECK: Normal. CHEST: LUNGS... |
2,646 | EXAM: CT Abdomen with contrast CLINICAL INFORMATION: 54-year-old man with history of pancreatic neuro endocrine tumor, undergoing surveillance COMPARISON: 10/15/2020, 11/19/2018 TECHNIQUE: CT Abdomen with contrast. Patient weight: 240 lbs. IV contrast: Omnipaque 350, 180 ml, per protocol. Water: 16 oz. Saline flush: 20... | FINDINGS: STRUCTURED REPORT: CT Abdomen LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: The previously noted peripherally calcified enhancing lesion in the pancreatic bo... | FINDINGS: SOFT TISSUES: Redemonstrated heterogeneously enhancing mass appearing to arise from the left parotid gland and involves both the superficial and deep aspects of the left parotid with widening of the stylo-mandibular space on the left with comparison to the right. There appear to be cystic/necrotic region cent... |
2,647 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 72-year-old male follow-up oral cancer COMPARISON: February 4, 2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 390 mm. DLP: 214.48 mGy cm. FINDINGS: Small subcentimeter size nodes are present in the right paratracheal region, unchanged. A small hiatal hernia is... | FINDINGS: Small subcentimeter size nodes are present in the right paratracheal region, unchanged. A small hiatal hernia is again noted. A small 6 mm noncalcified nodule in the right upper lobe appears stable in image 83, series 2. There are few additional subpleural opacities noted in the right upper lobe for example t... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bibasilar subsegmental atelectasis. Trace left pleural effusion. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Small pericardial effusion. No significant abnormality. ABDOMEN and PELVIS: LIVER: Small hemangioma in the inferior right hepatic l... |
2,648 | CT Chest with contrast Clinical Information: 53-year-old female clonal B cell, LAD, thymic bed nodule, D72.820 Lymphocytosis (symptomatic), R59.1 Generalized enlarged lymph nodes, E32.8 Other diseases of thymus Spec Inst: Assess stability. Comparison: 7/1/2021 Technique: Following injection of non-ionic contrast 2.5 mm... | Findings: The borderline enlarged left subpectoral lymph node measures 8 x 13 mm on series 2 image 17 essentially unchanged from the 8 x 14 mm on the prior. The fluid density nodule in the anterior mediastinal thymic bed measures 8 x 13 mm on image 33 and was 10 x 13 mm on the prior. The right pericardial node has a fa... | FINDINGS: Contrast opacification of the pulmonary arteries is excellent. No intraluminal filling defects are noted in the visualized bony arteries and its branches. The main pulmonary artery is normal in size. Bilateral patchy groundglass parenchymal changes in the subpleural and peribronchial vascular distribution inv... |
2,649 | CT Cardiac with contrast CLINICAL INFORMATION: 82-year-old female with aortic stenosis undergoing evaluation for transcatheter aortic valve replacement. COMPARISON: No prior relevant study available for comparison. TECHNIQUE: Pre contrast images were obtained to assess aortic valve and mitral annular calcifications. Th... | FINDINGS: The quality of study is excellent for evaluation of aortic root and was not tailored for coronary artery evaluation. There is severe calcification of the tricuspid aortic leaflets with restricted opening during systole. The aortic root measurements done in systolic phase 30% are as follows (all using double o... | Findings: There is a relatively ulcerated mass in the left cervical soft tissues extending from the surface from C2-3 to C5-6 with foci of dense calcification along the margins. This was not ulcerated on the prior CT C-spine on 11/15/2020. The thyroid is enlarged bilaterally, apparent goiter, with calcifications on the... |
2,650 | EXAM: CT Angio Abdomen and Pelvis CLINICAL INFORMATION: 80-year-old woman with clinical history of tavr Spec Inst: TAVR protocol per Dr. Singh COMPARISON: None. TECHNIQUE: CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 141 lb... | FINDINGS: STRUCTURED REPORT: CTA TAVR Protocol VASCULATURE: Large amount of atherosclerotic calcification present throughout the infrarenal abdominal aorta. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: Moderate to severe stenosis at the ostium. RIGHT RENAL: No significant a... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: A 4.7 cm simple left hepatic lobe cyst. No suspicious enhancing hepatic lesions. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. ... |
2,651 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Squamous cell lung cancer surveillance. COMPARISON: Multiple prior CT chest, most recently 10/7/2021. TECHNIQUE: CT Chest with contrast. Patient weight: 206 lbs. IV contrast: Omnipaque 350, 117 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 1.50 ml ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Post pneumonectomy changes with filling of the left hemithorax with fluid redemonstrated with slight increase in the volume of fluid.. Stable appearance of multiple small noncalcified pulmonary nodules. The largest is in the righ... | Findings: Lines and Tubes: None. Body Wall and Abdomen: Small sclerotic focus in the right anterior fifth rib image 69 series 3 is unchanged. Included portions of the upper abdomen have an unremarkable appearance. Lymph Nodes, Mediastinum and Neck: New shotty left axillary lymph nodes. One of these measures 1.5 x 1.2 c... |
2,652 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Squamous cell lung cancer surveillance COMPARISON: CT abdomen and pelvis 10/7/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 206 lbs. IV contrast: Omnipaque 350, 117 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 1.50 ml... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately; please see separate CT chest report same day. ABDOMEN and PELVIS: LIVER: The liver is normal in size and morphology. Multiple hypoattenuating subcentimeter hepatic lesions appear similar, technically indeterminate, but given stabil... | Findings: Post surgical changes related to left hemiglossectomy and bilateral lymph node dissection. No evidence of recurrent lesion. No worrisome neck node identified. The nasopharynx appears normal. Airway is patent. The suprahyoid neck including the oropharynx, oral cavity, parapharyngeal spaces and retropharyngeal ... |
2,653 | CT Cardiac with contrast CLINICAL INFORMATION: 70-year-old female with history of aortic stenosis undergoing evaluation for transcatheter aortic valve replacement. COMPARISON: No prior relevant studies available for comparison. TECHNIQUE: Pre contrast images were obtained to assess aortic valve and mitral annular calci... | FINDINGS: The quality of study is excellent for evaluation of aortic root and was not tailored for coronary artery evaluation. There is moderate calcification of the tricuspid aortic leaflets with restricted opening during systole. The aortic root measurements done in systolic phase 30% are as follows (all using double... | FINDINGS: Aortic arch: Patent without flow-limiting stenosis. Normal three vessel aortic arch is noted. Right carotid: Patent without flow-limiting stenosis. Left carotid: Dense atherosclerotic calcification of the distal left common carotid artery extending into the carotid bifurcation, resulting in moderate distal co... |
2,654 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: COVID confirmed hypoxia COMPARISON: 8/26/2011. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 115 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Sali... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. Evaluation of the segmental and subsegmental pulmonary arteries is limited due to respiratory motion, particularly within the lung bases. LOWER NECK: ... | FINDINGS: Aortic arch: Patent without flow-limiting stenosis. Normal three vessel aortic arch is noted. Right carotid: Patent without flow-limiting stenosis. Left carotid: Dense atherosclerotic calcification of the distal left common carotid artery extending into the carotid bifurcation, resulting in moderate distal co... |
2,655 | EXAM: CT Angio Abdomen and Pelvis CLINICAL INFORMATION: tavr eval, I35.0 Nonrheumatic aortic (valve) stenosis Spec Inst: TAVR protocol per Dr. Singh COMPARISON: None. TECHNIQUE: CT Angio Abdomen and Pelvis. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: ... | FINDINGS: STRUCTURED REPORT: CTA TAVR Protocol VASCULATURE: Mild scattered atherosclerotic calcifications throughout the arterial system. Note is made of a retroaortic left renal vein. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. The airways are patent with minimal bronchial wall thickening is seen. Calcified granuloma are present bilaterally. Diffuse mosaic attenuation is noted. No subpleural reticulation, traction bronchiectasis or honeycombing is id... |
2,656 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Left hand sarcoma post surgery and radiation with small lung nodules being followed COMPARISON: 7/6/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 380 mm. DLP: 188 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic acc... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Left axillary node measures just at 11 mm in short axis on series 3 image 53 similar to the previous exam. No other enlarged intrathoracic lymph nodes are identified. Within the limits of a noncontrast exam, the heart size and... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Heart is mildly enlarged in size. Aortic prosthesis is seen in place. There is no pericardial effusion. Severe coronary calcifications seen. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRAC... |
2,657 | CT angiogram of the brain Clinical: Follow-up aneurysm. Technical: CT scan of the brain before contrast. Delayed postcontrast CT scan of the brain. During the injection of Omnipaque 350, 100 ml, per protocol, 0.67 mm axial CT scans were obtained. Sagittal, axial and coronal MIP angiograms were generated. 3-D color surf... | Findings: CTA head: The exam is severely degraded by motion. The small left superior hypophyseal aneurysm is shown only on the coronal MIP series 605 #75 directed medially and slightly inferiorly. This is not significantly changed compared to the outside MR angiogram on 12/8/2021. CT scan of the of the brain shows norm... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There are scattered bilateral 2 to 3 mm tree-in-bud nodules. There is a small left pleural effusion with associated atelectasis. Multiple rig... |
2,658 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 45-year-old woman with history of follicular lymphoma COMPARISON: 9/20/2011 contrast enhanced CT, 12/8/2020 PET/CT TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 195 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT performed today will be reported separately. ABDOMEN and PELVIS: LIVER: A well-circumscribed focal 2 cm hypodensity in segment IV B corresponds to an area of non-FDG avidity on the prior PET and a smaller area of hypovascularity on the 2011 CT, may re... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There are scattered bilateral 2 to 3 mm tree-in-bud nodules. There is a small left pleural effusion with associated atelectasis. Multiple rig... |
2,659 | CT Chest with contrast Clinical Information: 45-year-old female surveillance CTs, C82.00 Follicular lymphoma grade I, unspecified site Comparison: 9/20/2011 Technique: Following injection of non-ionic contrast 2.5 mm images were obtained through the chest. Abdominal findings will be reported separately. Patient weight:... | Findings: A borderline enlarged left axillary node measures 10 x 11 mm on series 2 image 42. No additional enlarged intrathoracic nodes are present. Small hiatal hernia is present. The heart size and mediastinum are otherwise normal. A tiny RUL nodule is seen on series 2 image 85 unchanged back to 2011 consistent with ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMP... |
2,660 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Seizure COMPARISON: 12/25/21 TECHNIQUE: CT Head wo contrastScan field of view: 216 mm. DLP: 1453.90 mGy cm. STRUCTURED REPORT: CT Head FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Stable ... | FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. Stable volume loss. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Stable postoperative changes right orbit. Left orbit is normal. SINUSES: Normal. | FINDINGS: Chest CT: There are multifocal ill-defined subpleural airspace opacities in the dependent right lower lobe with minimal associated peribronchial thickening. No other discrete lung nodule or mass is noted. Only small subcentimeter size nodes are present in the mediastinum. There is no pleural or pericardial ef... |
2,661 | CT Head wo contrast 1/6/2022 5:05 PM Clinical information: PUI for COVID AMS Comparison: CT head 12/15/2021 Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 230 mm. DLP: 1474.20 mGy cm. Findings: Image quality i... | Findings: Image quality is degraded due to motion. There is no evidence of acute intracranial hemorrhage, infarction, brain edema, mass effect or hydrocephalus. Stable diffuse brain atrophy. Small fluid in the right sphenoid and left maxillary sinuses and mild mucosal thickening in the ethmoid air cells. The remaining ... | FINDINGS: Chest CT: There are multifocal ill-defined subpleural airspace opacities in the dependent right lower lobe with minimal associated peribronchial thickening. No other discrete lung nodule or mass is noted. Only small subcentimeter size nodes are present in the mediastinum. There is no pleural or pericardial ef... |
2,662 | CT Head wo contrast 1/6/2022 2:39 PM Clinical Information: Shunt infection, T85.730A Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, initial encounter Comparison: Brain MRI 1/4/2022 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of v... | Findings: There is a right frontal approach ventricular catheter terminating in the right foramen of Monro region. The ventricles are minimally enlarged in size. There are postsurgical changes from left frontal craniotomy for underlying mass excision. Underlying heterogeneous density with edema in the left frontal lobe... | FINDINGS: CT of the head with and without contrast: There is no acute infarction, hemorrhage, or cerebral edema. The gray-white matter differentiation is maintained. Subcortical periventricular hypodensities likely representing microangiopathic changes. The cerebral cortical volume is appropriate for patient's age. The... |
2,663 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Elevated lipase, history of pancreatitis COMPARISON: 10/16/21 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 2.50 ml per sec. Scan delay:... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Stable right hepatic lobe cyst and additional unchanged subcentimeter hypoattenuating liver lesions which remain too small to charact... | FINDINGS: CT of the head with and without contrast: There is no acute infarction, hemorrhage, or cerebral edema. The gray-white matter differentiation is maintained. Subcortical periventricular hypodensities likely representing microangiopathic changes. The cerebral cortical volume is appropriate for patient's age. The... |
2,664 | EXAM: CT Sinus wo contrast CLINICAL INFORMATION: Female patient 68 years with chronic sinusitis, GPA, J32.9 Chronic sinusitis, unspecified, M31.30 Wegener s granulomatosis without renal involvement Spec Inst: sinus stealth protocol TECHNIQUE: 0.6 mm thick serial axial images were obtained through the paranasal sinuses ... | FINDINGS: The frontal sinuses are clear. There is minimal mucosal thickening within the left greater than right ethmoid air cells. There is also a very small osteoma within the left anterior ethmoid air cells. The sphenoid sinuses are patent. There is suggestion of some diffuse sclerosis involving the walls of the righ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LINES AND TUBES: None. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Left upper lobe solid nodule has decreased in size measuring 2.5 x 1.6 cm x 1.6cm (previously 3.1 x 2.3 x 2.2 cm). No residual cavitation is appreciat... |
2,665 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 67-year-old male with non-small cell lung cancer. COMPARISON: CT chest without contrast dated 10/7/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 428 mm. DLP: 426.40 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic a... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. Stable postsurgical changes in the left lower lobe. No residual mass or suspicious pulmonary nodule. Mild centrilobul... | FINDINGS: BRAIN PARENCHYMA: There is no acute intracranial hemorrhage or acute infarct. No brain edema or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Small mucous retention cyst in the right frontal sinus. |
2,666 | EXAM: CT Rsh Body with contrast METRIC CLINICAL INFORMATION: 66-year-old man with history of head and neck cancer participating in therapeutic clinical trial COMPARISON: There are no prior abdominal CTs performed at UAB for comparison. A PET/CT from 11/30/2021 was reviewed. TECHNIQUE: CT Rsh Body with contrast METRIC. ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT performed today will be reported separately. ABDOMEN and PELVIS: LIVER: Focal well-circumscribed hypodensity in the inferior right hepatic lobe is compatible with a cyst. No lesions suspicious for metastatic disease are identified. BILIARY TRACT: Norm... | FINDINGS: MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. 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 ( |
2,667 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Lung nodule, greater than 8 mm, patient also history of acute myeloblastic leukemia. COMPARISON: Chest radiograph dated 12/21/2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 370 mm. DLP: 353.69 mGy cm. FINDINGS: CT imaging was performed without IV contrast, whi... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Surgical clips are seen in the right axillary region. No enlarged intrathoracic lymph nodes are identified. Calcific atherosclerosis is seen in the aorta and coronary arteries. The main pulmonary artery is enlarged at 42 mm co... | FINDINGS: MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. 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 ( |
2,668 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 51-year-old female with provided history of rectal cancer. COMPARISON: Chest CT 6/10/2020 TECHNIQUE: CT Chest with contrast. Patient weight: 260 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 35 sec. Scan fi... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: No consolidation. A tiny 2 mm left upper lobe nodule is unchanged (image 34, series 2). No new or enlarging suspicious pulmonary nodule. Bilateral dependent atelectasis. No pleural effusion. Central airways are patent. Thor... | FINDINGS: MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. 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 ( |
2,669 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 51-year-old female with history of rectal cancer; follow-up. COMPARISON: Multiple prior CTs of the abdomen pelvis, most recent 8/5/2020 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 260 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. IV ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: Large gallstones with otherwise normal appearance of the gallbladder. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Slight interval enlargement of ... | FINDINGS: MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. 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 ( |
2,670 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: History of stage IV rectal cancer, concern for SBO with intractable nausea/vomiting. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 186 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 100 ml. IV contrast in... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately reported chest CT. ABDOMEN and PELVIS: LIVER: Hepatic steatosis. No concerning hepatic lesion or mass. BILIARY TRACT: Stable mild intra and extrahepatic biliary ductal dilation. No radiopaque obstructing biliary calculus visualized. GALLB... | FINDINGS: MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. 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 ( |
2,671 | CT Chest with contrast Clinical Information: 54-year-old female intractable NV Spec Inst: hx of stage 4 rectal ca sp palliative APR, hx of SBO concern for obstruction Comparison: None Technique: Following injection of non-ionic contrast 2.5 mm images were obtained through the chest. Abdominal findings will be reported ... | Findings: Enlarged lower right paraesophageal node measures 15 x 39 mm on series 201 image 118. Enlarged right hilar node is 19 mm in short axis on image 122. No additional enlarged intrathoracic nodes are present. Small hiatal hernia is present. The heart size and mediastinum are otherwise normal. No pleural effusion.... | FINDINGS: MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. 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 ( |
2,672 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Upper respiratory infection COMPARISON: Chest radiograph 1/5/2022 TECHNIQUE: CT Chest wo contrast. Scan field of view: 315 mm. DLP: 146.60 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LO... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small right and trace left pleural effusions with adjacent atelectasis. Diffuse bilateral groundglass opacities and septal thickening with scatte... | FINDINGS: MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. 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 ( |
2,673 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Covid confirmed, dyspnea COMPARISON: None. TECHNIQUE: CT Chest wo contrast. Scan field of view: 374 mm. DLP: 442.90 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Patchy and confluent peripheral predominant bilateral groundglass opacities. No pneumothorax or pleural effusion. Moderate upper lobe predominant... | 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 to moderate sized left pleural effusion with compressive atelectasis. Otherwise no focal consolidation. The right p... |
2,674 | EXAM: CT Abdomen with contrast CLINICAL INFORMATION: 44-year-old female with history of renal cell carcinoma; follow-up. COMPARISON: CT abdomen pelvis 3/18/2021 TECHNIQUE: CT Abdomen with contrast. Patient weight: 147 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate... | FINDINGS: STRUCTURED REPORT: CT Abdomen LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Focal 1.0 x 0.7 cm arterially enhancing lesion seen near hepatic segment 4B on axial series 4, image 65. This lesion is inconspicuous on the venous pha... | FINDINGS: BONES/JOINTS: There is decreased bone mineralization. There is a comminuted tibial plateau fracture with depression of the lateral tibial plateau. Nondisplaced fracture plane extends into the anterior medial tibial plateau. There is a transverse, minimally displaced and slightly impacted fracture of the fibul... |
2,675 | CT Head wo contrast 1/6/2022 12:20 PM Clinical Information: AMS Comparison: Head CT 1/5/2022 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 226 mm. DLP: 941 mGy cm. Findings: There is a stable right frontal approach ventricular shunt catheter terminating in the regio... | Findings: There is a stable right frontal approach ventricular shunt catheter terminating in the region of the right lateral ventricle. There has been further decompression of the right lateral ventricle which is now completely decompressed. The left lateral ventricle is essentially stable in size. The multifocal evolv... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Extensive consolidative opaciti... |
2,676 | EXAM: CT Sinus wo contrast CLINICAL INFORMATION: Female patient 37 years with facial pain, pressure, J32.9 Chronic sinusitis, unspecified Spec Inst: Stealth protocol TECHNIQUE: 0.6 mm thick serial axial images were obtained through the paranasal sinuses without intravenous contrast. Sagittal and coronal reformatted vie... | FINDINGS: The frontal sinuses, ethmoid air cells and sphenoid sinuses are clear. The right maxillary sinus is also clear. There is moderate mucosal thickening within the left maxillary sinus. There is periapical lucency about left maxillary molar with dehiscence along the floor of the left maxillary sinus (sagittal ima... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Extensive consolidative opaciti... |
2,677 | EXAM: CT Sinus wo contrast CLINICAL INFORMATION: Male patient 71 years with large osteoma, D16.9 Benign neoplasm of bone and articular cartilage, unspecified, J32.1 Chronic frontal sinusitis Spec Inst: sinus stealth protocol TECHNIQUE: 0.6 mm thick serial axial images were obtained through the paranasal sinuses without... | FINDINGS: There is a small air-fluid level within the right frontal sinus superimposed on circumferential mucosal thickening. There is also progressive mucosal thickening within the right ethmoid air cells. There is a large osteoma within the right frontoethmoidal recess which appears stable in size measuring 16 x 13 m... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bibasilar subsegmental atelectasis. Suspected trace right pleural effusion. DISTAL ESOPHAGUS: Esophagogastric tube is in place. HEART / VESSELS: Distal portion of a central venous catheter tip is present at the cavoatrial junction. ABDOMEN... |
2,678 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 72-year-old man with right groin bulge thought to represent hernia. COMPARISON: 12/11/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 419 mm. DLP: 542 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can redu... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. The patient received oral contrast. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Minimal bilateral basilar scarring. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Focal calcification within the epicardia... | 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... |
2,679 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 79-year-old female, currently undergoing chemotherapy for squamous cell carcinoma of the lung and presenting with respiratory distress. COMPARISON: None. TECHNIQUE: CT Chest wo contrast. Scan field of view: 350 mm. DLP: 337.30 mGy cm. FINDINGS: CT imaging was performed w... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest Evaluation is degraded by motion artifact. LOWER NECK: No significant abnormality. CHEST: LUNGS / AIRWAYS / PLEURA: Patchy consolidation in the right upper lobe with associated groundglass and inter... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. CHEST WALL: Bilateral breast implants. ABDOMEN and PELVIS: Evaluation of the upper abdomen is somewhat limited due to metal artifact from spinal hardware. LIVER... |
2,680 | CT Chest with contrast Clinical Information: 66-year-old male Fracture, sternum ; Lung mediastinal abscess, A49.02 Methicillin resistant Staphylococcus aureus infection, unspecified site Comparison: 4/23/2021 Technique: Following injection of non-ionic contrast 2.5 mm images were obtained through the chest and upper ab... | Findings: Interval healing of the medial cortices of the remnant manubrium and upper sternal body. The small drains within the sternal defect with anterior chest wall have been removed. Granulation tissue/scar is seen just anterior and within the sternal defect and this has increased in size since the prior now measuri... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: ABDOMINAL AORTA: Redemonstration of previously observed chronic thoracoabdominal aortic dissection. There is continued filling of the false lumen in the region of the upper abdomen, similar to the prior examination. Diameter of the abdominal aorta at the leve... |
2,681 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Outside CT chest revealed abnormal esophageal/mediastinal mass. Recent upper endoscopy one normal. Follow-up study to define abnormality. COMPARISON: 2/25/2011 TECHNIQUE: CT Chest with contrast. Patient weight: 120 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. ... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Nodule near the right lung base measuring about 2.0 x 1.5 cm (series 3; image 154) along the major fissure. Nodule near the left lung base measuring 1.0 x 1.0 cm (series 3; image 189). A few other less than 1 cm nodules are seen ... | FINDINGS: Scouts: No additional findings. A - Vascular structures: Vascular: Redemonstration of thrombosed partially calcified dissection in the aneurysmally dilated descending thoracic aorta, descending into the abdomen. Mild wall thickening involving the mid distal descending thoracic aorta is unchanged. Advanced ath... |
2,682 | EXAM: CT Abdomen with contrast CLINICAL INFORMATION: 51-year-old female with a right lower lobe lung Mass. An multiple enlarged mediastinal lymph nodes. COMPARISON: CT 2/25/2011 TECHNIQUE: CT Abdomen with contrast. Patient weight: 120 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 10 ml. IV contras... | FINDINGS: STRUCTURED REPORT: CT Abdomen ABDOMEN: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Collapsed. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Tiny benign cysts are in the right kidney. Left kidney is normal. LYMPH NODES: None enlarged. STOMACH / SMALL BOWEL: No abnormality. COLON: No abnor... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Severe diffuse hepatic steatosis. No focal lesions. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STO... |
2,683 | EXAM: CT Lumbar Spine wo contrast CLINICAL INFORMATION: Low back pain COMPARISON: None. TECHNIQUE: CT Lumbar Spine wo contrast. Scan field of view: 176 mm. DLP: 1235.70 mGy cm. FINDINGS: VERTEBRA: No fracture. Small bone island in the left posterior ilium DISC SPACES AND FACET JOINTS: No acute injury. Minimal disc heig... | FINDINGS: VERTEBRA: No fracture. Small bone island in the left posterior ilium DISC SPACES AND FACET JOINTS: No acute injury. Minimal disc height loss and at L5-S1. No significant spinal canal stenosis. Minimal and mild facet arthropathy in the mid and lower lumbar spine, most prominent at L4-5. No osseous neural foram... | FINDINGS: Scouts: No additional findings. Lines and tubes: None. Lungs and pleura: Interval development of nodular density in the right middle lobe anteriorly (series 9 image 101). Additional groundglass density focus in the right middle lobe (series 9 image 123) is also new from prior. No pleural effusion. No pneumoth... |
2,684 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 76-year-old female with provided history of abnormal x-ray. COMPARISON: Chest radiograph dated 12/20/2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 385 mm. DLP: 413 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic acc... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: No consolidation. No suspicious pulmonary nodule. No pleural effusion. Central airways are patent. Thoracic inlet, heart, and mediastinum: ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Elevation of the left hemidiaphragm with adjacent atelectasis. Right lower lobe subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALL... |
2,685 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Metastatic colorectal cancer. COMPARISON: CT chest without contrast dated 9/28/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 390 mm. DLP: 247.63 mGy cm. 1.25 mm axial, coronal and sagittal reformats with 8mm axial MIP reformats were made and reviewed. FINDIN... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. Left upper lobe nodule measures 1.1 x 1.0 cm on axial image 58; series 2, previously 1.0 x 0.8 cm. A 5 mm right apical nodule on axial image 21; ... | Findings: There is no evidence of acute intra- or extra-axial hemorrhage. There is no midline shift, mass effect, or other space-occupying lesion. Gray-white differentiation appears maintained. The ventricular system are normal in configuration. The basal cisterns are clear. The visualized paranasal sinuses and mastoid... |
2,686 | CLINICAL HISTORY: Cerebral hemorrhage suspected, R51.9 Headache, unspecified, I69.128 Other speech and language deficits following nontraumatic intracerebral hemorrhage Spec Inst: please schedule same day as other UAB appt EXAM: CT Head wo contrast TECHNIQUE: 5 mm thick serial axial images were obtained throughout the ... | FINDINGS: There is expected evolution of encephalomalacia related to posterior right MCA infarction within the right temporal lobe and also right parietal lobe. There is no hemorrhagic conversion. There is no subdural hemorrhage, particularly at site of prior small right temporal subdural hemorrhage There are no new ar... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bilateral lung base atelectasis, left greater than right. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Cholelithiasis. No wall thickening or p... |
2,687 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Fall, head injury. Intellectual disability. COMPARISON: CT head December 8, 2021. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Ches... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate brain atrophy. Focal encephalomalacia in the right frontal lobe unchanged from prior. Periventricular and deep white matter hypoattenuation is stable from prior and likely represents chronic microangiopathic change. Atherosclerotic calcifications... | FINDINGS: Scouts: No additional findings. Lines and tubes: None. Lungs and pleura: No suspicious pulmonary nodules. Small 2 to 3 mm juxtapleural nodularity in the left upper lobe laterally (series 2 image 30) is unchanged, nonspecific. No pulmonary consolidation. Interval resolution of previously noted areas of subsegm... |
2,688 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: Fall. COMPARISON: None. TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 200 mm. DLP: 934 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. STRUCTUR... | 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 Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Patchy small hypodensities scattered throughout the liver appears similar to prior. A dominant posterior segment lesion appears smaller, approximately 2.7 x 1.4 cm on image 170 series 12, previously 3.3 x 2.2 cm. Stable calcified lesion in the ri... |
2,689 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Fall, head injury. Intellectual disability. COMPARISON: CT head December 8, 2021. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Ches... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate brain atrophy. Focal encephalomalacia in the right frontal lobe unchanged from prior. Periventricular and deep white matter hypoattenuation is stable from prior and likely represents chronic microangiopathic change. Atherosclerotic calcifications... | FINDINGS: Scouts: No additional findings. Lines and tubes: Right IJ port catheter tip is at the cavoatrial junction. Lungs and pleura: Redemonstration of areas of linear and subsegmental atelectasis and scarring with associated bronchiectasis in the right upper and middle lobes anteriorly. Mild biapical lung scarring. ... |
2,690 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Fall, head injury. Intellectual disability. COMPARISON: CT head December 8, 2021. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Ches... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate brain atrophy. Focal encephalomalacia in the right frontal lobe unchanged from prior. Periventricular and deep white matter hypoattenuation is stable from prior and likely represents chronic microangiopathic change. Atherosclerotic calcifications... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Redemonstration of age-appropriate mild frontoparietal volume loss. Mild periventricular frontal white matter hypoattenuation again seen, related to mild chronic microvascular ischemic dise... |
2,691 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Fall, head injury. Intellectual disability. COMPARISON: CT head December 8, 2021. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Ches... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate brain atrophy. Focal encephalomalacia in the right frontal lobe unchanged from prior. Periventricular and deep white matter hypoattenuation is stable from prior and likely represents chronic microangiopathic change. Atherosclerotic calcifications... | FINDINGS: Scouts: No additional findings. Lines and tubes: Right IJ catheter terminates at the cavoatrial junction. Lungs and pleura: Redemonstration of areas of scarring, atelectasis with associated bronchiectasis bilaterally with significant interval decrease in previously noted associated groundglass density and int... |
2,692 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Intellectual disability, fall with head injury COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 102 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. IV contrast injection rate: 4 ml per sec. Scan delay: bt sec. Scan field of... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately reported chest CT. Also, thoracic spine and lumbar CT spine are reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: No abnormality. GALLBLADDER: Cholelithiasis. PANCREAS: Normal. SPLEEN: Scattered calcified granulomas. ... | Findings: RADIOLOGIC EXAM: CT Venogram Head CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Venogram HeadPatient weight: 225 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 4 ml per sec. Scan delay: bt sec. Scan field of view: 200 mm. DLP: 6220.80 mG... |
2,693 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Chest with contrast, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Fall, head injury. Intellectual disability. COMPARISON: CT head December 8, 2021. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Angio Neck, CT Ches... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Moderate brain atrophy. Focal encephalomalacia in the right frontal lobe unchanged from prior. Periventricular and deep white matter hypoattenuation is stable from prior and likely represents chronic microangiopathic change. Atherosclerotic calcifications... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No pleural effusion, or pneumothorax. No suspicious pulmonary nodule. Bilateral dependent and linear subsegmental atelectasis is overall unchanged. HEART / VESSELS: Heart size is normal. No pericardial effusion. Stable moderate t... |
2,694 | EXAM: CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: Renal colic versus ruptured diverticulitis COMPARISON: 2/19/2014 TECHNIQUE: CT Abdomen and Pelvis wo+w contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 3 ml per sec. Scan ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: There is a moderate hiatal hernia, likely mixed type. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: There is mild intra and extrahepatic biliary duct dilatation whi... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Stable intrahepatic and extra hepatic biliary ductal dilation, likely related to postcholecystectomy state. GALLBLADDER: Absent. PANCREAS: Normal. SPLEEN: Normal. ADRENA... |
2,695 | CT Head wo contrast 1/7/2022 4:00 AM Clinical Information: Status post CSF leak repair Spec Inst: Stealth protocol Comparison: Head CTV 1/3/2022 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 235 mm. DLP: 1885.20 mGy cm. Findings: Postsurgical changes from left tempo... | Findings: Postsurgical changes from left temporal craniotomy, partial mastoidectomy with tegmen cephalocele repair are noted. There is opacification of the residual mastoid air cells and middle ear cavity. Overlying scalp fluid, hemorrhage and gas is noted. There is left frontal pneumocephalus. There is an extra-axial ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Expected postcholecystectomy prominence of the common bile duct. GALLBLADDER: Surgically absent. PANCREAS: Normal for technique. SPLEEN: Normal. ADRENALS: Normal. KID... |
2,696 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Follow-up, history of cavitary pneumonia. COMPARISON: 10/28/2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 320 mm. DLP: 254.91 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOW... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered areas of peripheral septal thickening, scarring, bronchiectasis all appear unchanged. Significant interval improvement in the right api... | Findings: Lines and Tubes: None. Body Wall and Abdomen: No destructive osseous lesions. CT of the abdomen and pelvis will be reported separately. Lymph Nodes, Mediastinum and Neck: Shotty axillary lymph nodes bilaterally are similar. Left hilar lymph node image 80 series 3 is unchanged. Lungs and Pleura: No pleural eff... |
2,697 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 35-year-old female with provided history of cough, fever and pneumonia. COMPARISON: None. TECHNIQUE: CT Chest wo contrast. Scan field of view: 342 mm. DLP: 253.40 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Limita... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: No consolidation. No suspicious pulmonary nodule. No pleural effusion. Central airways are patent. Thoracic inlet, heart, and mediastinum: ... | Findings: CTA neck: The top of the aortic arch and brachiocephalic arteries are unremarkable. There are calcified nonstenotic plaques at the carotid bifurcations. The cervical ICAs are essentially negative. Both vertebral arteries are sizable with normal appearance and antegrade flow. Cervical spine has minor degenerat... |
2,698 | EXAM: CT Abdomen with contrast CLINICAL INFORMATION: 75-year-old female with newly diagnosed neuroendocrine tumor. COMPARISON: CT outside 9/27/2021 TECHNIQUE: CT Abdomen with contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Water: 12 oz. Saline flush: 10 ml. IV contrast injection rat... | FINDINGS: STRUCTURED REPORT: CT Abdomen LOWER CHEST: Please see separately dictated same-day CT chest. ABDOMEN: LIVER: Normal. BILIARY TRACT: Similar appearance of the intra and extrahepatic biliary duct dilation. There is gradual tapering of the common bile duct ampulla. The common bile duct measures up to 1.5 cm in d... | Findings: CTA neck: The top of the aortic arch and brachiocephalic arteries are unremarkable. There are calcified nonstenotic plaques at the carotid bifurcations. The cervical ICAs are essentially negative. Both vertebral arteries are sizable with normal appearance and antegrade flow. Cervical spine has minor degenerat... |
2,699 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Newly diagnosed neuroendocrine tumor. COMPARISON: Multiple prior abdomen CTs, most recently same day and 9/27/2021. TECHNIQUE: CT Chest with contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Water: 12 oz. Saline flush: 10 ml. IV contr... | FINDINGS: STRUCTURED REPORT: CT Chest and bronchiectasis is LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Noncalcified 4 mm nodule in the right middle lobe (image 21, series #), unchanged from the CT abdomen and pelvis dated 7/23/2018. A tiny left apical nodule is seen on series 7 image 47 with no previous imagi... | FINDINGS: White matter hypodensity suggestive for advanced microvascular angiopathy. Intracranial atherosclerosis is seen. An old lacunar infarction of the left caudate head is seen. The brain parenchyma appears normal without evidence for acute territorial infarct, mass lesion, mass effect, or recent hemorrhage. The v... |
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