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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2,700 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Surveillance, axillary artery stenosis COMPARISON: Chest radiograph 10/22/2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 400 mm. DLP: 285.83 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Bilateral dependent atelectasis. Tiny peripheral nodule in the left lower lobe measuring about 0.3 cm (series 2; image 83). HEART / VESSELS: Mild... | Findings: There is no reduction of CBV or CBF. No Tmax prolongation greater than 4 seconds is seen. There is 52 mL of Tmax greater than 4 seconds. Seen on parametric maps diffusely in both cerebral hemispheres, possibly artifactual. --------------- |
2,701 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Right-sided abdominal pain. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 165 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 80 sec Scan field ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMP... | Findings: Lines and Tubes: None. Body Wall and Abdomen: No destructive osseous lesions. CT of abdomen and pelvis will be reported separately. Lymph Nodes, Mediastinum and Neck: No axillary or mediastinal adenopathy. Lungs and Pleura: New small right pleural effusion. Index nodules are measured on series 201: 1. Spicula... |
2,702 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 75-year-old male with provided history of chest pain. COMPARISON: Chest CT 9/3/2021 TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 325 mm. DLP: 129.10 mGy cm. High-resolution CT imaging of the chest was performed per protocol with in... | FINDINGS: Limitations: None. Chest: Lines, tubes, and devices: None. Lung parenchyma and pleura: Redemonstrated subpleural reticulations with subpleural sparing mainly involving the right upper and right lower lung lobes. There is interval improvement of subpleural opacities in the left side. This is associated mild bi... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Suspected hypoattenuating lesions throughout the liver, not well evaluated due to noncontrast technique (for example, se... |
2,703 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 51-year-old woman with history of right flank myxofibrosarcoma COMPARISON: 6/24/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 215 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT performed today will be reported separately. ABDOMEN and PELVIS: LIVER: Mild steatosis appears unchanged. No focal lesions are evident. BILIARY TRACT: Normal. GALLBLADDER: Heterogeneity within the distended gallbladder lumen is compatible with numerou... | FINDINGS: ONCOLOGIC FINDINGS: INDEX LESION(S): Measured on series 202 1. Mixed attenuating metastasis in the midline pelvis just cranial to the bladder measures 6.4 x 4.7 cm on image 438, previously 8.9 x 7.3 cm. Increasing central hypoattenuation suggesting increasing necrosis. 2. Mixed cystic and solid metastasis alo... |
2,704 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 51-year-old female with recurrent right flank myxofibrosarcoma. COMPARISON: FDG PET/CT dated 8/20/2021, CT chest with contrast dated 2/20/2021.. TECHNIQUE: CT Chest with contrast. Patient weight: 215 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. IV contrast in... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. No suspicious pulmonary nodule. No pleural effusion. HEART / VESSELS: No pericardial effusion. No central PE. MEDIASTINUM / ESOPHAGUS: Mild esophageal wall thickening, without focal abnormality. LYMPH NODES: None enlarged. CHEST ... | Findings: Lines and Tubes: Right-sided port tip terminates in the upper right atrium, similar. Body Wall and Abdomen: No destructive osseous lesions. CT of abdomen and pelvis will be reported separately. Lymph Nodes, Mediastinum and Neck: No axillary or mediastinal adenopathy. A few small mediastinal lymph nodes have a... |
2,705 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 75-year-old male with squamous cell carcinoma of the penis; follow-up. COMPARISON: CT abdomen pelvis 9/24/2020 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 186 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 80 ml. IV cont... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Well-circumscribed hypodensity in the right hepatic lobe segment 5, most suggestive of a cyst (axial series 201, image 238. Additional ill-defined subcentimeter hypoattenuating lesion noted on axial seri... | FINDINGS: AORTIC MEASUREMENTS: AORTIC ROOT AT THE SINUSES: 3.6 x 3.8 x 4.2 cm. MID-ASCENDING THORACIC AORTA: 4.0 x 3.7 cm. AORTIC ARCH: 3.6 x 3.2 cm. PROXIMAL DESCENDING THORACIC AORTA: 3.8 x 3.5 cm. MID DESCENDING THORACIC AORTA: 4.9 x 4.4 cm (previously 5.3 x 4.4 cm although suboptimal measurement). DISTAL DESCENDING... |
2,706 | CT Chest with contrast Clinical Information: 75-year-old male penile SCC, eval for mets Comparison: None Technique: Following injection of non-ionic contrast 2.5 mm images were obtained through the chest. Abdominal findings will be reported separately. Patient weight: 186 lbs. IV contrast: Omnipaque 350, 115 ml, per pr... | Findings: Small calcified left mediastinal and left hilar nodes are seen. No enlarged intrathoracic nodes are present. Small hiatal hernia is noted. Calcific atherosclerosis is seen in the aorta and coronary arteries with a stent present in the LAD. The heart size and mediastinum are otherwise normal. Small area of pat... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: Moderate to severe atherosclerotic disease ABDOMINAL AORTA: Dilated abdominal aorta, with several fusiform aneurysms, some with ulceration. The superior portion measures at least 4.8 cm transverse by 3.9 cm AP on image 530 series 501, previously 5.0 cm AP by ... |
2,707 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 59-year-old female with suspected bowel obstruction. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 129 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 2 ml per sec. Scan d... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Indeterminant, noncalcified 6 cm pulmonary nodule in the left lower lobe on axial series 2, image 14. DISTAL ESOPHAGUS: Small hiatal hernia. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal for technique. BILI... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis Renal Donor RIGHT KIDNEY: - RENAL ARTERY: Single. - RENAL VEIN: Duplicated. - COLLECTING SYSTEM: Single. - RENAL CALCULI: Absent. - CYSTS/MASSES: Absent. - VOLUME: 118 cm\S\3 LEFT KIDNEY: - RENAL ARTERY: Single. - RENAL VEIN: Single with conventional pre-aortic anatomy. -... |
2,708 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: 51-year-old male undergoing liver transplant evaluation. COMPARISON: None. TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 220 lbs. IV contrast: Omnipaque 350, 180 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.20 ml per sec. Scan delay: BO... | FINDINGS: STRUCTURED REPORT: CT HCC Screening IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Moderate sized right pleural effusion. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Cirrhotic. No steatosis. Peripheral wedge-shaped area of arterial enhancement noted in hepatic segment IVb, like... | 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... |
2,709 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Chest with contrast, CT Cervical Spine From Reformat, CT Angio Neck, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. Scattered dental caries with periapical lucency invo... | Findings: The optic nerve sheaths are slightly large bilaterally but have no significant tortuosity. The ocular globes, muscle and lateral glands are unremarkable. The sella and suprasellar cisterns are not well shown. -------------- |
2,710 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Chest with contrast, CT Cervical Spine From Reformat, CT Angio Neck, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. Scattered dental caries with periapical lucency invo... | Findings: Comparison: No prior Lungs and Pleura: Patchy and confluent groundglass opacities are present with slight cranial predominance. Located centrally on the right and more peripherally on the left, these are associated with mild bronchiectasis. There were a few patchy groundglass opacities without bronchiectasis ... |
2,711 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Chest with contrast, CT Cervical Spine From Reformat, CT Angio Neck, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. Scattered dental caries with periapical lucency invo... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Peripherally calcified lesion within the peripheral aspect of the right hepatic lobe measures 4.0 x 2.8 cm (series 3, image 193), previously 4.2 x 2.9 cm. The more superior smaller hypoattenuating lesion ... |
2,712 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Chest with contrast, CT Cervical Spine From Reformat, CT Angio Neck, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. Scattered dental caries with periapical lucency invo... | FINDINGS: Scouts: No additional findings. Lines and tubes: Right IJ port catheter tip is in the right atrium as before. Lungs and pleura: No suspicious pulmonary nodules. Scattered calcified granulomas. No pulmonary consolidation. No pleural effusion. No pneumothorax. Esophagus, Mediastinum and neck: Esophagus is norma... |
2,713 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Chest with contrast, CT Cervical Spine From Reformat, CT Angio Neck, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. Scattered dental caries with periapical lucency invo... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Lower lobe subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Mild intrahepatic and severe extra hepatic biliary ductal dilation is similar to ... |
2,714 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Chest with contrast, CT Cervical Spine From Reformat, CT Angio Neck, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. Scattered dental caries with periapical lucency invo... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral cortical volume is normal. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Normal. MANDIBLE: Normal. SINONASAL CAVITIES: Nor... |
2,715 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Chest with contrast, CT Cervical Spine From Reformat, CT Angio Neck, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. Scattered dental caries with periapical lucency invo... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal bilateral dependent atelectasis. No pleural effusion or pneumothorax. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: No mediastinal hematoma. The esophagu... |
2,716 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Chest with contrast, CT Cervical Spine From Reformat, CT Angio Neck, CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacia... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: There are no acute maxillofacial or mandibular fractures. Scattered dental caries with periapical lucency invo... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal bilateral dependent atelectasis. No pleural effusion or pneumothorax. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: No mediastinal hematoma. The esophagu... |
2,717 | CT Head wo+w contrast 1/6/2022 2:03 PM Clinical Information: dizziness, C50.211 Malignant neoplasm of upper-inner quadrant of right female breast Comparison: None Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Post contra... | Findings: Gray-white matter differentiation is maintained. No intracranial hemorrhage. No brain mass or mass effect. Postcontrast images demonstrate no enhancing intracranial masses. Mild ventriculomegaly without cerebral volume loss. Paranasal sinuses and mastoid cells are clear. No focal destructive osseous lesion. V... | 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 ( |
2,718 | Lung Cancer Screening Clinical Information: Lung cancer screening Technique: Scan field of view: 320 mm. Height: 64 in. Patient weight: 130 lbs. CTDI vol: 0.45 mGy. DLP: 19.30 mGy cm. 1.25 mm images were obtained through the chest. The CT is jointly interpreted by Drs. Terry and Singh Smoking Status: Current If not cur... | Findings: No enlarged hilar or mediastinal nodes are present. Calcified AP window nodes are seen. Calcific atherosclerosis is present in the aorta. Post CABG findings are seen. The mediastinum is otherwise normal. Upper lobe predominant centrilobular and paraseptal emphysema is redemonstrated. Small area of scarring is... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal bilateral dependent atelectasis. No pleural effusion or pneumothorax. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: No mediastinal hematoma. The esophagu... |
2,719 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: 44-year-old female, COVID positive, evaluation for pulmonary embolism. COMPARISON: Chest radiograph 12/30/2021; CT angiogram chest 8/2/2021 TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-re... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: Multiple thyroid nodules, the thyroid appears enlarged and several of the thyroid nodules are calcified including a retrosternal left-sided goiter. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal bilateral dependent atelectasis. No pleural effusion or pneumothorax. The central airways are patent. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: No mediastinal hematoma. The esophagu... |
2,720 | CT Orbit or Temporal Bones with contrast 1/6/2022 2:50 PM Clinical Information: Mastoiditis Comparison: None Technique: Axial helical CT images were obtained through the maxillofacial region. 2-D coronal reconstructions were generated from the axial data. Patient weight: 140 lbs. IV contrast: Omnipaque 350, 100 ml, per... | Findings: There are bilateral mastoid effusions as well as opacification of the bilateral middle ear. The ossicles appear grossly intact. The external auditory canals appear patent. There is no definite osseous destruction. No acute fracture or dislocation is seen. No definite abnormal enhancement. There is moderate mu... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral cortical volume is normal. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Normal. MANDIBLE: Normal. SINONASAL CAVITIES: Nor... |
2,721 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: ams COMPARISON: 11/30/2021 TECHNIQUE: CT Head wo contrastScan field of view: 270.70 mm. DLP: 1389.40 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Advanced global atrophy and chronic small vessel ischemic change. Remote lacunar type i... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Advanced global atrophy and chronic small vessel ischemic change. Remote lacunar type infarcts in the right internal capsule/corona radiata, thalamus and pons. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBI... | 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 ( |
2,722 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Left flank pain. COVID confirmed COMPARISON: 12/24/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 140 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan field of view: ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Hepatic steatosis. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: S... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. There is bilateral basal ganglia mineralization. Multiple right middle cranial fossa aneurysm clips are again noted. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. S... |
2,723 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Known sacral wound and osteomyelitis COMPARISON: CT 12/07/2021 CT pelvis 12/31/2021. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 371 mm. DLP: 538.50 mGy cm. Patient had contrast extravasation of about 40 cc in the left arm. Multip... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Linear bibasilar subsegmental atelectasis. No pleural effusion, consolidation or pneumothorax. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Heart is normal i... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis Renal Donor RIGHT KIDNEY: - RENAL ARTERY: Single. - RENAL VEIN: Single. - COLLECTING SYSTEM: Single. - RENAL CALCULI: Absent. - CYSTS/MASSES: Absent. - VOLUME: 143 cm\S\3 LEFT KIDNEY: - RENAL ARTERY: Single. - RENAL VEIN: Single with conventional pre-aortic anatomy. - COL... |
2,724 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Shortness of breath. Lung transplant status. COMPARISON: 8/26/2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 361 mm. DLP: 283 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWE... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Previously seen airspace opacities in the transplanted left lower lung have resolved. Severe emphysematous changes and hyperinflation of the righ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Trace left basilar scarring/atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Scattered calcifications along the LAD. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Contracted. PANCREAS: Normal. SPLEEN: Normal... |
2,725 | EXAM: CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: Fall COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Chest with contrast. Patient weight: 105 lbs. IV contrast: Omnipaque 350, 120 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 4 ml per sec. Scan ... | FINDINGS: LOWER NECK: Mildly enlarged thyroid gland with 8 mm nodule in the isthmus and additional smaller right thyroid nodule. CHEST: LUNGS / AIRWAYS / PLEURA: Moderate right pleural effusion with overlying atelectasis. 1.0 cm nodular focus of consolidation in the right lower lobe on image 171, series 501. No acute i... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There are periventricular low-attenuation white matter changes, likely small vessel ischemic evaluation is limited by motion artifact disease. There is bilateral basal ganglia mineralization. There is no evidence of acute infarct, hemorrhage, mass or mass... |
2,726 | EXAM: CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: Fall COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Chest with contrast. Patient weight: 105 lbs. IV contrast: Omnipaque 350, 120 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 4 ml per sec. Scan ... | FINDINGS: LOWER NECK: Mildly enlarged thyroid gland with 8 mm nodule in the isthmus and additional smaller right thyroid nodule. CHEST: LUNGS / AIRWAYS / PLEURA: Moderate right pleural effusion with overlying atelectasis. 1.0 cm nodular focus of consolidation in the right lower lobe on image 171, series 501. No acute i... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There are periventricular low-attenuation white matter changes, likely small vessel ischemic evaluation is limited by motion artifact disease. There is bilateral basal ganglia mineralization. There is no evidence of acute infarct, hemorrhage, mass or mass... |
2,727 | RADIOLOGIC EXAM: CT Angio Neck CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Neck 3-D CT MIP and Volume rendered angiographic images were generated in post processing. Patient weight: 105 lbs. IV contrast: Omnipaque 350, 120 ml, per protocol. Saline flush: 80 ml. IV contrast injection rate: 3.50 m... | FINDINGS: Mild to moderate carotid atherosclerotic disease without flow-limiting stenosis. Mild atherosclerotic narrowing of the proximal left subclavian artery. AORTIC ARCH and PROXIMAL GREAT VESSELS: Unremarkable. RIGHT CAROTID: No evidence of occlusion, dissection, or aneurysm. LEFT CAROTID: No evidence of dissectio... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There are periventricular low-attenuation white matter changes, likely small vessel ischemic evaluation is limited by motion artifact disease. There is bilateral basal ganglia mineralization. There is no evidence of acute infarct, hemorrhage, mass or mass... |
2,728 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 69-year-old male with nausea vomiting and abdominal pain; history of renal stones. COMPARISON: CT abdomen pelvis 3/15/2013 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 186 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 75... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Right basilar subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: Surgically absent. PANCREAS: Peripancreatic... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There are periventricular low-attenuation white matter changes, likely small vessel ischemic evaluation is limited by motion artifact disease. There is bilateral basal ganglia mineralization. There is no evidence of acute infarct, hemorrhage, mass or mass... |
2,729 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 75-year-old female with metastatic breast cancer. COMPARISON: CT 10/12/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 120 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 1.50 ml per sec... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Layering hyperdensity represents stones or sludge. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: None enlarged. STOMACH / SMALL BOWEL: No abnormality. COLON / APPENDI... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There are periventricular low-attenuation white matter changes, likely small vessel ischemic evaluation is limited by motion artifact disease. There is bilateral basal ganglia mineralization. There is no evidence of acute infarct, hemorrhage, mass or mass... |
2,730 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Metastatic breast cancer. Restaging scans. COMPARISON: 10/12/2021 TECHNIQUE: CT Chest with contrast. Patient weight: 120 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 1.50 ml per sec. Scan delay: Bolus Tracked. S... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Mild biapical scarring. A couple of tiny nonspecific less than 0.3 cm pulmonary nodules in the right lung are unchanged. HEART / VESSELS: Mild coronary artery calcifications. Aortic valve calcifications without significant dilati... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There are periventricular low-attenuation white matter changes, likely small vessel ischemic evaluation is limited by motion artifact disease. There is bilateral basal ganglia mineralization. There is no evidence of acute infarct, hemorrhage, mass or mass... |
2,731 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Chest pain or shortness of breath, pleurisy or effusion suspected. Pneumonia. COMPARISON: None. TECHNIQUE: CT Chest wo contrast. Scan field of view: 390 mm. DLP: 218 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STR... | 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 pleural effusion. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Mild circumferential thickening of the distal... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There are periventricular low-attenuation white matter changes, likely small vessel ischemic evaluation is limited by motion artifact disease. There is bilateral basal ganglia mineralization. There is no evidence of acute infarct, hemorrhage, mass or mass... |
2,732 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 248 mm. DLP: 1516.90 mGy cm. (accession CT220003256), Scan field of view: 244 mm. DLP: 1201.80 mGy cm. (accession CT220003257... | 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: Left globe rupture with few foci of intraconal gas in the left orbit as as well as left periorbital co... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There are periventricular low-attenuation white matter changes, likely small vessel ischemic evaluation is limited by motion artifact disease. There is bilateral basal ganglia mineralization. There is no evidence of acute infarct, hemorrhage, mass or mass... |
2,733 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 248 mm. DLP: 1516.90 mGy cm. (accession CT220003256), Scan field of view: 244 mm. DLP: 1201.80 mGy cm. (accession CT220003257... | 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: Left globe rupture with few foci of intraconal gas in the left orbit as as well as left periorbital co... | Findings: Brain parenchyma: Mild diffuse age-appropriate brain parenchymal volume loss is again seen. Scattered periventricular and subcortical white matter hypoattenuation is unchanged, suggestive of mild chronic microvascular ischemic disease. Stable left temporoparietal encephalomalacia, suggestive of remote infarct... |
2,734 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 70-year-old female with follow-up of abscess. COMPARISON: CT abdomen and pelvis 11/29/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 415 mm. DLP: 1059.30 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Interval resolution of bilateral pleural effusions. Mild bibasilar atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Coronary artery calcifications. ... | FINDINGS: No acute fracture or dislocation. Along the medial aspect of the mid tibial diaphysis, there is a soft tissue mass measuring 1.1 x 0.8 x 1.9 cm (image 457, series 201; image 71, series 203) with associated cortical remodeling. The mass demonstrates mild homogeneous postcontrast enhancement. Additionally, ther... |
2,735 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: 20-year-old male with confirmed COVID pneumonia. Dyspnea. COMPARISON: None. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 447 lbs. IV contrast: Omnipaque 3... | FINDINGS: OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Bilateral groundglass opacities and nodular consolidations. Dep... | Findings: Brain parenchyma: Mild age-appropriate frontal brain parenchymal volume loss is seen. The brain parenchyma has a normal appearance. The white-gray matter differentiation is preserved. Ventricular system: Normal configuration. No hydrocephalus. Basal cisterns: There is no significant effacement of the basilar ... |
2,736 | CT Perfusion 1/6/2022 2:26 PM Clinical Information: cf stroke Comparison: No prior perfusion studies are available for comparison. Technique: A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves generated from this dat... | Findings: The noncontrast images demonstrate postsurgical changes from left frontal extra-axial mass resection with expected postsurgical extra-axial hemorrhage and scant hemorrhage at the resection bed as well as adjacent sylvian subarachnoid hemorrhage. There is left frontal pneumocephalus. Adjacent left frontal edem... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Similar appearance of dense pulmonary scarring and interlobular septal thickening most pronounced in the anterior aspects of the upper and midlungs. There is associated volume loss and traction bronchiectasis. There is no pleural... |
2,737 | EXAM: CT Tib Fib Left wo contrast CLINICAL INFORMATION: History of Hodgkin lymphoma. COMPARISON: None. TECHNIQUE: CT Tib Fib Left wo contrast Scan field of view: 190 mm. DLP: 186 mGy cm. FINDINGS: BONES/JOINTS: No acute fracture or malalignment. Mild degenerative changes within the knee and ankle joints. There is osseo... | FINDINGS: BONES/JOINTS: No acute fracture or malalignment. Mild degenerative changes within the knee and ankle joints. There is osseous excrescence arising from the posterior proximal tibial metaphysis with medullary continuity, favored to represent an osteochondroma. SOFT TISSUES: Hyperattenuating fluid collection wit... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Interval resolution of immediate postsurgical changes pneumocephalus. Substantial interval decrease in size right cerebral convexity subdural hemorrhage which now measures 8 mm in maximum thickness with contents hypoattenuating to the ... |
2,738 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 61-year-old female with shortness of breath, pulmonary arterial hypertension. COMPARISON: PA and lateral chest radiograph dated 9/16/2021.. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 280 mm. DLP: 242.01 mGy cm. High-resolution CT... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent, with small volume secretions extending into the distal trachea into the proximal right main bronchus. Mild mixed emphysema, with minimal lower lobe bronchiectasis. There are ill-defined centrilobular nodules, with a few calcified... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: Duplicated right renal arteries. There is approximately 50% steno... |
2,739 | CT Chest wo+w contrast Clinical Information: 45-year-old female fractured IVF filter per dr terry, Z95.828 Presence of other vascular implants and grafts Comparison: Previous chest CT dated 4/10/2011 and abdomen CT from 1//2022. Technique: Initial 3 mm thick noncontrast images were obtained through the thorax. Followin... | Findings: On the noncontrast exam a linear density projects near the confluence of the left inferior and superior pulmonary veins on series 3 images 49-55. This is best appreciated on sagittal series 6 image 56. On the postcontrast 1 mm thick images this is projects adjacent to but outside the confluence of the left pu... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No ab... |
2,740 | CT Angio Neck, CT Angio Head. Contrast 1/6/2022 2:28 PM Clinical Information: Headaches, EDS Type 4, G43.909 Migraine, unspecified, not intractable, without status migrainosus, Q79.60 Ehlers-Danlos syndrome, unspecified Comparison: None Technique: 1.4 mm axial images were obtained during the early arterial phase of a r... | Findings: Noncontrast head CT: There is no intracranial hemorrhage. There are coarse calcifications within the right periventricular region extending into the basal ganglia. The right cerebral white matter shows slightly more advanced microangiopathic changes and some volume loss. There is asymmetric ex vacuo ventricul... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: A 3 cm cyst noted in the right hepatic lobe. Addi... |
2,741 | CT Angio Neck, CT Angio Head. Contrast 1/6/2022 2:28 PM Clinical Information: Headaches, EDS Type 4, G43.909 Migraine, unspecified, not intractable, without status migrainosus, Q79.60 Ehlers-Danlos syndrome, unspecified Comparison: None Technique: 1.4 mm axial images were obtained during the early arterial phase of a r... | Findings: Noncontrast head CT: There is no intracranial hemorrhage. There are coarse calcifications within the right periventricular region extending into the basal ganglia. The right cerebral white matter shows slightly more advanced microangiopathic changes and some volume loss. There is asymmetric ex vacuo ventricul... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: A 3 cm cyst noted in the right hepatic lobe. Addi... |
2,742 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Shortness of breath. History of metastatic neuroendocrine tumor. COMPARISON: CT chest 8/24/2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 410 mm. DLP: 212.81 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Left thyroid lobe nodule measures up to 1.6 cm. CHEST: LUNGS / AIRWAYS / PLEURA: The central airways are patent. Increased size of moderate right pleural effusion with adjacent atelectas... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Mastoid air cells are clear. Pneumatization of the petrous apices is noted. VENTRICULAR SYSTEM: Normal. ORBITS: Globes are intact. Linear densities along the inferior aspect of the left orbit ... |
2,743 | CT Head wo contrast 1/6/2022 3:36 PM Clinical Information: COVID Confirmed confusion Spec Inst: convalesced Comparison: Head CT 12/24/2021 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 210 mm. DLP: 2571 mGy cm. Findings: There is mild diffuse cerebral volume loss wi... | Findings: There is mild diffuse cerebral volume loss with ventricular prominence. There is no acute hemorrhage, evidence of acute infarction or hydrocephalus. There is no vasogenic edema or mass effect. There is a partially empty sella. There is patchy mucosal thickening in the ethmoid air cells and right maxillary sin... | Findings: The visualized paranasal sinuses appear clear of acute process. Ostiomeatal complexes appear patent. The visualized osseous structures appear intact. The remaining visualized osseous and soft tissue structures appear within normal limits. Evaluation for soft tissue abnormalities is limited on this non contras... |
2,744 | EXAM: CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: Congenital heart disease. Concern for cirrhosis. COMPARISON: 9/10/2020 TECHNIQUE: CT Abdomen and Pelvis wo+w contrast. Patient weight: 167 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3.50 ml per s... | FINDINGS: STRUCTURED REPORT: CT HCC Screening FINDINGS: IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Mild mosaicism at the lung bases. HEART / VESSELS: Known complex congenital heart disease. Partially imaged IVC conduit. ABDOMEN: LIVER: Cirrhotic. No steatosis. There are diffuse congestive changes thr... | FINDINGS: The pulmonary artery opacification is excellent and well opacified pulmonary arteries and its branches demonstrate no intraluminal filling defect. Interval increase in the multiloculated left pleural effusion with few areas of nodular pleural thickening and small air along the upper costal collection with sig... |
2,745 | EXAM: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Organ donation evaluation. COMPARISON: None. TECHNIQUE: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast. Scan field of view: 215 mm. DLP: 1126 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduc... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Endotracheal tube terminates in the trachea above the carina in satisfactory position. A few tracheal secretions are present as well as a fe... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral cortical volume is appropriate for patient's age. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute fracture. VENTRICULAR SYSTEM... |
2,746 | EXAM: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Organ donation evaluation. COMPARISON: None. TECHNIQUE: CT Chest wo contrast, CT Abdomen and Pelvis wo IV contrast. Scan field of view: 215 mm. DLP: 1126 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduc... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Endotracheal tube terminates in the trachea above the carina in satisfactory position. A few tracheal secretions are present as well as a fe... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CT chest findings are reported separately. ABDOMEN and PELVIS: LIVER: Stable appearance of a subcentimeter hypodensity along the margin of the right hepatic lobe on axial series 2, image 247. No new hepatic lesion. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCRE... |
2,747 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: 77-year-old female with shortness of breath. Past history of severe peripheral arterial disease, with suspected aortitis and possible polymyalgia. Restrictive lung disease, rule out ILD. COMPARISON: Outside CT angiographic dated 10/17/2021. Multiple prior... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Heterogeneous attenuation of the thyroid gland with partially calcified nodule in the left thyroid lobe. CHEST: LUNGS / AIRWAYS / PLEURA: Mild volume loss in the right lung. There is diffuse peripheral reticulation in the right greater than left lung, greatest involving... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Multiple hypoattenuating thyroid nodules, stable. CHEST: LUNGS / AIRWAYS / PLEURA: Stable appearance of 4 mm pulmonary nodules in the right lower lobe on series 2 image 121, 110. No new suspicious pulmonary nodule is identified. No focal consolidation, pleural effusion,... |
2,748 | CLINICAL HISTORY: Gun shot wound, Y24.9XXA Unspecified firearm discharge, undetermined intent, initial encounter Spec Inst: fu GSW to the head EXAM: CT Head wo contrast TECHNIQUE: 5 mm thick serial axial images were obtained throughout the head without intravenous contrast. Scan field of view: 223 mm. DLP: 836 mGy cm. ... | FINDINGS: Left frontal craniotomy changes are again noted. There is resolving soft tissue swelling and gas as well as small fluid collection within the overlying scalp soft tissues. There are scattered small metallic foreign bodies representing bullet fragments within the left facial and left scalp soft tissues without... | Findings: Lines and Tubes: Right-sided port tip terminates in the lower right brachiocephalic vein. Near its entrance site into the right internal jugular vein there is nonocclusive thrombus. There is also likely nonocclusive thrombus in the right brachiocephalic vein just prior to its confluence with the left. Body Wa... |
2,749 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: Follow-up bronchiectasis COMPARISON: CTs of the chest from 7/24/2021 and earlier. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 396 mm. DLP: 246 mGy cm. High-resolution CT imaging of the chest was performed per protocol with inspira... | FINDINGS: Linear scarring or atelectasis again seen within the middle lobe and lingula with some associated minimal bronchiectasis. Other areas of minimal bronchiectasis with bronchial wall thickening bilaterally appear similar to the prior examination. Linear opacities within the bilateral lower lobes likely represent... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Redemonstrated large central necrotic hepatic mass measuring about 9.6 x 9.0 cm (series 308, image 88), previously about similar size... |
2,750 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: History of prostate cancer COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 190 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan field ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Minimal bibasilar subsegmental atelectasis. No suspicious nodule or mass identified. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No abnormality.. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREA... | FINDINGS: STRUCTURED REPORT: CT HCC Screening IMAGE QUALITY: Satisfactory LOWER CHEST: LUNG BASES / PLEURA: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Cirrhotic. No steatosis. LIVER LESIONS: None. The arterial enhancing segment 5 lesion previously seen on CT dated 3/16/2021 is not redemonstrat... |
2,751 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: AMS COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 228 mm. DLP: 1250 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Mild diffuse brain volume l... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Mild diffuse brain volume loss,, slightly advanced for patient's age. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. SOFT TISSUES: No... | FINDINGS: No acute infarction, hemorrhage, or mass. Normal ventricles. Mucosal thickening in the posterior ethmoid air cells without underlying osseous changes. Paranasal sinuses are otherwise well-aerated. Bilateral mastoid air cells are clear. No acute fractures or suspicious osseous lesions. Normal orbits. Soft tiss... |
2,752 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: Recurrent infection, cough post COVID, GERD, concern for bronchiectasis. COMPARISON: Chest radiograph 3/23/2021. CT abdomen and pelvis 1/11/2021. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 310 mm. DLP: 95.55 mGy cm. High-resoluti... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pleural effusion, or pneumothorax. No ground glass opacity, bronchiectasis, or subpleural reticulation. No honeycombing. HEART / VESSELS: Normal heart size. No pericardial effusion. MEDIASTINUM / ESOPHAGUS... | FINDINGS: BONES/JOINTS: There is a highly comminuted impacted left intertrochanteric fracture with extension through the greater and lesser trochanters and varus angulation. There is mild medial displacement of the lesser trochanter and mild lateral and posterior displacement of the greater trochanter. The bilateral fe... |
2,753 | EXAM: CT Abdomen with contrast CLINICAL INFORMATION: 43-year-old male with history of testicular cancer; follow-up. COMPARISON: Multiple prior CTs of the abdomen pelvis, most recently 7/1/2021 TECHNIQUE: CT Abdomen with contrast. Patient weight: 277 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 2... | FINDINGS: STRUCTURED REPORT: CT Abdomen LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal for technique. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Ri... | FINDINGS: No retained foreign body. Airway is widely patent. No tonsillar/peritonsillar abscess. Uvula is midline. Epiglottis is normal in appearance. No prevertebral soft tissue swelling. No cervical lymphadenopathy or mass. The imaged intracranial structures are unremarkable. Trace mucosal thickening along the floor ... |
2,754 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Left groin pain, concern for hernia or other COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 250 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 90 sec. Scan field of ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMP... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bibasilar subsegmental atelectasis. No focal lung consolidation, pleural effusion or pneumothorax. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Heart is normal in size. Moderate coronary calcifications. ABDOMEN and PELVIS: LIVER: Normal. BIL... |
2,755 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 69-year-old male with confirmed Covid pneumonia diagnosed three weeks ago. Possible new infection. COMPARISON: PET/CT dated 10/14/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 350 mm. DLP: 292.50 mGy cm. FINDINGS: CT imaging was performed without IV contrast... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Endotracheal tube tip in the trachea. Bilateral groundglass opacities, consolidations, and crazy paving pattern of both lungs. Developing reticul... | Findings: The left kidney and post auricular soft tissues are unremarkable. No masses seen. No bone invasion is identified. The right] orbital soft tissues appear normal. No tumor is seen. Underlying bone is intact. No skin lesion is seen in the soft tissues on either side of the face. The nasopharynx is unremarkable a... |
2,756 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 50-year-old male with flank pain and suspected kidney stone. COMPARISON: Ultrasound abdomen 6/11/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 420 mm. DLP: 1274.25 mGy cm. FINDINGS: CT imaging was performed without IV contrast,... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Mild atelectasis at the right lung base. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Numerous irregul... | Findings: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. There are confluent periventricular low-attenuation white matter changes, small vessel ischemic disease. The ventricular system and extra-axial spaces our enlarged, likely related to diffus... |
2,757 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Endometrial cancer. Assess disease extent. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 159 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 78 sec. Scan field of vi... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Small hypoattenuating focus in the right liver series 302 image 57. An additional ill-defined hypoattenuating lesion measures up to 1.1 cm and the right hepatic dome. BILIARY TRACT: No dilation. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLE... | FINDINGS: BONES/JOINTS: No acute fracture or malalignment. The bilateral femoral heads are well-seated within the acetabula. Sacroiliac joints are symmetric without significant widening. No pubic symphysis diastasis. A small ossific density projects superior to the left greater trochanter (series 210 image 161), likely... |
2,758 | EXAM: CT Chest with contrast CLINICAL INFORMATION: History of endometrial cancer. Rule out distant disease. COMPARISON: None. TECHNIQUE: CT Chest with contrast. Patient weight: 159 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 35 sec. Scan field of view: 34... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Subcentimeter left thyroid nodule. CHEST: LUNGS / AIRWAYS / PLEURA: The central airways are patent. Mild bilateral dependent atelectasis. No suspicious pulmonary nodules or masses. No pleural effusion. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS... | Findings: Brain parenchyma: Progressive predominantly frontoparietal age-appropriate brain parenchymal volume loss is seen, resulting in mild exvacuo dilatation of the ventricular system. Mild periventricular white matter hypoattenuation is again noted, suggestive of mild chronic microvascular ischemic disease. The bra... |
2,759 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 58-year-old male with urinary calculi; follow-up. COMPARISON: CT abdomen pelvis 11/29/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 425 mm. DLP: 1389.49 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Indeterminate subcentimeter hypodensity in the po... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Mild, age-appropriate frontoparietal volume loss. Focal right parietotemporal chronic encephalomalacia, unchanged. Large area of posterior left cerebral hemisphere chronic cystic encephalomalacia, unchanged... |
2,760 | CT Cardiac with contrast CLINICAL INFORMATION: 67-year-old female with aortic stenosis year-old female 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 ... | 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: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Hypoattenuating lesion along the posterior right hepatic lobe measures 3.2 x 1.8 cm (series 202, image 2:15). BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS... |
2,761 | EXAM: CT Angio Abdomen and Pelvis CLINICAL INFORMATION: AS, Z01.810 Encounter for preprocedural cardiovascular examination, 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 gen... | FINDINGS: STRUCTURED REPORT: CTA TAVR Protocol VASCULATURE: The right hepatic artery is replaced to the SMA. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality. LEFT RENAL: No significant abnormality. IMA: No sig... | FINDINGS: LINES AND TUBES: None. LOWER NECK: Thyroid goiter with multiple subcentimeter hypodense nodules. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: Mild coronary artery calcifications. Normal heart size. Normal caliber aorta. MEDIASTINUM / ESOPHAGUS: Normal. LYMPH NODES: None enlarged. CHEST WALL: No s... |
2,762 | CT Head wo contrast Clinical Information: AMS Spec Inst: encephalopathy, on aspirin, please assess for acute process Comparison: None available Technique: Unenhanced axial brain CT with sagittal and coronal reformats. Scan field of view: 274.10 mm. DLP: 1389.40 mGy cm. Findings: CT head: BRAIN PARENCHYMA: No hemorrhage... | Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation maintained. Mild periventricular hypoattenuation, consistent with chronic microangiopathic change. Mild diffuse atrophy with portion enlargement and ventricles and subarachnoid CSF... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. The brain parenchyma volume appears normal. The white-gray matter differentiation is preserved. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Previously seen fractures of the right nasal bone/frontal process of the right maxilla has heale... |
2,763 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 67-year-old male with kidney stones. COMPARISON: CT abdomen and pelvis 12/7/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 410 mm. DLP: 345 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnos... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Mild dependent atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY... | Findings: The sagittal images demonstrate straightening and slight reversal of the cervical lordosis, with subtle grade 1 anterolisthesis of C6 on C7. Acute displaced fracture of the right C7 superior and inferior facets, extending into the right C7 transverse process and transverse foramen, resulting in perched right ... |
2,764 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 75-year-old female with unintended weight loss. COMPARISON: CT abdomen pelvis 6/2/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 104 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 3 m... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated same-day CT chest. ABDOMEN and PELVIS: LIVER: Unchanged left lobe medial segment hepatic cyst. BILIARY TRACT: Intra and extrahepatic biliary ductal dilation tapering to normal at the pancreas head, stable compared to prior. GALLB... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No suspicious pulmonary nodule. Mild to moderate centrilobular emphysema bilaterally with bronchial wall thickening. Dependent atelectasis bilate... |
2,765 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Weight loss, unintended. Per chart review, history of dysphagia and night sweats. COMPARISON: CT chest 6/2/2021. TECHNIQUE: CT Chest with contrast. Patient weight: 104 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate... | FINDINGS: LOWER NECK: Postsurgical changes related to interval left supraclavicular nodal dissection. CHEST: LUNGS / AIRWAYS / PLEURA: There is increased size transplant nodular opacity right middle lobe measuring 15 x 10 mm (image 163, series #203). There is interval development of well-defined nodularity in the right... | 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: New moderate... |
2,766 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Left upper quadrant pain COMPARISON: 9/6/2013 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 500 mm. Oral contrast Omnipaque: 16.9 oz. DLP: 1482.92 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diag... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Coronary calcifications visualized. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDE... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral cortical volume is normal. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Normal. MANDIBLE: Normal. SINONASAL CAVITIES: Mil... |
2,767 | Lung Cancer Screening Clinical Information: Lung cancer screening Technique: Scan field of view: 335 mm. Height: 69 in. Patient weight: 172 lbs. CTDI vol: 2.44 mGy. DLP: 88.52 mGy cm. 0.63 mm images were obtained through the chest. The CT is jointly interpreted by Drs. Singh and Terry Smoking Status: Former If not curr... | Findings: Small nodes in the mediastinum especially right lower paratracheal region are stable. Mild diffuse increased peribronchial thickening and mild upper lobe centrilobular emphysema with dependent atelectatic changes in both upper and lower lobes. Mild lower lobe bronchiectasis is also suspected. Previously noted... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacities of the lateral right middle lobe likely represents pulmonary contusion. Trace bibasilar dependent atelectasis. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: In... |
2,768 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 60-year-old male with testicular malignancy. COMPARISON: Outside CT chest dated 10/4/2021. TECHNIQUE: CT Chest with contrast. Patient weight: 199 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 2.50 ml per sec. Sc... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. Multiple noncalcified bilateral pulmonary nodules are again seen, with interval improvement. Some of the nodules have completely resolved. A representative peripheral right upper lobe nodule measures 5 mm on axial image 91; serie... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacities of the lateral right middle lobe likely represents pulmonary contusion. Trace bibasilar dependent atelectasis. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: In... |
2,769 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 60-year-old man with malignant germ cell tumor. Evaluate metastatic disease. COMPARISON: 5/19/2021 (outside CT from Fort Walton Beach Medical Center) TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 199 lbs. IV contrast: Omnipaque 350, 115 ml, per... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Chest CT performed today will be reported separately. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMPH NODES: An enlarged low attenuation retrocava... | 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 ( |
2,770 | EXAM: CT Chest High Resolution wo contrast CLINICAL INFORMATION: Chronic bronchitis. COMPARISON: None. TECHNIQUE: CT Chest High Resolution wo contrast. Scan field of view: 300 mm. DLP: 172.21 mGy cm. High-resolution CT imaging of the chest was performed per protocol with inspiratory and expiratory technique in prone po... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Residual thymus. Otherwise unremarkable. LYMPH NODES: None enlarged. CHEST WALL: No significant abnormality. UPPER ABDOMEN: Normal. MUSCULOSKELETAL: No... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacities of the lateral right middle lobe likely represents pulmonary contusion. Trace bibasilar dependent atelectasis. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: In... |
2,771 | CT Angio Neck, CT Angio Head wo+w contrast 1/6/2022 3:32 PM Clinical Information: Innominate thrombosis, Z98.890 Other specified postprocedural states Spec Inst: Evaluate Aortic Arch Comparison: Chest CT dated 12/20/2021 Technique: Noncontrast axial head CT images were obtained. Axial CT angiogram images were obtained ... | Findings: Noncontrast head CT: No acute intracranial abnormality. No intracranial hemorrhage. Mild white matter microangiopathic changes. No hydrocephalus. No acute or aggressive osseous lesion. Paranasal sinuses and mastoid air cells are clear. CT angiography: There is motion artifact, partly degrading evaluation. Aor... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Groundglass opacities of the lateral right middle lobe likely represents pulmonary contusion. Trace bibasilar dependent atelectasis. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: In... |
2,772 | CT Angio Neck, CT Angio Head wo+w contrast 1/6/2022 3:32 PM Clinical Information: Innominate thrombosis, Z98.890 Other specified postprocedural states Spec Inst: Evaluate Aortic Arch Comparison: Chest CT dated 12/20/2021 Technique: Noncontrast axial head CT images were obtained. Axial CT angiogram images were obtained ... | Findings: Noncontrast head CT: No acute intracranial abnormality. No intracranial hemorrhage. Mild white matter microangiopathic changes. No hydrocephalus. No acute or aggressive osseous lesion. Paranasal sinuses and mastoid air cells are clear. CT angiography: There is motion artifact, partly degrading evaluation. Aor... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral cortical volume is normal. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Normal. MANDIBLE: Normal. SINONASAL CAVITIES: Mil... |
2,773 | EXAM: CT Abdomen wo+w contrast CLINICAL INFORMATION: 55-year-old female with epigastric pain and unintentional weight loss. COMPARISON: None. TECHNIQUE: CT Abdomen wo+w contrast. Patient weight: 169 lbs. IV contrast: Omnipaque 350, 143 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 3.50 ml per sec. ... | FINDINGS: STRUCTURED REPORT: CT Abdomen LOWER CHEST: LUNG BASES / PLEURA: Large partially calcified nodule in the medial left lower lobe measures 2.0 cm on axial series 11, image 54. Additional 4 mm noncalcified nodule in the posterior right lower lobe on axial series 11, image 1. DISTAL ESOPHAGUS: Normal. HEART / VESS... | 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 ( |
2,774 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 54-year-old female with renal calculi; follow-up. COMPARISON: Multiple prior CTs of the abdomen pelvis, most recently 10/20/2020 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 450 mm. DLP: 1134.89 mGy cm. FINDINGS: CT imaging was per... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Small hiatal hernia. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT:... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: No acute pulmonary embolus is identified. Main pulmonary artery is mildly enlarged measuring 3.4 cm. LUNGS / AIRW... |
2,775 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: Rule out metastases. Unspecified viral hepatitis C. Alcoholic liver disease. COMPARISON: None. TECHNIQUE: CT Chest wo contrast. Scan field of view: 370 mm. DLP: 193.79 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. S... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small bilateral pleural effusions and adjacent passive atelectasis. Tiny nodular opacities along the right lung minor fissure, likely fissural ly... | FINDINGS: STRUCTURED REPORT: CTA Chest VASCULATURE: CORONARY ARTERIES: There are mild atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmonary embolus. Enlarged main pulmonary artery up to 32 mm. Filling defect seen in the right upper lobe posterior branch is likely artif... |
2,776 | CT Neck Soft Tissue w contrast 1/6/2022 3:46 PM Clinical Information: Squamous cell carcinoma, C80.1 Malignant (primary) neoplasm, unspecified Comparison: Neck CT 10/14/2021 Technique: The neck was studied from the skull base to the thoracic inlet during contrast infusion, following an initial loading bolus of contrast... | Findings: Extensive postsurgical changes in the oral cavity and right neck are again noted with numerous surgical clips and associated streak artifact. Within the limitation from streak artifact, no obvious neck mass is noted. The mildly enlarged left level IA lymph node is again seen and appears stable. There are post... | Findings: There is slight diffuse atrophy and there is commensurate slight prominence of the ventricles but no hydrocephalus. There are hypodensities in the cerebellum ependymal and deep white matter, likely microvascular ischemia. There is no mass, hemorrhage, visible infarct or extracerebral collection. The posterior... |
2,777 | EXAM: CT Rsh Chest with contrast METRIC CLINICAL INFORMATION: Baseline evaluation, ovarian cancer. COMPARISON: None. TECHNIQUE: CT Rsh Chest with contrast METRIC. Patient weight: 182 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 20 ml. IV contrast injection rate: 2 ml per sec. Scan delay: 97 sec.... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small subcentimeter left lung apex nodule (series 2; image 40). HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Small hiatal hernia. LYMPH NODES: Enlarged mediastinal and bilateral hilar lymph nodes. CHEST W... | Findings: CTA neck: The top of the aortic arch and the brachiocephalic arteries have expected appearance. The left common carotid artery and its apparently occluded from its origin to the stent in the distal common carotid artery. There is opacification of the left ICA however there is marked narrowing at C4 and there ... |
2,778 | CT Angio Head wo+w contrast HISTORY: 42-year-old patient with history of ischemic heart disease headache and clinical concern for intracerebral 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 ... | FINDINGS: Noncontrast head CT: No acute intrathoracic abnormality. No intracranial hemorrhage. No brain mass or brain edema. No hydrocephalus. There is a partially empty sella. There is no abnormal intracranial enhancement. Normal orbits. No aggressive osseous lesion. Paranasal sinuses and mastoid air cells are clear. ... | Findings: CTA neck: The top of the aortic arch and the brachiocephalic arteries have expected appearance. The left common carotid artery and its apparently occluded from its origin to the stent in the distal common carotid artery. There is opacification of the left ICA however there is marked narrowing at C4 and there ... |
2,779 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 45-year-old female with left-sided abdominal and flank pain. COMPARISON: CT abdomen and pelvis 5/25/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 246 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 75 ml. IV contrast i... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Subtle scattered groundglass opacities in bilateral lung bases, new from prior. Calcified granuloma in the left lung base. No other significant abnormality. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and... | Findings: There is no abnormal decreased CBF or elevated transient time to suggest significant ischemia or infarction at the territory of major intracranial arteries. CT perfusion is suboptimal in technique. There is motion artifact during the CT and the arterial and venous curves are not standard. |
2,780 | EXAM: CT Rsh Body with contrast METRIC CLINICAL INFORMATION: Ovarian cancer. Baseline evaluation for research study. COMPARISON: 11/11/2021 TECHNIQUE: CT Rsh Body with contrast METRIC. Patient weight: 182 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Oral contrast Omnipaque: 16.9 oz. Saline flush: 20 ml. IV co... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Cholelithiasis. PANCREAS: The pancreas is unremarkable. Peripancreatic peritoneal nodule has enlarged from the prior exam. SPLEEN: Normal size with adjacent small splenule. ADRENALS: Normal. KIDNEYS: Fo... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Stable biapical nodular scarring. Ill-defined nodularity on a background of groundglass opacity in the right lung apex is stable in appearance. F... |
2,781 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 279 mm. DLP: 1444 mGy cm. (accession CT220003313), Scan field of view: 220 mm. DLP: 1049.70 mGy cm. (accession CT220003319) F... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No acute fracture evident. Ununited appearance of the anterior and posterior arch of C1, developmental. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL CT: Age indeterminate bila... | FINDINGS: AORTIC MEASUREMENTS: AORTIC ROOT AT THE SINUSES: 3.4 x 3.2 x 3.2 cm, previously 3.4 x 3.3 x 3.2 MID-ASCENDING THORACIC AORTA (measured on axial image 216 series 301) : 4.3 x 4.0 cm, previously 4.2 x 4.0. AORTIC ARCH: 3.5 x 3.2 cm, previously 3.4 x 3.1. PROXIMAL DESCENDING THORACIC AORTA: 2.9 x 2.6 cm, previou... |
2,782 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. Patient weight: 116 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: There are scattered groundglass opacities seen within the left upper and lower lobes with a suspected trace anterior left pneumothorax. No pleural effusion.. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAG... | FINDINGS: Ballistic: Brain parenchyma appears normal in density. No evidence of acute infarction, intracranial hemorrhage, hydrocephalus or extra-axial fluid collection is seen. Four paranasal sinuses and orbits please refer to the dedicated CT of same date. The skull base segments of the internal carotid arteries are ... |
2,783 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. Patient weight: 116 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: There are scattered groundglass opacities seen within the left upper and lower lobes with a suspected trace anterior left pneumothorax. No pleural effusion.. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAG... | FINDINGS: SINOCRANIAL AND SINOORBITAL JUNCTIONS: The bones adjacent to the sinuses, including the lamina papyracea, cribriform plates and fovea ethmoidalis, are intact. There is Keros anatomy type I bilaterally. NASAL SEPTUM/NASAL CAVITY: There is mild left-sided deviation involving the nasal septum. FRONTAL SINUSES, D... |
2,784 | RADIOLOGIC EXAM: CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Neck, CT Cervical Spine From Reformat 3-D CT MIP and Volume rendered angiographic images were generated in post processing. Patient weight: 116 lbs. IV contrast: Omnipaque 350, 120 ml, per... | FINDINGS: AORTIC ARCH and PROXIMAL GREAT VESSELS: The left common carotid branches off of the brachiocephalic arteries. Otherwise, unremarkable. RIGHT CAROTID: There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. LEFT CAROTID: There is no evidence of irregu... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Bilateral subpleural, basilar predominant reticulations with probable honeycombing at the left lung base. There is associated volume loss and traction bronchiectasis. There are multiple bilateral pulmonary nodules the largest mea... |
2,785 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. Patient weight: 116 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: There are scattered groundglass opacities seen within the left upper and lower lobes with a suspected trace anterior left pneumothorax. No pleural effusion.. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAG... | FINDINGS: BONES/JOINTS: Lateral fixation plate and screws of the proximal humeral shaft without evidence of hardware loosening or failure. There has been interval healing of the transverse fracture through the proximal humeral metaphysis with extension through the greater tuberosity. Glenohumeral and acromioclavicular ... |
2,786 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. Patient weight: 116 ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: There are scattered groundglass opacities seen within the left upper and lower lobes with a suspected trace anterior left pneumothorax. No pleural effusion.. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAG... | Findings: Lines and Tubes: 3-lead pacing device. Body Wall and Abdomen: No destructive osseous lesions. Included portions of the upper abdomen have an unremarkable appearance. Lymph Nodes, Mediastinum and Neck: No axillary adenopathy. No mediastinal adenopathy. Lungs and Pleura: Moderate-advanced destructive centrilobu... |
2,787 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 279 mm. DLP: 1444 mGy cm. (accession CT220003313), Scan field of view: 220 mm. DLP: 1049.70 mGy cm. (accession CT220003319) F... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No acute fracture evident. Ununited appearance of the anterior and posterior arch of C1, developmental. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL CT: Age indeterminate bila... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Bilateral basilar predominant groundglass opacities are overall stable compared to prior examination, centrally located. Stable appearance of left upper lobe pleural-based nodule measuring 0.9 x 0.6 m on series 2 image 97, previo... |
2,788 | RADIOLOGIC EXAM: CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Neck, CT Cervical Spine From Reformat 3-D CT MIP and Volume rendered angiographic images were generated in post processing. Patient weight: 116 lbs. IV contrast: Omnipaque 350, 120 ml, per... | FINDINGS: AORTIC ARCH and PROXIMAL GREAT VESSELS: The left common carotid branches off of the brachiocephalic arteries. Otherwise, unremarkable. RIGHT CAROTID: There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. LEFT CAROTID: There is no evidence of irregu... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Right lower lobe calcified granulomas. No focal consolid... |
2,789 | EXAM: CT Angio Lower Ext Bil wo+w contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Angio Lower Ext Bil wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 157 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 20... | FINDINGS: STRUCTURED REPORT: CTA Lower Extremities VASCULATURE: Mild scattered atherosclerotic calcification throughout the arterial system. Scattered areas of circumferential calcification of the arteries of the lower extremity. This significantly limits evaluation of the below the knee vessel patency. ABDOMINAL AORTA... | FINDINGS: Scouts: No additional findings. Lines and tubes: Right IJ catheter terminates in the right atrium as before. Left anterior chest wall loop recorder Lungs and pleura: Linear atelectasis/scarring in both lower, right middle lobes and lingula is overall unchanged. No pulmonary consolidation. No suspicious pulmon... |
2,790 | EXAM: CT Neck Soft Tissue w contrast CLINICAL INFORMATION: Female patient 69 years with jaw necrosis, M87.9 Osteonecrosis, unspecified. History of breast cancer with medically related osteonecrosis of the jaw status post ZOMETA use. Status post excision of right mandible lesion and also facial abscess TECHNIQUE: 1.25 m... | FINDINGS: There is focal bone defect involving the right mandibular body. There is significant cortical destruction both medially and laterally and there is focal destruction of the alveolar ridge of the right mandible. The defect extends to the lateral margin of the right lateral mandibular incisor. There is irregular... | FINDINGS: The left chest tube is traversing in the left major fissure as before. There is a small dependent left partly loculated pleural effusion, adjacent atelectasis and nondependent left pneumothorax at the apex extending along the upper mediastinal pleura. The right-sided effusion has significantly decreased witho... |
2,791 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast, CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat,... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull ... | Findings: Lines and Tubes: None. Body Wall and Abdomen: No destructive osseous lesions. Included portions of the upper abdomen have an unremarkable appearance. Lymph Nodes, Mediastinum and Neck: No axillary or mediastinal adenopathy. Lungs and Pleura: No pleural effusion. Mild bronchial wall thickening. Tiny subpleural... |
2,792 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast, CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat,... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull ... | 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: Subcentimete... |
2,793 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast, CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat,... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull ... | FINDINGS: BRAIN PARENCHYMA: No acute intracranial hemorrhage, midline shift, or edema. Noncalcified, dural based lesion adjacent to the right frontal lobe measuring 9.3 x 8.4 mm (image 48, series 201). There is associated remodeling of the inner table of the skull. Gray-white matter differentiation is maintained. Mild ... |
2,794 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast, CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat,... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Subcentimeter left thyroid nodule. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered bilateral atelectasis. No pleural effusion or pneumothorax. The central airways are patent. HEART / VESSELS: The heart is mildly enlarged. There are calcifications of the mitral valve ann... |
2,795 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast, CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat,... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Subcentimeter left thyroid nodule. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered bilateral atelectasis. No pleural effusion or pneumothorax. The central airways are patent. HEART / VESSELS: The heart is mildly enlarged. There are calcifications of the mitral valve ann... |
2,796 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast, CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat,... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull ... | 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 ( |
2,797 | EXAM: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Chest with contrast, CT Head wo contrast, CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast, CT Thoracic Spine from Reformat,... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull ... | Findings: CT T-spine: Ankylosis is seen at least from T5 through T10. The thoracic vertebrae are normally formed and aligned. No fracture or subluxation is seen. Bone texture is normal with no lytic or blastic lesion. The spinal canal has normal dimensions with no encroachment. See the chest CT for pulmonary and cardia... |
2,798 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 10 pack-year smoking history and intractable hiccups. Further evaluate small right lower lobe nodule on chest radiograph. COMPARISON: Chest radiograph 12/17/2021 TECHNIQUE: CT Chest wo contrast. Scan field of view: 350 mm. DLP: 176.52 mGy cm. FINDINGS: CT imaging was per... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: The central airways are patent. Respiratory motion limits evaluation the lung bases. Calcified bilateral lower lobe granulomas. Calcified granulo... | Findings: CT T-spine: Ankylosis is seen at least from T5 through T10. The thoracic vertebrae are normally formed and aligned. No fracture or subluxation is seen. Bone texture is normal with no lytic or blastic lesion. The spinal canal has normal dimensions with no encroachment. See the chest CT for pulmonary and cardia... |
2,799 | EXAM: CT Chest wo contrast, CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: 49-year-old female with evaluation for septic shock, lactic acidosis, and respiratory failure. History of lymphoma. Patient is on pressors. COMPARISON: CT chest dated 12/1/2021. PET/CT dated 10/21/2021. TECHNIQUE: CT Chest wo contrast... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT CAP LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Secretions are seen in the trachea. Endotracheal tube tip seen approximately 3.8 centimeters above the carina. Upper lobe and interlobular septal t... | FINDINGS: BRAIN PARENCHYMA: No acute intracranial hemorrhage, midline shift, or edema. Noncalcified, dural based lesion adjacent to the right frontal lobe measuring 9.3 x 8.4 mm (image 48, series 201). There is associated remodeling of the inner table of the skull. Gray-white matter differentiation is maintained. Mild ... |
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